Indirect estimation of Chlamydia screening coverage using public health surveillance data.
Indirect estimation of Chlamydia screening coverage using public health surveillance data.
复制标题
使用公共卫生监测数据间接估计衣原体筛查覆盖率。
DOI：
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发表时间：
2004
影响因子：
5
通讯作者：
D. Mosure
中科院分区：
文献类型：
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作者：
W. Levine;L. Dicker;O. Devine;D. Mosure
尽管在美国，建议至少每年对所有性活跃的青春期女性进行沙眼衣原体感染的常规筛查，但目前还没有关于衣原体筛查覆盖率的全国性或州特异性人群估计。关于筛查覆盖率的结论通常是基于对保健提供者或设施筛查做法的调查，但这种调查没有考虑到不在这些设施寻求治疗或在多个设施寻求治疗的人。作者开发了一种方法，通过使用全国衣原体阳性数据、全国家庭成长调查的性活动估计值以及向疾病控制和预防中心报告的衣原体感染数据，估计在45个州和哥伦比亚特区进行衣原体筛查的15-19岁性活跃女性的比例。由于这些值和相关假设存在不确定性，因此使用蒙特卡罗模型计算可信区间。当使用该模型时，2000年筛选的15-19岁性活跃女性的州特异性比例中位数为60%（90%可信区间：55,66）。这些结果和该方法在指导国家和州衣原体控制规划实施方面的效用应予以评价。
Although routine screening of all sexually active adolescent females for Chlamydia trachomatis infection is recommended at least annually in the United States, no national or state-specific population-based estimates of chlamydia screening coverage are known to exist. Conclusions regarding screening coverage have often been based on surveys of health care provider or facility screening practices, but such surveys do not consider persons who do not seek care at these facilities or who seek care at more than one facility. The authors developed a method to estimate the proportion of sexually active females aged 15-19 years screened for chlamydia in 45 states and the District of Columbia by using national data on chlamydia positivity, estimates of sexual activity from the National Survey of Family Growth, and chlamydial infections reported to the Centers for Disease Control and Prevention. Because of uncertainty regarding these values and related assumptions, credibility intervals were calculated by using a Monte Carlo model. When this model was used, the median state-specific proportion of sexually active females aged 15-19 years screened in 2000 was 60% (90% credibility interval: 55, 66). These results and this method should be evaluated for their utility in guiding implementation of national and state chlamydia control programs.