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P3.029Secular Trends of Chlamydia Infection and Testing: A Close Look at the Risk Factors and Regional Variations of a Canadian Population, 1992-2008

BackgroundScreening and case-finding for Chlamydia infection among all sexually active men and women under the age of 25, annually or during presentation to a health care provider were introduced in Canada and US in 2001. This strategy was aimed to reduce new Chlamydia infections and its long term a... Full description

Journal Title: Sexually Transmitted Infections Jul 2013, Vol.89(Suppl 1), pp.A157-A157
Main Author: Melesse, D
Other Authors: Caetano, P , Leung, S , Davies, B , Low, N , Blanchard, J
Format: Electronic Article Electronic Article
Language: English
Subjects:
Age
Quelle: © ProQuest LLC All rights reserved
ID: ISSN: 1472-3263 ; DOI: 10.1136/sextrans-2013-051184.0489
Link: http://search.proquest.com/docview/1551637967/?pq-origsite=primo
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title: P3.029Secular Trends of Chlamydia Infection and Testing: A Close Look at the Risk Factors and Regional Variations of a Canadian Population, 1992-2008
format: Article
creator:
  • Melesse, D
  • Caetano, P
  • Leung, S
  • Davies, B
  • Low, N
  • Blanchard, J
subjects:
  • Age
  • Statistics
  • Data Processing
  • Sexually-Transmitted Diseases
  • Cores
  • Risk Factors
  • Geographical Variations
  • Infection
  • Public Health
  • Chlamydia
  • Human Diseases
  • Chlamydia Trachomatis
  • Geographic Variations
  • Test Uptake and Infection
ispartof: Sexually Transmitted Infections, Jul 2013, Vol.89(Suppl 1), pp.A157-A157
description: BackgroundScreening and case-finding for Chlamydia infection among all sexually active men and women under the age of 25, annually or during presentation to a health care provider were introduced in Canada and US in 2001. This strategy was aimed to reduce new Chlamydia infections and its long term adverse reproductive complications. The objective of this study is to explore the temporal trends of Chlamydia infections and test uptake in the targeted population of Manitoba.MethodWe used Manitoba Cadham Provincial Laboratory (CPL) Chlamydia test data (1992 to 2008). CPL captured almost all sexually transmitted disease testing data of Manitoba. Descriptive statistics and logistic regression were used to describe the trend of Chlamydia infections and tests uptake over time.ResultsOverall Chlamydia infection showed an initial flat trend in 1992-2001 and followed by a steady increasing in 2002-2008 trend in all women and men. Using Rural South as reference, the increasing infection rates are most prominent in Rural North rural, OR = 6.12 [CI = 6.06-6.17], Urban Core, OR = 3.52 [CI = 3.49-3.55], Urban non-Core, OR = 3.06 [3.04-3.08], Middle Rural, OR = 1.78 [1.76-1.79], p < 0.0001). Chlamydia test uptake rates showed the same trend and prominent increased test uptakes since 2002 (annual increase 36%, OR = 1.43, CI = 1.42-1.44, p < 0.0001), more in Rural North and Urban Core area in women aged 15-24 years. In younger women (aged 15-19) of Rural North, test positivity rates "outperformed" test uptake rates (annual increase 43% versus 22%).ConclusionsThe increasing trends of Chlamydia infection rates cannot be fully explained by the Chlamydia test uptakes in Manitoba young women. The geographic variations flag alarming signals for more effective core group targeted public health intervention.Abstract P3.029 Table 1Average annual crude rates (% CI), 1992-2008Age/regionInfectionPositivityTest UptakeAge = < 140.02 (0.02-0.03)13.3 (9.49-17.14)0.18 (0.16-0.19)Age 15-191.58 (1.48-1.69)11.07 (10.93-12.33)14.32 (14.90-15.50)Age 20-241.77 (1.75-1.96)7.04 (6.62-7.45)25.19 (24.78-25.59)Age 25-290.83 (0.76-0.90)3.88 (3.54-4.22)22.02 (21.64-22.39)Age 30-340.34 (0.30-0.39)2.28 (1.98-2.58)15.28 (14.98-15.28)Age 35+0.03 (0.03-0.04)1.2 (1.02-1.38)2.73 (2.69-2.78)Rural South1.21 (1.13-1.29)9.44 (8.79-10.10)13.42 (13.14-13.70)Urban Core0.57 (0.53-0.62)6.4 (5.91-6.90)9.36 (9.18-9.53)Urban Non-Core0.23 (0.22-0.25)3.54 (3.32-3.76)7.00 (6.92-7.08)Mid Rural0.26 (0.23-0.28)5.52 (4.97-6.08)4.
