High chlamydia positivity rates in indigenous people attending Australian sexual health services

Catherine C. O'Connor, Hammad Ali, Rebecca J. Guy, David J. Templeton, Christopher K. Fairley, Marcus Y. Chen, Bridget M. Dickson, Lewis J. Marshall, Andrew E. Grulich, Margaret E. Hellard, John M. Kaldor, Basil Donovan, James S. Ward

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: To assess the clinical epidemiology of chlamydia among Aboriginal and Torres Strait Islander (Indigenous) people attending sexual health services around Australia. Design: Retrospective analysis of routine demographic, behavioural and clinical data, between 1 January 2006 and 31 December 2011. Setting: 18 sexual health services in major cities and regional centres in five jurisdictions. Main outcome measures: Attendance, chlamydia testing and positivity rates in patients visiting for the first time, and factors associated with chlamydia positivity. Results: Of 168 729 new patients, 7103 (4.2%) identified as Indigenous, of whom 74.3% were tested for chlamydia. Chlamydia positivity was 17.0% in Indigenous women (23.3% in 15-19-year-olds and 18.9% in 20-24-year-olds) and 17.3% in Indigenous men (20.2% in 15-19-year-olds and 24.2% in 20-24-year-olds). There was an increasing trend in chlamydia positivity in Indigenous women from 2006 to 2011 (P for trend = 0.001), but not in Indigenous men. In Indigenous women, factors independently associated with positivity were: younger age, being heterosexual, living in Queensland and attending the service in 2010. In Indigenous men, independent factors associated with chlamydia positivity were younger age, being heterosexual, having sex only in Australia and living in a regional area. Conclusion: The high and increasing chlamydia positivity rates highlight the need for enhanced prevention and screening programs for Indigenous people.

LanguageEnglish
Pages595-598
Number of pages4
JournalMedical Journal of Australia
Volume200
Issue number10
DOIs
Publication statusPublished - 2 Jun 2014

ASJC Scopus subject areas

  • Medicine(all)

Cite this

O'Connor, Catherine C. ; Ali, Hammad ; Guy, Rebecca J. ; Templeton, David J. ; Fairley, Christopher K. ; Chen, Marcus Y. ; Dickson, Bridget M. ; Marshall, Lewis J. ; Grulich, Andrew E. ; Hellard, Margaret E. ; Kaldor, John M. ; Donovan, Basil ; Ward, James S. / High chlamydia positivity rates in indigenous people attending Australian sexual health services. In: Medical Journal of Australia. 2014 ; Vol. 200, No. 10. pp. 595-598.
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abstract = "Objective: To assess the clinical epidemiology of chlamydia among Aboriginal and Torres Strait Islander (Indigenous) people attending sexual health services around Australia. Design: Retrospective analysis of routine demographic, behavioural and clinical data, between 1 January 2006 and 31 December 2011. Setting: 18 sexual health services in major cities and regional centres in five jurisdictions. Main outcome measures: Attendance, chlamydia testing and positivity rates in patients visiting for the first time, and factors associated with chlamydia positivity. Results: Of 168 729 new patients, 7103 (4.2{\%}) identified as Indigenous, of whom 74.3{\%} were tested for chlamydia. Chlamydia positivity was 17.0{\%} in Indigenous women (23.3{\%} in 15-19-year-olds and 18.9{\%} in 20-24-year-olds) and 17.3{\%} in Indigenous men (20.2{\%} in 15-19-year-olds and 24.2{\%} in 20-24-year-olds). There was an increasing trend in chlamydia positivity in Indigenous women from 2006 to 2011 (P for trend = 0.001), but not in Indigenous men. In Indigenous women, factors independently associated with positivity were: younger age, being heterosexual, living in Queensland and attending the service in 2010. In Indigenous men, independent factors associated with chlamydia positivity were younger age, being heterosexual, having sex only in Australia and living in a regional area. Conclusion: The high and increasing chlamydia positivity rates highlight the need for enhanced prevention and screening programs for Indigenous people.",
author = "O'Connor, {Catherine C.} and Hammad Ali and Guy, {Rebecca J.} and Templeton, {David J.} and Fairley, {Christopher K.} and Chen, {Marcus Y.} and Dickson, {Bridget M.} and Marshall, {Lewis J.} and Grulich, {Andrew E.} and Hellard, {Margaret E.} and Kaldor, {John M.} and Basil Donovan and Ward, {James S.}",
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O'Connor, CC, Ali, H, Guy, RJ, Templeton, DJ, Fairley, CK, Chen, MY, Dickson, BM, Marshall, LJ, Grulich, AE, Hellard, ME, Kaldor, JM, Donovan, B & Ward, JS 2014, 'High chlamydia positivity rates in indigenous people attending Australian sexual health services', Medical Journal of Australia, vol. 200, no. 10, pp. 595-598. https://doi.org/10.5694/mja13.10875

High chlamydia positivity rates in indigenous people attending Australian sexual health services. / O'Connor, Catherine C.; Ali, Hammad; Guy, Rebecca J.; Templeton, David J.; Fairley, Christopher K.; Chen, Marcus Y.; Dickson, Bridget M.; Marshall, Lewis J.; Grulich, Andrew E.; Hellard, Margaret E.; Kaldor, John M.; Donovan, Basil; Ward, James S.

In: Medical Journal of Australia, Vol. 200, No. 10, 02.06.2014, p. 595-598.

Research output: Contribution to journalArticle

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AU - Ali, Hammad

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AU - Templeton, David J.

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AU - Chen, Marcus Y.

AU - Dickson, Bridget M.

AU - Marshall, Lewis J.

AU - Grulich, Andrew E.

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AU - Donovan, Basil

AU - Ward, James S.

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N2 - Objective: To assess the clinical epidemiology of chlamydia among Aboriginal and Torres Strait Islander (Indigenous) people attending sexual health services around Australia. Design: Retrospective analysis of routine demographic, behavioural and clinical data, between 1 January 2006 and 31 December 2011. Setting: 18 sexual health services in major cities and regional centres in five jurisdictions. Main outcome measures: Attendance, chlamydia testing and positivity rates in patients visiting for the first time, and factors associated with chlamydia positivity. Results: Of 168 729 new patients, 7103 (4.2%) identified as Indigenous, of whom 74.3% were tested for chlamydia. Chlamydia positivity was 17.0% in Indigenous women (23.3% in 15-19-year-olds and 18.9% in 20-24-year-olds) and 17.3% in Indigenous men (20.2% in 15-19-year-olds and 24.2% in 20-24-year-olds). There was an increasing trend in chlamydia positivity in Indigenous women from 2006 to 2011 (P for trend = 0.001), but not in Indigenous men. In Indigenous women, factors independently associated with positivity were: younger age, being heterosexual, living in Queensland and attending the service in 2010. In Indigenous men, independent factors associated with chlamydia positivity were younger age, being heterosexual, having sex only in Australia and living in a regional area. Conclusion: The high and increasing chlamydia positivity rates highlight the need for enhanced prevention and screening programs for Indigenous people.

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