Chlamydia trachomatis Infection Among Hispanic Women in the California‐Mexico Border Area, 1993: Establishing Screening Criteria in a Primary Care Setting
Chlamydia trachomatis Infection Among Hispanic Women in the California‐Mexico Border Area, 1993: Establishing Screening Criteria in a Primary Care Setting
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1993 年加利福尼亚-墨西哥边境地区西班牙裔妇女的沙眼衣原体感染：在初级保健机构中建立筛查标准
DOI：
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发表时间：
1995
影响因子：
3.1
通讯作者：
J. Greenspan
中科院分区：
文献类型：
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作者：
R. Gunn;Susan D. Hillis;Philip Shirey;S. Waterman;J. Greenspan
衣原体在加州-墨西哥边境社区的流行率和传播模式尚不清楚，西班牙裔人群的选择性筛查策略尚未得到评估。本研究的目的是确定衣原体感染率在西班牙裔妇女在加利福尼亚州和墨西哥边境地区，并建立筛查标准。研究设计这是一项横断面流行率调查的计划生育/产前西班牙裔客户（n = 2378）在圣地亚哥和帝国县，加州，蒂华纳，墨西哥。结果总的来说，衣原体感染率为3.2%（加州为3.3%;墨西哥为2.1%）。在墨西哥出生的妇女或最近访问墨西哥至少一周的妇女的患病率与没有这些特征的妇女相似。多变量分析显示，年轻（小于25岁），未婚状态，或有衣原体综合征（主要是宫颈炎）或阴道病的临床体征独立预测衣原体感染。应用疾病控制中心建议的最低筛查标准将需要筛查不到一半的客户。然而，只有69%的感染被发现。使用基于调查的标准（小于25岁，未婚，衣原体综合征的临床症状）将需要筛查64%的客户，但将识别92%的感染者。结论：在加利福尼亚-墨西哥边境两侧寻求生殖保健的西班牙裔妇女中，衣原体感染率相似（<5%）。在西班牙裔妇女中，使用容易获得的人口统计数据（年龄和婚姻状况）和临床体征（主要是宫颈炎），可以实施有效的选择性筛查策略。
Background Chlamydia prevalence and transmission patterns in California-Mexico border communities are unknown, and selective screening strategies for Hispanic populations have not been evaluated. Goal of this Study To determine chlamydia prevalence among Hispanic women in the California-Mexico border area and establish screening criteria. Study Design This was a cross-sectional prevalence survey of family planning/prenatal Hispanic clients (n = 2378) in San Diego and Imperial Counties, California, and Tijuana, Mexico. Results Overall, chlamydia prevalence was 3.2% (3.3% in California; 2.1% in Mexico). Women born in Mexico or those who visited Mexico for at least 1 week in the recent past had a prevalence rate similar to women without those characteristics. Multivariate analysis showed that young age (less than 25 years old), unmarried status, or having clinical signs of a chlamydia syndrome (primarily cervicitis) or vaginosis independently predicted chlamydia infection. Applying minimum screening criteria recommended by the Centers for Disease Control would require screening less than half of the clients. However, only 69% of infections would be identified. Using survey-based criteria (less than 25 years old, unmarried, and clinical signs of a chlamydia syndrome) would require screening 64% of clients, but would identify 92% of those infected. Conclusion Chlamydia prevalence among Hispanic women seeking reproductive healthcare was similar (<5%) on both sides of the California-Mexico border. Among Hispanic women, using easily obtained demographic data (age and marital status) and clinical signs (primarily cervicitis), an effective selective screening strategy can be implemented.