Will Chlamydia Screening Reach Young People in Deprived Areas in England? Baseline Analysis of the English National Chlamydia Screening Programme Delivery in 2008
Will Chlamydia Screening Reach Young People in Deprived Areas in England? Baseline Analysis of the English National Chlamydia Screening Programme Delivery in 2008
复制标题
英国贫困地区的年轻人会接受衣原体筛查吗？
DOI：
10.1097/olq.0b013e31821597ca
复制
发表时间：
2011
影响因子：
3.1
通讯作者：
R. Raine
中科院分区：
文献类型：
--
作者：
J. Sheringham;I. Simms;J. Riha;A. Talebi;L. Emmett;M. Macintosh;R. Raine
背景：英国建立了国家衣原体筛查计划 (NCSP)，旨在控制 25 岁以下人群的衣原体感染。这项研究通过比较筛查地点和覆盖范围的分布以及按社会经济环境 (SEC) 和年龄划分的男性和女性检测呈阳性的风险，考察了 2008 年（全国覆盖的第一个全年）NCSP 实施情况的变化。方法：将 2008 年总共 550,000 份 NCSP 筛查记录与 2007 年多重剥夺指数联系起来。SEC 审查了 NCSP 规定（场所/1000 名 13-24 岁人口）。根据 SEC 和年龄，分别检查男性和女性的 NCSP 覆盖率（测试/目标人群）和衣原体阳性率（阳性结果/[阳性 + 阴性结果]）。计算阳性比值比，并根据社会经济五分位、年龄、种族、行为和筛查提供者进行调整。结果：男性 NCSP 覆盖率仅为 4.1%（95% 置信区间 [CI]：4.0–4.1），女性为 9.6%（95% CI：9.5–9.6）。在社会经济条件较贫困的地区，筛查的提供和覆盖率最高，这些地区的衣原体阳性率也最高。在最贫困地区，与最贫困地区相比，男性检测呈阳性的调整后几率高出 1.4 倍（95% CI：1.3-1.5），女性高出 1.4 倍（95% CI：1.4-1.5）倍。结论：在所有地区都提供筛查的第一年，NCSP 的总覆盖率较低，尤其是男性。然而，贫困人群的覆盖率更高，他们感染检测呈阳性的风险也更高。该分析提供了一个基线，用于监测随着覆盖范围扩大，NCSP 交付的社会变化。
Background: The National Chlamydia Screening Programme (NCSP) was established in England to control chlamydia in people <25 years. This study examined variations in NCSP delivery in 2008, its first full year of national coverage, by comparing the distribution of screening venues and coverage with the risk of testing positive in men and women by socioeconomic circumstances (SEC) and age. Methods: A total of 550,000 NCSP screening records from 2008 were linked to the Index of Multiple Deprivation 2007. NCSP provision (venues/1000 population aged 13–24 years) was examined by SEC. NCSP coverage (tests/target population) and chlamydial positivity (positive results/[positive + negative results]) were examined separately in men and women by SEC and age. Odds ratios for positivity were calculated, adjusted for socioeconomic quintile, age, ethnicity, behavior, and screening provider. Results: NCSP coverage was just 4.1% (95% confidence interval [CI]: 4.0–4.1) in men and 9.6% (95% CI: 9.5–9.6) in women. Screening provision and coverage were highest in more socioeconomically deprived areas where chlamydia positivity was also highest. The adjusted odds for testing positive in the most deprived areas was 1.4 (95% CI: 1.3–1.5) times higher in men and 1.4 (95% CI: 1.4–1.5) times higher in women than the least deprived areas. Conclusions: In the first year in which all areas delivered screening, the NCSP's total coverage was low, particularly in men. However, coverage was higher in deprived populations, who were also at increased risk of testing positive for infection. This analysis provides a baseline by which to monitor social variations in NCSP delivery as coverage expands.
在社区环境中筛查年轻人是否存在流行的衣原体感染。
影响因子：
5.6
作者：
Stein,CherylR;Kaufman,JayS;Ford,CarolA;Leone,PeterA;Feldblum,PaulJ;Miller,WilliamC
通讯作者：
Miller,WilliamC