Sexual behaviour and Chlamydia trachomatis infections in German female urban adolescents, 2004

Griesinger, G.; Gille, Gisela; Klapp, C; Otte, Sebastian; Diedrich, K.

doi:10.1111/j.1469-0691.2006.01680.x

Cited by 17 publications

(7 citation statements)

References 14 publications

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“…We found that most young women are not knowledgeable about Chlamydia, and many do not distinguish between screening for Chlamydia and screening for other, less prevalent STDs. These findings are representative of the generally low levels of chlamydia knowledge in the United States and abroad, [10][11][12][13] underscoring the importance of raising basic awareness in order to promote screening uptake and acceptability. 8 Young women's discussions suggested they have low levels of perceived susceptibility to STDs.…”

Section: Discussionmentioning

confidence: 65%

“Something We'd Rather Not Talk About”: Findings from CDC Exploratory Research on Sexually Transmitted Disease Communication with Girls and Women

Friedman

Bloodgood

2010

Journal of Women's Health

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Background: Chlamydia is a leading cause of pelvic inflammatory disease (PID), which can lead to ectopic pregnancy, chronic pelvic pain, and infertility. Annual Chlamydia screening is recommended for all sexually active women aged 25 years, yet only about 40% of eligible women are screened each year in the United States. To promote Chlamydia screening for the prevention of infertility, the Centers for Disease Control and Prevention (CDC) is developing direct-to-consumer efforts for sexually active young women and key influencers. To inform this effort, CDC sought to explore girls'=women's understandings of sexually transmitted disease (STD) and Chlamydia testing and STD communications and information sources. Methods: Two waves of one-on-one interviews (n ¼ 125) were conducted in 10 metropolitan areas with African American, Caucasian, and Latina females, aged 15-25 years. Results: Most participants were not knowledgeable about Chlamydia or its screening; their discussions about it suggested low levels of perceived susceptibility or relevance to Chlamydia and screening. STDs are rarely discussed in home or social settings or with partners or close friends; yet young women may turn to interpersonal sources if concerned about an STD. Providers are the primary and preferred source of STD information for girls and women, although missed opportunities for engaging young women in STD=sexual health discussions were identified in clinical and other settings. Conclusions: Providers, family members, friends, and partners may serve as important intermediaries for reaching young women and encouraging STD=Chlamydia screening. Resources are identified that could be leveraged and=or developed to facilitate such interactions.

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Section: Discussionmentioning

confidence: 65%

“Something We'd Rather Not Talk About”: Findings from CDC Exploratory Research on Sexually Transmitted Disease Communication with Girls and Women

Friedman

Bloodgood

2010

Journal of Women's Health

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“…Most other population-based studies were performed in sexually experienced participants aged 18-24 years, showing among women a prevalence of 3.6% (95% CI: 1.9-6.8) in France, 4.7% (95% CI: 2.5-8.5) in Slovenia and 3.0% (95% CI: 1.7-5.0) in the UK [12,13,23]. In an observational study performed in 2004 among sexually experienced females aged 14-20 years in Berlin, Germany, CT-positivity of 6.5% (95% CI: 4.7-9.0) was found [24]. In a study performed in 2008-09 in a mid-sized town in Germany, a prevalence of 4.2% was found in 14-19 year-old females and was associated with an early age of first sexual contact and increasing number of lifetime sexual partners [25].…”

Section: Discussionmentioning

confidence: 98%

“…One explanation could be that young girls who take the pill no longer use condoms [24], as pregnancy prevention has been frequently reported as a major reason for condom use in young females. In the United States, an increase in oral contraceptive intake from 8% in 9th-grade females to 30% in 12th-grade females was found as was a concomitant decrease in condom use from 56% to 49% in those sexually active females [52].…”

Section: Discussionmentioning

confidence: 99%

Risk factors for Chlamydia trachomatis infection in adolescents: results from a representative population-based survey in Germany, 2003–2006

et al. 2013

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Infections with Chlamydia trachomatis (CT) can lead to severe sequelae; however, they are not notifiable in Germany. We tested urine samples from participants of KiGGS (German Health Interview and Examination Survey for Children and Adolescents) for CT infections and linked the results to demographic and behavioural data from 1,925 participants (girls aged 15-17 years and boys aged 16-17 years) to determine a representative prevalence of CT infection in adolescents in Germany and to assess associated risk factors. Prevalence of CT infection was 2.2% (95% CI: 1.4-3.5) in girls and 0.2% (95% CI: 0.1-0.7) in boys. CT infection in girls was associated with higher use of alcohol, marijuana and cigarettes, lower social status, oral contraceptive use, pregnancy, repeated lower abdominal pain and higher rates of doctors' consultations within the preceding three months and consultation of gynaecologists within the last 12 months. In multiple logistic regression, we identified two predictors for CT infection: marijuana consumption often or several times within the last 12 months (F(1,164)=7.56; p<0.05) and general health status less than 'very good' (F(1,164)=3.83; p=0.052). Given our findings, we recommend enhancing sex education before sexual debut and promoting safe sex practices regardless of the contraceptive method used. Well-informed consumption of alcohol should be promoted, the risky behaviour of people intoxicated through consumption of marijuana highlighted and doctors' awareness of CT screening enhanced.

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“…Previous research has demonstrated that young people have a poor awareness of the link between STIs and infertility [19,23,24] whereas others have reported the opposite [25-27]. This disparity may primarily be due to the differences in age and educational levels of the samples, and the different methods of data collection.…”

Section: Discussionmentioning

confidence: 99%

Talking about links between sexually transmitted infections and infertility with college and university students from SE England, UK: a qualitative study

2013

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BackgroundSexually transmitted infections (STIs) such as chlamydia and gonorrhoea are largely symptomless diseases which, left untreated, can result in serious complications including infertility. Fertility problems currently affect approximately one in seven couples in the UK and there is increasing demand for couples seeking reproductive technologies. Young people are at greatest risk of contracting STIs, therefore this study aimed to identify young people’s knowledge and beliefs about the link between untreated STIs and infertility.MethodsFocus groups were conducted with participants aged 16–24 years old inclusive in college or university settings in the SE of England. Groups were quota sampled on the basis of age and gender. A topic guide was used. The data were analysed using a framework analysis approach.ResultsTen single-sex focus groups were conducted with sixty participants: six groups of college students and four groups of university students. Participants were generally aware of the link between STIs and potential infertility and considered the discussion of this subject very relevant at their age. Knowledge about how and why STIs potentially lead to fertility complications was poor. The issues of blame relating to infertility following an STI emerged, although most participants did not think that access to free reproductive technologies after an untreated STI should be limited.ConclusionsYoung people would benefit from more education in order to improve their understanding of the long-term consequences of untreated STIs, such as infertility. Participants in our sample felt these were extremely relevant and important issues for them to understand alongside current education about STIs.

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Sexual behaviour and Chlamydia trachomatis infections in German female urban adolescents, 2004

Cited by 17 publications

References 14 publications

“Something We'd Rather Not Talk About”: Findings from CDC Exploratory Research on Sexually Transmitted Disease Communication with Girls and Women

“Something We'd Rather Not Talk About”: Findings from CDC Exploratory Research on Sexually Transmitted Disease Communication with Girls and Women

Risk factors for Chlamydia trachomatis infection in adolescents: results from a representative population-based survey in Germany, 2003–2006

Talking about links between sexually transmitted infections and infertility with college and university students from SE England, UK: a qualitative study

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