Chlamydia trachomatis Age-Specific Prevalence in Women Who Used an Internet-Based Self-screening Program Compared to Women Who Were Screened in Family Planning Clinics
Chlamydia trachomatis Age-Specific Prevalence in Women Who Used an Internet-Based Self-screening Program Compared to Women Who Were Screened in Family Planning Clinics
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DOI：
10.1097/olq.0b013e3182039d7f
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发表时间：
2011-02-01
影响因子：
3.1
通讯作者：
Hogan, Terry
中科院分区：
文献类型：
--
作者：
Gaydos, Charlotte A.;Barnes, Mathilda;Hogan, Terry
目的：确定在家中自行采集阴道拭子的女性是否比在计划生育诊所的女性表现出更高的沙眼衣原体阳性率。方法：通过互联网索取阴道拭子采集试剂盒，在家中采集并邮寄至实验室进行检测；完成了关于可接受性和性风险史的调查问卷。受感染的妇女在参与诊所接受治疗。将特定年龄的患病率与计划生育诊所的患病率进行比较。结果：1171 名女性邮寄拭子的衣原体阳性率为 10.3%；计划生育的患病率从 3.3% 到 5.5% 不等。互联网年龄组的积极性远高于计划生育年龄组。互联网参与者的积极性从 2005 年巴尔的摩的最低 4.4% 到 2007 年巴尔的摩的最高 15.2%。巴尔的摩和马里兰州的计划生育诊所普及率从 2006 年巴尔的摩的最低 3.3% 到 2008 年巴尔的摩的最高 5.5%。巴尔的摩和马里兰州所有年份互联网用户的中位年龄合计23岁；前往计划生育诊所进行衣原体检测的所有年龄的中位年龄为 23 岁。结论：互联网招募的女性比计划生育的女性表现出更高的衣原体阳性率，为衣原体筛查项目提供了新的选择。
Objectives: To determine whether women who collect self-collected vaginal swabs at home demonstrated a higher positivity of Chlamydia trachomatis than women in family planning clinics.Methods: Collection kits for vaginal swabs were internet requested, collected at home, and mailed to a laboratory for testing; questionnaires were completed about acceptability and sexual risk history. Infected women received treatment at participating clinics. Age-specific prevalences were compared to those from family planning clinics.Results: Chlamydia positivity was 10.3% for 1171 females mailing swabs; prevalences ranged from 3.3% to 5.5% in family planning. Positivity for internet age groups was much higher than those for family planning age groups. The positivity for internet participants ranged from a low of 4.4% in Baltimore in 2005 to a high of 15.2% Baltimore in 2007. Family planning clinic prevalence in Baltimore and Maryland ranged from a low of 3.3% in Baltimore in 2006 to a high of 5.5% in Baltimore in 2008. The median age for all years for internet users in Baltimore and Maryland combined was 23 years; the median age for all years for attendees to family planning clinics who had chlamydia testing performed was 23 years.Conclusions: Internet recruited women demonstrated higher positivity of chlamydia than those in family planning, providing new options for chlamydia screening programs.