Prevalence of Chlamydia trachomatis: results from the first national population-based survey in France

BackgroundFew studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already attending healthcare settings.ObjectivesTo estimate the prevalence of CT in France, assess the feasibility of home sampling without any face-to-...

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Vydáno v:Sexually transmitted infections Ročník 86; číslo 4; s. 263 - 270
Hlavní autoři: Goulet, V, de Barbeyrac, B, Raherison, S, Prudhomme, M, Semaille, C, Warszawski, J
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BMJ Publishing Group Ltd 01.08.2010
BMJ Publishing Group
BMJ Publishing Group LTD
Témata:
Adolescent
Adult
Aged
Asymptomatic
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
Chlamydia
Chlamydia Infections - epidemiology
Chlamydia trachomatis
Condoms - utilization
Education
Epidemiology. Vaccinations
Feasibility Studies
Female
France - epidemiology
Gender
General aspects
Health Surveys
Home Care Services
Human bacterial diseases
Human infectious diseases. Experimental studies and models
Humans
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Male
Mass Screening - methods
Medical sciences
Middle Aged
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Population Surveillance
population-based
Prevalence
Questionnaires
Risk Factors
Sexual behavior
Sexual Partners
Unsafe Sex - statistics & numerical data
Urine
Women
Young Adult
France
Europe
Infection
Survey
Sexually transmitted disease
Prevalence
Chlamydiaceae
Chlamydiales
Bacteria
Chlamydia trachomatis
Epidemiology
Genital diseases
prevalence
population-based
ISSN:1368-4973, 1472-3263, 1472-3263
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Abstract BackgroundFew studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already attending healthcare settings.ObjectivesTo estimate the prevalence of CT in France, assess the feasibility of home sampling without any face-to-face intervention and identify risk factors associated with CT infection using data from the Contexte de la Sexualité (CSF) survey on sexual behaviour; a national population-based survey, carried out by telephone in 2006.MethodsA random subsample of sexually experienced people aged 18–44 (N=4957) were invited to participate in a CT home-sampling study (NatChla study). Participants' samples were tested for CT by PCR. Percentages were weighted for unequal selection probabilities and post-stratified based on French population census data. Independent risk factors were identified by logistic regression.ResultsCT prevalence in people aged 18–44 was estimated at 1.4% (95% CI 0.8% to 2.6%) for men, and 1.6% (95% CI 1.0% to 2.5%) for women. Increased rates were found in subjects aged 18–29: 2.5% (95% CI 1.2% to 5.0%) for men and 3.2% (95% CI 2.0% to 5.3%) for women. CT infection was associated, for both genders, with having their last sexual intercourse with a casual partner. Other risk factors were for men, having last intercourse with a new partner, living in the Paris area, and for women, multiple partners during the previous year, same sex partners and a low level of education.ConclusionsCT prevalence in France is similar to that in other developed countries. Home sampling proved feasible and useful to reach members of the population with limited access to traditional care.
AbstractList Few studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already attending healthcare settings. To estimate the prevalence of CT in France, assess the feasibility of home sampling without any face-to-face intervention and identify risk factors associated with CT infection using data from the Contexte de la Sexualité (CSF) survey on sexual behaviour; a national population-based survey, carried out by telephone in 2006. A random subsample of sexually experienced people aged 18-44 (N=4957) were invited to participate in a CT home-sampling study (NatChla study). Participants' samples were tested for CT by PCR. Percentages were weighted for unequal selection probabilities and post-stratified based on French population census data. Independent risk factors were identified by logistic regression. CT prevalence in people aged 18-44 was estimated at 1.4% (95% CI 0.8% to 2.6%) for men, and 1.6% (95% CI 1.0% to 2.5%) for women. Increased rates were found in subjects aged 18-29: 2.5% (95% CI 1.2% to 5.0%) for men and 3.2% (95% CI 2.0% to 5.3%) for women. CT infection was associated, for both genders, with having their last sexual intercourse with a casual partner. Other risk factors were for men, having last intercourse with a new partner, living in the Paris area, and for women, multiple partners during the previous year, same sex partners and a low level of education. CT prevalence in France is similar to that in other developed countries. Home sampling proved feasible and useful to reach members of the population with limited access to traditional care.
