Correlates of Chlamydia trachomatis infection in a primary care sentinel surveillance network

Megan Su Cheng Lim, Jane L Goller, Rebecca J Guy, Judy Gold, Mark Stoove, Jane Hocking, Christopher Kit Fairley, Dot J Henning, Kathleen Margaret McNamee, Louise Sarah Owen, Penelope Sheehan, Margaret Elena Hellard

Research output: Contribution to journalArticleResearchpeer-review

12 Citations (Scopus)

Abstract

Background: Chlamydia is the most commonly notified infection in Australia. Prevention strategies should be informed by routine data on at-risk populations. Methods: We calculated chlamydia positivity and correlates of infection using multivariable logistic regression for data collected between April 2006 and June 2009. Results: Chlamydia positivity was 5.6 in 12 233 females, 7.7 in 10 316 heterosexual males and 6.2 in 7872 men who have sex with men (MSM). Correlates of chlamydia positivity among females included younger age (odds ratio (OR) 2.27, 95 confidence interval (CI) 1.92?2.69), being born overseas (OR 1.50, 95 CI 1.25?1.82), multiple sex partners in the past year (OR 1.72, 95 CI 1.40?2.11) and inconsistent condom use with regular sex partners (OR 3.44 ,95 CI 1.65?7.20). Sex work was protective for females (OR 0.68, 95 CI 0.53?0.86). Among heterosexual males, correlates of positivity were younger age (OR 1.87, 95 CI 1.62?2.17), being born overseas (OR 1.35, 95 CI 1.16?1.58), symptoms at the time of testing (OR 1.64, 95 CI 1.40?1.92) and multiple sex partners in the past year (OR 1.83, 95 CI 1.46?2.30). Correlates of positivity among MSM were being born overseas (OR 1.23, 95 CI 1.00?1.51), being HIV-positive (OR 1.80, 95 CI 1.32?2.47), and reporting six or more anal sex partners in the past 6 months (OR 4.45, 95 CI 1.37?14.5). Conclusions: Our analysis identified subgroups at the highest risk of chlamydia in Victoria. These estimates will provide important baseline information to measure the impact of chlamydia control strategies.
Original languageEnglish
Pages (from-to)247 - 253
Number of pages7
JournalSexual Health
Volume9
Issue number3
DOIs
Publication statusPublished - 2012

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