Estimating chlamydia screening rates by using reported sexually transmitted disease tests for sexually active women aged 16 to 25 years in the United States

Estimating chlamydia screening rates by using reported sexually transmitted disease tests for sexually active women aged 16 to 25 years in the United States
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DOI:
10.1097/01.olq.0000230437.79119.31
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发表时间:
2007-03-01
影响因子:
3.1
通讯作者:
Peterman, Thomas A.
Peterman, Thomas A.
中科院分区:
医学4区
文献类型:
--
作者:
Tao, Guoyu;Tian, Lin H.;Peterman, Thomas A.

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目的:本研究的目的是估计沙眼衣原体(CT)筛查率,通过使用报告的性传播疾病(STD)测试在美国普通人群中16至25岁的性活跃女性。方法:对2002年全国家庭成长调查数据进行分析。如果女性在采访前12个月内至少有一名男性性伴侣,她们就被归类为性活跃。如果妇女报告在过去12个月内接受过卫生保健提供者的性传播疾病检测,她们就被归类为接受过检测。结果:在2563名16至25岁的抽样女性中,75%的人估计性活跃。在性活跃的女性中,42%的人报告说她们曾接受过性传播疾病检测,73%的人报告说她们在过去的12个月里接受过巴氏涂片检查或盆腔检查。结论:即使所有接受性病检测的女性都进行了CT筛查,在16至25岁的性活跃女性中,只有42%的人进行了CT筛查。如果在妇女进行子宫颈抹片检查或盆腔检查时进行CT检查,则CT筛查率可以显著提高,因为大多数性活跃妇女都进行常规子宫颈抹片检查或盆腔检查。
Objective: The objective of this study was to estimate Chlamydia trachomatis (CT) screening rates by using reported sexually transmitted disease (STD) tests for sexually active women aged 16 to 25 years in the U.S. general population.Methods: We analyzed data from the 2002 National Survey of Family Growth. Women were classified as sexually active if they reported having at least one male sex partner in the 12 months before the interview date. Women were classified as tested if they reported being tested for STDs by a healthcare provider in the preceding 12 months.Results: Of 2,563 sampled women aged 16 to 25 years, 75% were estimated to be sexually active. Of sexually active women, 42% reported they had been tested for STDs and 73% reported they had received Pap smears or pelvic examinations in the preceding 12 months.Conclusions: Even if all women tested for STDs were screened for CT, only 42% of sexually active women aged 16 to 25 years would have been screened for CT. CT screening rates could be significantly increased if CT tests were performed when women had Pap smears or pelvic examinations, because most sexually active women have routine Pap smears or pelvic examinations.