Background Few studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already attending healthcare settings. Objectives To estimate the prevalence of CT in France, assess the feasibility of home sampling without any face-to-face intervention and identify risk factors associated with CT infection using data from the Contexte de la Sexualité (CSF) survey on sexual behaviour; a national population-based survey, carried out by telephone in 2006. Methods A random subsample of sexually experienced people aged 18-44 (N=4957) were invited to participate in a CT home-sampling study (NatChla study). Participants' samples were tested for CT by PCR. Percentages were weighted for unequal selection probabilities and post-stratified based on French population census data. Independent risk factors were identified by logistic regression. Results CT prevalence in people aged 18-44 was estimated at 1.4% (95% CI 0.8% to 2.6%) for men, and 1.6% (95% CI 1.0% to 2.5%) for women. Increased rates were found in subjects aged 18-29: 2.5% (95% CI 1.2% to 5.0%) for men and 3.2% (95% CI 2.0% to 5.3%) for women. CT infection was associated, for both genders, with having their last sexual intercourse with a casual partner. Other risk factors were for men, having last intercourse with a new partner, living in the Paris area, and for women, multiple partners during the previous year, same sex partners and a low level of education. Conclusions CT prevalence in France is similar to that in other developed countries. Home sampling proved feasible and useful to reach members of the population with limited access to traditional care.
Few studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already attending healthcare settings.BACKGROUNDFew studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already attending healthcare settings.To estimate the prevalence of CT in France, assess the feasibility of home sampling without any face-to-face intervention and identify risk factors associated with CT infection using data from the Contexte de la Sexualité (CSF) survey on sexual behaviour; a national population-based survey, carried out by telephone in 2006.OBJECTIVESTo estimate the prevalence of CT in France, assess the feasibility of home sampling without any face-to-face intervention and identify risk factors associated with CT infection using data from the Contexte de la Sexualité (CSF) survey on sexual behaviour; a national population-based survey, carried out by telephone in 2006.A random subsample of sexually experienced people aged 18-44 (N=4957) were invited to participate in a CT home-sampling study (NatChla study). Participants' samples were tested for CT by PCR. Percentages were weighted for unequal selection probabilities and post-stratified based on French population census data. Independent risk factors were identified by logistic regression.METHODSA random subsample of sexually experienced people aged 18-44 (N=4957) were invited to participate in a CT home-sampling study (NatChla study). Participants' samples were tested for CT by PCR. Percentages were weighted for unequal selection probabilities and post-stratified based on French population census data. Independent risk factors were identified by logistic regression.CT prevalence in people aged 18-44 was estimated at 1.4% (95% CI 0.8% to 2.6%) for men, and 1.6% (95% CI 1.0% to 2.5%) for women. Increased rates were found in subjects aged 18-29: 2.5% (95% CI 1.2% to 5.0%) for men and 3.2% (95% CI 2.0% to 5.3%) for women. CT infection was associated, for both genders, with having their last sexual intercourse with a casual partner. Other risk factors were for men, having last intercourse with a new partner, living in the Paris area, and for women, multiple partners during the previous year, same sex partners and a low level of education.RESULTSCT prevalence in people aged 18-44 was estimated at 1.4% (95% CI 0.8% to 2.6%) for men, and 1.6% (95% CI 1.0% to 2.5%) for women. Increased rates were found in subjects aged 18-29: 2.5% (95% CI 1.2% to 5.0%) for men and 3.2% (95% CI 2.0% to 5.3%) for women. CT infection was associated, for both genders, with having their last sexual intercourse with a casual partner. Other risk factors were for men, having last intercourse with a new partner, living in the Paris area, and for women, multiple partners during the previous year, same sex partners and a low level of education.CT prevalence in France is similar to that in other developed countries. Home sampling proved feasible and useful to reach members of the population with limited access to traditional care.CONCLUSIONSCT prevalence in France is similar to that in other developed countries. Home sampling proved feasible and useful to reach members of the population with limited access to traditional care.
Objectives: Few studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already attending healthcare settings. We estimated the prevalence of CT in France, assessed the feasibility of home sampling without any face-to-face intervention, and identified risk factors associated with CT infection using data from the Contexte de la Sexualité (CSF) survey on sexual behaviour. Methods: CSF was a national population-based survey, carried out by telephone in 2006. A random subsample of sexually experienced individuals aged 18-44 (N=4957) were invited to participate in a CT home-sampling study (NatChla Study). Participants were tested for CT by PCR. Percentages were weighted for unequal selection probabilities and post-stratified based on French population census data. Independent risk factors were identified by logistic regression. Results: CT prevalence in individuals aged 18-44 was estimated at 1.4 % [95 % CI: 0.8- 2.6] for men, and 1.6 % [95%CI:1.0- 2.5] for women. We observed increased rates in individuals aged 18-29: 2.5 % [95%CI:1.2-5.0] for men and 3.2 % [95%CI:2.0 -5.3] for women. CT infection was associated, for both genders, with having their last sexual intercourse with a casual or new partner. Other risk factors were for men, living in the Paris area, and for women, multiple partners during the previous year, same sex partners and a low level of education. Conclusions: CT prevalence in France is similar to other developed countries. Home-sampling proved feasible and useful to reach members of the population with limited access to traditional care.
