Document Detail


Chlamydia sentinel surveillance in Aboriginal Community Controlled Health Services finds higher testing and positivity rates among younger people.
MedLine Citation:
PMID:  23216501     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective: To measure chlamydia testing and positivity rates among 16-39 year olds attending Aboriginal Community Controlled Health Services (ACCHSs). Methods: Retrospective non-identifiable computerised records containing consultation and chlamydia testing data were collected for patients (16-39 years) attending eight ACCHSs during 2008-09 in urban, regional and remote settings for the Australian Collaboration for Chlamydia Enhanced Sentinel Surveillance (ACCESS) system. Annual chlamydia testing and positivity rates were estimated. Results: Over two years, 13,809 patients aged 16-39 years (57.8% female, 82.3% Aboriginal or Torres Strait Islander) attended. The annual overall chlamydia testing rate was 13.0% (2008) and 16.0% (2009). Testing rates were higher among females (p<0.001) and among patients aged 16-29 than 30-39 years (males: p=0.01; females: p<0.001). Chlamydia positivity was 8.5% overall; similar in females (8.7%) and males (7.8%) (p=0.46); highest among 16-19 years (females: 17.4%; males: 13.0%), declining to 1.5% among females 35-39 years (p<0.001) and 4.8% among males 30-34 years (p<0.001). Conclusions: Chlamydia testing at these ACCHSs approached recommended levels among some patient groups, however, it should increase. High positivity among younger people highlights they should be targeted. Implications: Young people should be targeted for sexual health interventions. ACCHSs are well placed to provide enhanced sexual health services if appropriately resourced.
Authors:
Jane L Goller; James Ward; Mark Saunders; Sophie Couzos; John Kaldor; Margaret A Hellard
Publication Detail:
Type:  Journal Article     Date:  2012-11-08
Journal Detail:
Title:  Australian and New Zealand journal of public health     Volume:  36     ISSN:  1753-6405     ISO Abbreviation:  Aust N Z J Public Health     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9611095     Medline TA:  Aust N Z J Public Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  577-81     Citation Subset:  IM    
Copyright Information:
© 2012 The Authors. ANZJPH © 2012 Public Health Association of Australia.
Affiliation:
Centre for Population Health, Burnet Institute, Victoria The Kirby Institute, University of New South Wales National Aboriginal Community Controlled Health Organisation, ACT The Kirby Institute, University of New South Wales Centre for Population Health, Burnet Institute, Victoria.
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