The highest prevalence of chlamydia infection in the United States is among people aged 15 to 24 years. We assessed the impact of not doing routine cervical cancer screening on the rates of chlamydia screening in women aged 15 to 21 years. We classified visits to family medicine ambulatory clinics according to their timing relative to the 2009 guideline change that led to more restrictive cervical cancer screening. Women had higher odds of being screened for chlamydia before vs after the guideline change (odds ratio = 13.97; 95% CI, 9.17–21.29; P <.001). Chlamydia and cervical cancer screening need to be uncoupled and new screening opportunities should be identified.
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机译：在美国，衣原体感染的最高流行人群是15至24岁的人群。我们评估了不进行常规宫颈癌筛查对15至21岁女性衣原体筛查率的影响。我们根据对家庭医学门诊诊所的访问时间（相对于2009年指南更改的时间）进行分类，该指南导致更严格的宫颈癌筛查。与指南更改前后相比，女性进行衣原体筛查的几率更高（优势比= 13.97； 95％CI为9.17–21.29； P <.001）。衣原体和宫颈癌的筛查需要分开进行，并应确定新的筛查机会。
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