BackgroundFew studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already attending healthcare settings.ObjectivesTo estimate the prevalence of CT in France, assess the feasibility of home sampling without any face-to-face intervention and identify risk factors associated with CT infection using data from the Contexte de la Sexualité (CSF) survey on sexual behaviour; a national population-based survey, carried out by telephone in 2006.MethodsA random subsample of sexually experienced people aged 18–44 (N=4957) were invited to participate in a CT home-sampling study (NatChla study). Participants' samples were tested for CT by PCR. Percentages were weighted for unequal selection probabilities and post-stratified based on French population census data. Independent risk factors were identified by logistic regression.ResultsCT prevalence in people aged 18–44 was estimated at 1.4% (95% CI 0.8% to 2.6%) for men, and 1.6% (95% CI 1.0% to 2.5%) for women. Increased rates were found in subjects aged 18–29: 2.5% (95% CI 1.2% to 5.0%) for men and 3.2% (95% CI 2.0% to 5.3%) for women. CT infection was associated, for both genders, with having their last sexual intercourse with a casual partner. Other risk factors were for men, having last intercourse with a new partner, living in the Paris area, and for women, multiple partners during the previous year, same sex partners and a low level of education.ConclusionsCT prevalence in France is similar to that in other developed countries. Home sampling proved feasible and useful to reach members of the population with limited access to traditional care.
Author Prudhomme, M
Warszawski, J
Goulet, V
Semaille, C
de Barbeyrac, B
Raherison, S
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Copyright 2010, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
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Copyright: 2010 (c) 2010, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
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Issue 4
Keywords Infection
Survey
Sexually transmitted disease
Prevalence
Chlamydiaceae
Chlamydiales
Bacteria
Chlamydia trachomatis
Epidemiology
Genital diseases
prevalence
population-based
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References Lippman, Jones, Luppi 2007; 34
Simms, Talebi, Rhia 2009; 36
Fenton, Korovessis, Johnson 2001; 358
Gaydos, Barnes, Aumakhan 2009; 36
Andersen, Olesen, Moller 2002; 185
Low 2007; 334
Adams, Charlett, Edmunds 2004; 80
van Bergen, Gotz, Richardus 2005; 81
Macleod, Salisbury, Low 2005; 33
Datta, Sternberg, Johnson 2007; 147
Paavonen, Eggert-Kruse 1999; 5
Herida, Michel, Goulet 2005; 35
Bajos, Bozon, Beltzer 2010; 24
Klavs, Rodrigues, Wellings 2004; 80
Lyytikainen, Kaasila, Hiltunen-Back 2008; 8
Verhoeven, Avonts, Meheus 2003; 79
Roberts, Robinson, Barton 2006; 82
Novak, Karlsson 2006; 82
Warszawski, Messiah, Lellouch 1997; 16
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  publication-title: Sex Transm Infect
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  article-title: Can E-Technology Through the Internet be Used as a New Tool to Address the Chlamydia trachomatis Epidemic by Home Sampling and Vaginal Swabs?
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  article-title: Gonorrhea and chlamydia in the United States among persons 14 to 39 years of age, 1999 to 2002
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  article-title: Coverage and uptake of systematic postal screening for genital Chlamydia trachomatis and prevalence of infection in the United Kingdom general population: cross sectional study
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  article-title: Prevalence of genital Chlamydia trachomatis infection in the general population of Slovenia: serious gaps in control
  publication-title: Sex Transm Infect
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Snippet BackgroundFew studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already...
Background Few studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already...
Few studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already attending...
Objectives: Few studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already...
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SubjectTerms Adolescent
Adult
Aged
Asymptomatic
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
Chlamydia
Chlamydia Infections - epidemiology
Chlamydia trachomatis
Condoms - utilization
Education
Epidemiology. Vaccinations
Feasibility Studies
Female
France - epidemiology
Gender
General aspects
Health Surveys
Home Care Services
Human bacterial diseases
Human infectious diseases. Experimental studies and models
Humans
Infections
Infectious diseases
Male
Mass Screening - methods
Medical sciences
Middle Aged
Participation
Population Surveillance
population-based
Prevalence
Questionnaires
Risk Factors
Sexual behavior
Sexual Partners
Unsafe Sex - statistics & numerical data
Urine
Women
Young Adult
Title Prevalence of Chlamydia trachomatis: results from the first national population-based survey in France
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