language: eng
source: © ProQuest LLC All rights reserved
identifier: ISSN: 1472-3263 ; DOI: 10.1136/sextrans-2013-051184.0489
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titleP3.029Secular Trends of Chlamydia Infection and Testing: A Close Look at the Risk Factors and Regional Variations of a Canadian Population, 1992-2008
creatorMelesse, D ; Caetano, P ; Leung, S ; Davies, B ; Low, N ; Blanchard, J
contributorBlanchard, J (correspondence author)
ispartofSexually Transmitted Infections, Jul 2013, Vol.89(Suppl 1), pp.A157-A157
identifierISSN: 1472-3263 ; DOI: 10.1136/sextrans-2013-051184.0489
subjectAge ; Statistics ; Data Processing ; Sexually-Transmitted Diseases ; Cores ; Risk Factors ; Geographical Variations ; Infection ; Public Health ; Chlamydia ; Human Diseases ; Chlamydia Trachomatis ; Geographic Variations ; Test Uptake and Infection
descriptionBackgroundScreening and case-finding for Chlamydia infection among all sexually active men and women under the age of 25, annually or during presentation to a health care provider were introduced in Canada and US in 2001. This strategy was aimed to reduce new Chlamydia infections and its long term adverse reproductive complications. The objective of this study is to explore the temporal trends of Chlamydia infections and test uptake in the targeted population of Manitoba.MethodWe used Manitoba Cadham Provincial Laboratory (CPL) Chlamydia test data (1992 to 2008). CPL captured almost all sexually transmitted disease testing data of Manitoba. Descriptive statistics and logistic regression were used to describe the trend of Chlamydia infections and tests uptake over time.ResultsOverall Chlamydia infection showed an initial flat trend in 1992-2001 and followed by a steady increasing in 2002-2008 trend in all women and men. Using Rural South as reference, the increasing infection rates are most prominent in Rural North rural, OR = 6.12 [CI = 6.06-6.17], Urban Core, OR = 3.52 [CI = 3.49-3.55], Urban non-Core, OR = 3.06 [3.04-3.08], Middle Rural, OR = 1.78 [1.76-1.79], p < 0.0001). Chlamydia test uptake rates showed the same trend and prominent increased test uptakes since 2002 (annual increase 36%, OR = 1.43, CI = 1.42-1.44, p < 0.0001), more in Rural North and Urban Core area in women aged 15-24 years. In younger women (aged 15-19) of Rural North, test positivity rates "outperformed" test uptake rates (annual increase 43% versus 22%).ConclusionsThe increasing trends of Chlamydia infection rates cannot be fully explained by the Chlamydia test uptakes in Manitoba young women. The geographic variations flag alarming signals for more effective core group targeted public health intervention.Abstract P3.029 Table 1Average annual crude rates (% CI), 1992-2008Age/regionInfectionPositivityTest UptakeAge = < 140.02 (0.02-0.03)13.3 (9.49-17.14)0.18 (0.16-0.19)Age 15-191.58 (1.48-1.69)11.07 (10.93-12.33)14.32 (14.90-15.50)Age 20-241.77 (1.75-1.96)7.04 (6.62-7.45)25.19 (24.78-25.59)Age 25-290.83 (0.76-0.90)3.88 (3.54-4.22)22.02 (21.64-22.39)Age 30-340.34 (0.30-0.39)2.28 (1.98-2.58)15.28 (14.98-15.28)Age 35+0.03 (0.03-0.04)1.2 (1.02-1.38)2.73 (2.69-2.78)Rural South1.21 (1.13-1.29)9.44 (8.79-10.10)13.42 (13.14-13.70)Urban Core0.57 (0.53-0.62)6.4 (5.91-6.90)9.36 (9.18-9.53)Urban Non-Core0.23 (0.22-0.25)3.54 (3.32-3.76)7.00 (6.92-7.08)Mid Rural0.26 (0.23-0.28)5.52 (4.97-6.08)4.86 (4.74-4.97)Rural South0.13 (0.12-0.15)4.16 (3.67-4.64)3.24 (3.18-3.31)
