Young, deprived women are more at risk of testing positive for Chlamydia trachomatis: Results from a cross-sectional multicentre study in French health examination centres

IF 2.2 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health in Practice Pub Date : 2024-10-25 DOI:10.1016/j.puhip.2024.100554

{"title":"Young, deprived women are more at risk of testing positive for Chlamydia trachomatis: Results from a cross-sectional multicentre study in French health examination centres","authors":"","doi":"10.1016/j.puhip.2024.100554","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>Chlamydia Trachomatis (CT) is the most sexually transmitted infection in France. This study aimed to assess the feasibility of systematic screening for CT among people attending a preventive health examination in Health Examination Centres (HECs) and to compare positive CT cases according to deprivation.</div></div><div><h3>Design</h3><div>A cross-sectional multicentre study in thirteen HECs in France in January 2018.</div></div><div><h3>Methods</h3><div>Self-sampling CT screening was proposed among 18–25 years women and 18–30 years men, who were sexually active and without recent CT treatment. Related data and referred specimens were collected among attendees for the study, including deprivation and health status. CT positivity was estimated by genders. We explored association between CT infection and deprivation by univariate and multivariate modelling.</div></div><div><h3>Results</h3><div>The CT screening was proposed to 1701 eligible young people. 90.1 % [88.6–91.5] accepted and participated with 43.6 % being women, 54.3 % being deprived people. 75.4 % [72.1–78.6] screened women performed self-taken vaginal swabs and others took urinary tests. Screening was conducted in 1486 people. Overall prevalence of CT infection was 4.7 % [3.7%–5.9 %], significantly higher for women than men (6.4 % vs 3.4 %, <em>p=0.009</em>). Among women, being deprived increased the likelihood of CT positivity (aOR 4.95; 95 % CI 2.02 to 12.00) more than it did for men.</div></div><div><h3>Conclusions</h3><div>Individual deprivation was significantly associated with having a CT infection among women. The feasibility of CT screening in HECs was demonstrated, with a high acceptance, and led to the implementation of CT screening in all HECs. Promoting access to CT screening to deprived population might contribute to reduce social inequalities in health.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":null,"pages":null},"PeriodicalIF":2.2000,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health in Practice","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666535224000910","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

Chlamydia Trachomatis (CT) is the most sexually transmitted infection in France. This study aimed to assess the feasibility of systematic screening for CT among people attending a preventive health examination in Health Examination Centres (HECs) and to compare positive CT cases according to deprivation.

Design

A cross-sectional multicentre study in thirteen HECs in France in January 2018.

Methods

Self-sampling CT screening was proposed among 18–25 years women and 18–30 years men, who were sexually active and without recent CT treatment. Related data and referred specimens were collected among attendees for the study, including deprivation and health status. CT positivity was estimated by genders. We explored association between CT infection and deprivation by univariate and multivariate modelling.

Results

The CT screening was proposed to 1701 eligible young people. 90.1 % [88.6–91.5] accepted and participated with 43.6 % being women, 54.3 % being deprived people. 75.4 % [72.1–78.6] screened women performed self-taken vaginal swabs and others took urinary tests. Screening was conducted in 1486 people. Overall prevalence of CT infection was 4.7 % [3.7%–5.9 %], significantly higher for women than men (6.4 % vs 3.4 %, p=0.009). Among women, being deprived increased the likelihood of CT positivity (aOR 4.95; 95 % CI 2.02 to 12.00) more than it did for men.

Conclusions

Individual deprivation was significantly associated with having a CT infection among women. The feasibility of CT screening in HECs was demonstrated, with a high acceptance, and led to the implementation of CT screening in all HECs. Promoting access to CT screening to deprived population might contribute to reduce social inequalities in health.

查看原文本刊更多论文

年轻、贫困妇女沙眼衣原体检测呈阳性的风险更高：法国体检中心多中心横断面研究结果

目的沙眼衣原体（CT）是法国通过性传播感染率最高的疾病。本研究旨在评估在健康检查中心（HECs）参加预防性健康检查的人群中系统筛查CT的可行性，并根据贫困程度对CT阳性病例进行比较。方法建议在18-25岁女性和18-30岁男性中进行自我取样CT筛查，这些人性生活活跃且近期未接受过CT治疗。收集了参加研究者的相关数据和转介标本，包括贫困程度和健康状况。按性别估算了 CT 阳性率。我们通过单变量和多变量模型探讨了 CT 感染与贫困之间的关系。90.1%[88.6-91.5%]的人接受并参加了筛查，其中 43.6%为女性，54.3%为贫困人口。75.4%[72.1-78.6] 接受筛查的妇女自取了阴道拭子，其他人则进行了尿检。共对 1486 人进行了筛查。CT 感染的总体流行率为 4.7 % [3.7 %-5.9 %]，女性明显高于男性（6.4 % vs 3.4 %，p=0.009）。在女性中，贫困增加了 CT 阳性的可能性（aOR 4.95；95 % CI 2.02 至 12.00），高于男性。CT筛查在长者健康中心的可行性得到了证实，并获得了高度认可，因此在所有长者健康中心开展了CT筛查。促进贫困人口接受 CT 筛查可能有助于减少健康方面的社会不平等。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Public Health in Practice Medicine-Health Policy

CiteScore

2.80

自引率

0.00%

发文量

117

审稿时长

71 days