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A comparison of the population diagnosed with chlamydia in primary care with that diagnosed in sexual health clinics: implications for a national screening programme.

机译:在初级保健中诊断出衣原体的人群与在性健康诊所中诊断出的人群的比较:对国家筛查计划的影响。

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摘要

OBJECTIVES: To compare demographic, behavioural and HIV testing characteristics of individuals diagnosed with chlamydia infection in primary care with those in genitourinary medicine clinics, in the absence of a screening programme. The aim was to explore the current and potential contribution of primary care to the control of chlamydia. STUDY DESIGN AND METHODS: We analysed data on individuals who reported one or more chlamydia diagnoses in the past 5 years in a large probability sample survey of the resident, UK general population aged 16-44 years. Estimates were weighted and odds ratios calculated. RESULTS: Women diagnosed in primary care reported fewer sexual partners, and were less likely to have had an HIV test in the past 5 years than their counterparts diagnosed in genitourinary medicine clinics. Age, ethnicity, social class, educational attainment and urbanization of area of residence did not differ between the two groups. Too few men were diagnosed in primary care to allow for such a comparison. CONCLUSIONS: Primary care already diagnoses a large number of women with chlamydia infection, who may perceive themselves as low risk through age or sexual behaviour, yet are likely to comprise a substantial proportion of all infections. Few men are diagnosed in primary care. These groups need to be strategically targeted in the context of a future chlamydia screening programme, which will focus on the screening of younger women at high risk, and in which the role of primary care is still in development.
机译:目的:在没有筛查程序的情况下,比较在初级保健中被诊断为衣原体感染的个体与在泌尿生殖医学诊所中的个体的人口统计学,行为学和HIV检测特征。目的是探讨初级保健对衣原体控制的当前和潜在贡献。研究设计和方法:我们对英国居民(年龄在16-44岁之间)进行的大概率抽样调查分析了过去5年中报告了一个或多个衣原体诊断的个体的数据。对估计值进行加权,并计算比值比。结果:与在泌尿生殖医学诊所诊断出的女性相比,在初级保健中诊断出的女性在过去5年中报告的性伴侣更少,并且接受HIV检测的可能性也较小。两组之间的年龄,种族,社会阶层,受教育程度和居住地区的城市化程度没有差异。在初级保健中被诊断出的男人太少,无法进行这种比较。结论:初级保健已经诊断出大量的衣原体感染妇女,这些妇女可能由于年龄或性行为而被认为是低风险的,但可能占所有感染的很大一部分。很少有男性被诊断为初级保健。在未来的衣原体筛查计划的背景下,需要将这些群体作为战略目标,该计划将侧重于筛查高危年轻妇女,而初级保健的作用仍在发展中。

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