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2Leung, S
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4Low, N
5Blanchard, J
titleP3.029Secular Trends of Chlamydia Infection and Testing: A Close Look at the Risk Factors and Regional Variations of a Canadian Population, 1992-2008
descriptionBackgroundScreening and case-finding for Chlamydia infection among all sexually active men and women under the age of 25, annually or during presentation to a health care provider were introduced in Canada and US in 2001. This strategy was aimed to reduce new Chlamydia infections and its long term adverse reproductive complications. The objective of this study is to explore the temporal trends of Chlamydia infections and test uptake in the targeted population of Manitoba.MethodWe used Manitoba Cadham Provincial Laboratory (CPL) Chlamydia test data (1992 to 2008). CPL captured almost all sexually transmitted disease testing data of Manitoba. Descriptive statistics and logistic regression were used to describe the trend of Chlamydia infections and tests uptake over time.ResultsOverall Chlamydia infection showed an initial flat trend in 1992-2001 and followed by a steady increasing in 2002-2008 trend in all women and men. Using Rural South as reference, the increasing infection rates are most prominent in Rural North rural, OR = 6.12 [CI = 6.06-6.17], Urban Core, OR = 3.52 [CI = 3.49-3.55], Urban non-Core, OR = 3.06 [3.04-3.08], Middle Rural, OR = 1.78 [1.76-1.79], p < 0.0001). Chlamydia test uptake rates showed the same trend and prominent increased test uptakes since 2002 (annual increase 36%, OR = 1.43, CI = 1.42-1.44, p < 0.0001), more in Rural North and Urban Core area in women aged 15-24 years. In younger women (aged 15-19) of Rural North, test positivity rates "outperformed" test uptake rates (annual increase 43% versus 22%).ConclusionsThe increasing trends of Chlamydia infection rates cannot be fully explained by the Chlamydia test uptakes in Manitoba young women. The geographic variations flag alarming signals for more effective core group targeted public health intervention.Abstract P3.029 Table 1Average annual crude rates (% CI), 1992-2008Age/regionInfectionPositivityTest UptakeAge = < 140.02 (0.02-0.03)13.3 (9.49-17.14)0.18 (0.16-0.19)Age 15-191.58 (1.48-1.69)11.07 (10.93-12.33)14.32 (14.90-15.50)Age 20-241.77 (1.75-1.96)7.04 (6.62-7.45)25.19 (24.78-25.59)Age 25-290.83 (0.76-0.90)3.88 (3.54-4.22)22.02 (21.64-22.39)Age 30-340.34 (0.30-0.39)2.28 (1.98-2.58)15.28 (14.98-15.28)Age 35+0.03 (0.03-0.04)1.2 (1.02-1.38)2.73 (2.69-2.78)Rural South1.21 (1.13-1.29)9.44 (8.79-10.10)13.42 (13.14-13.70)Urban Core0.57 (0.53-0.62)6.4 (5.91-6.90)9.36 (9.18-9.53)Urban Non-Core0.23 (0.22-0.25)3.54 (3.32-3.76)7.00 (6.92-7.08)Mid Rural0.26 (0.23-0.28)5.52 (4.97-6.08)4.86 (4.74-4.97)Rural South0.13 (0.12-0.15)4.16 (3.67-4.64)3.24 (3.18-3.31)
