CSIRO Publishing blank image blank image blank image blank imageBooksblank image blank image blank image blank imageJournalsblank image blank image blank image blank imageAbout Usblank image blank image blank image blank imageShopping Cartblank image blank image blank image You are here: Journals > Sexual Health   
Sexual Health
Journal Banner
  Publishing on sexual health from the widest perspective
 
blank image Search
 
blank image blank image
blank image
 
  Advanced Search
   

Journal Home
About the Journal
Editorial Structure
Contacts
Content
Online Early
Current Issue
Just Accepted
All Issues
Special Issues
Sample Issue
For Authors
General Information
Scope
Submit Article
Author Instructions
Open Access
For Referees
Referee Guidelines
Review an Article
Annual Referee Index
For Advertisers
For Subscribers
Subscription Prices
Customer Service

blue arrow e-Alerts
blank image
Subscribe to our Email Alert or RSS feeds for the latest journal papers.

red arrow Connect with us
blank image
facebook twitter LinkedIn

red arrow Interview with Kit Fairley
blank image
Hear Kit Fairley speak about what is sexual health.

 

Article << Previous     |     Next >>   Contents Vol 2(3)

Do the characteristics of sexual health centre clients predict chlamydia infection sufficiently strongly to allow selective screening?

Jane Hocking A B D, Christopher K. Fairley B C

A Macfarlane Burnet Institute for Medical Research and Public Health, GPO Box 2284, Melbourne, VIC 3001, Australia.
B Sexual Health Unit, School of Population Health, University of Melbourne, Melbourne, VIC 3010, Australia.
C Melbourne Sexual Health Centre, Carlton, VIC 3053, Australia.
D Corresponding author. Email: hocking@burnet.edu.au
 
PDF (89 KB) $25
 Export Citation
 Print
  


Abstract

Objectives: This study aimed to estimate chlamydia prevalence and risk factors for infection and to assess the performance of chlamydia-selective screening criteria among clients attending a large sexually transmitted infection (STI) clinic. Methods: Computerised records for all attendances between 1 July 2002 and 30 June 2003 were analysed. Chlamydia prevalence and risk factors for infection were determined for all new clients. The sensitivity and specificity of risk factors for chlamydia were assessed. Results: 2642 male and 2084 female new clients were tested for chlamydia with a prevalence of 7.3% (95% CI: 6.3%, 8.4%) among men and 3.9% (95% CI: 3.1%, 4.9%) among women. Screening heterosexual men based on a positive contact or symptoms of non-specific urethritis or any two of age < 25 years, 4+ partners last 12 months, inconsistent condom use or not presenting for an asymptomatic screen detected 88% of infections by screening 62%. Screening women based on a positive contact or injecting drug use or any two of age < 25 years, 2+ partners last 12 months or inconsistent condom use would detect 86% of infections by screening 57%. Conclusions: Selective screening could be used to more efficiently identify heterosexual men and women at risk of chlamydia.

   
Subscriber Login
Username:
Password:  

    
Legal & Privacy | Contact Us | Help

CSIRO

© CSIRO 1996-2015