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Opportunistic screening for chlamydia infection in general practice: can we reach young women?

Opportunistic screening for chlamydia infection in general practice: can we reach young women?
Opportunistic screening for chlamydia infection in general practice: can we reach young women?
Objective: to study opportunistic screening in primary care, in such a way that would include teenage women.

Setting: screening for chlamydia infection was offered opportunistically in eight general practices in Edinburgh to women aged ? 35 years attending for cervical smear, and women aged ? 20 years attending for contraception. The numbers of women eligible to be offered screening were 901 in the cervical smear group, and 595 in the contraception group.

Results: effective screening rate (offered test, consented, and urine sample returned) was 30% for the cervical smear group compared with 23% for the contraception group. Among those tested, chlamydia prevalence was strongly associated with young age, ranging from 11.8% in those <18 years, to 0% in those >25 years. Number of sexual partners in past year did not improve prediction of infection.

Conclusion: these findings raise concerns regarding the feasibility of opportunistic screening in general practice, particularly for those with highest prevalence of chlamydia—teenage women
175-176
Santer, M.
3ce7e832-31eb-4d27-9876-3a1cd7f381dc
Santer, M.
3ce7e832-31eb-4d27-9876-3a1cd7f381dc

Santer, M. (2000) Opportunistic screening for chlamydia infection in general practice: can we reach young women? Journal of Medical Screening, 7 (4), 175-176. (doi:10.1136/jms.7.4.175). (PMID:11202582)

Record type: Article

Abstract

Objective: to study opportunistic screening in primary care, in such a way that would include teenage women.

Setting: screening for chlamydia infection was offered opportunistically in eight general practices in Edinburgh to women aged ? 35 years attending for cervical smear, and women aged ? 20 years attending for contraception. The numbers of women eligible to be offered screening were 901 in the cervical smear group, and 595 in the contraception group.

Results: effective screening rate (offered test, consented, and urine sample returned) was 30% for the cervical smear group compared with 23% for the contraception group. Among those tested, chlamydia prevalence was strongly associated with young age, ranging from 11.8% in those <18 years, to 0% in those >25 years. Number of sexual partners in past year did not improve prediction of infection.

Conclusion: these findings raise concerns regarding the feasibility of opportunistic screening in general practice, particularly for those with highest prevalence of chlamydia—teenage women

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More information

Published date: December 2000
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 353438
URI: http://eprints.soton.ac.uk/id/eprint/353438
PURE UUID: 8c5311bc-74e1-4d22-85c7-f7fb1bf82d74
ORCID for M. Santer: ORCID iD orcid.org/0000-0001-7264-5260

Catalogue record

Date deposited: 06 Jun 2013 10:26
Last modified: 15 Mar 2024 03:34

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