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titleP3.029Secular Trends of Chlamydia Infection and Testing: A Close Look at the Risk Factors and Regional Variations of a Canadian Population, 1992-2008
authorMelesse, D ; Caetano, P ; Leung, S ; Davies, B ; Low, N ; Blanchard, J
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4Cores
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6Geographical Variations
7Infection
8Public Health
9Chlamydia
10Human Diseases
11Chlamydia Trachomatis
12Geographic Variations
13Test Uptake and Infection
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abstractBackgroundScreening and case-finding for Chlamydia infection among all sexually active men and women under the age of 25, annually or during presentation to a health care provider were introduced in Canada and US in 2001. This strategy was aimed to reduce new Chlamydia infections and its long term adverse reproductive complications. The objective of this study is to explore the temporal trends of Chlamydia infections and test uptake in the targeted population of Manitoba.MethodWe used Manitoba Cadham Provincial Laboratory (CPL) Chlamydia test data (1992 to 2008). CPL captured almost all sexually transmitted disease testing data of Manitoba. Descriptive statistics and logistic regression were used to describe the trend of Chlamydia infections and tests uptake over time.ResultsOverall Chlamydia infection showed an initial flat trend in 1992-2001 and followed by a steady increasing in 2002-2008 trend in all women and men. Using Rural South as reference, the increasing infection rates are most prominent in Rural North rural, OR = 6.12 [CI = 6.06-6.17], Urban Core, OR = 3.52 [CI = 3.49-3.55], Urban non-Core, OR = 3.06 [3.04-3.08], Middle Rural, OR = 1.78 [1.76-1.79], p < 0.0001). Chlamydia test uptake rates showed the same trend and prominent increased test uptakes since 2002 (annual increase 36%, OR = 1.43, CI = 1.42-1.44, p < 0.0001), more in Rural North and Urban Core area in women aged 15-24 years. In younger women (aged 15-19) of Rural North, test positivity rates "outperformed" test uptake rates (annual increase 43% versus 22%).ConclusionsThe increasing trends of Chlamydia infection rates cannot be fully explained by the Chlamydia test uptakes in Manitoba young women. The geographic variations flag alarming signals for more effective core group targeted public health intervention.Abstract P3.029 Table 1Average annual crude rates (% CI), 1992-2008Age/regionInfectionPositivityTest UptakeAge = < 140.02 (0.02-0.03)13.3 (9.49-17.14)0.18 (0.16-0.19)Age 15-191.58 (1.48-1.69)11.07 (10.93-12.33)14.32 (14.90-15.50)Age 20-241.77 (1.75-1.96)7.04 (6.62-7.45)25.19 (24.78-25.59)Age 25-290.83 (0.76-0.90)3.88 (3.54-4.22)22.02 (21.64-22.39)Age 30-340.34 (0.30-0.39)2.28 (1.98-2.58)15.28 (14.98-15.28)Age 35+0.03 (0.03-0.04)1.2 (1.02-1.38)2.73 (2.69-2.78)Rural South1.21 (1.13-1.29)9.44 (8.79-10.10)13.42 (13.14-13.70)Urban Core0.57 (0.53-0.62)6.4 (5.91-6.90)9.36 (9.18-9.53)Urban Non-Core0.23 (0.22-0.25)3.54 (3.32-3.76)7.00 (6.92-7.08)Mid Rural0.26 (0.23-0.28)5.52 (4.97-6.08)4.86 (4.74-4.97)Rural South0.13 (0.12-0.15)4.16 (3.67-4.64)3.24 (3.18-3.31)
doi10.1136/sextrans-2013-051184.0489
urlhttp://search.proquest.com/docview/1551637967/
date2013-07-01