Gender-based screening for chlamydial infection and divergent infection trends in men and women.

<h4>Objectives</h4>To assess the potential impact of chlamydial screening policy that recommends routine screening of women but not men.<h4>Methods</h4>Population surveys of probability samples of Baltimore adults aged 18 to 35 years in 1997-1998 and 2006-2009 collected biosp...

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Main Authors: Susan M Rogers, Charles F Turner, William C Miller, Emily Erbelding, Elizabeth Eggleston, Sylvia Tan, Anthony Roman, Marcia Hobbs, James Chromy, Ravikiran Muvva, Laxminarayana Ganapathi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0089035&type=printable
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author Susan M Rogers
Charles F Turner
William C Miller
Emily Erbelding
Elizabeth Eggleston
Sylvia Tan
Anthony Roman
Marcia Hobbs
James Chromy
Ravikiran Muvva
Laxminarayana Ganapathi
author_facet Susan M Rogers
Charles F Turner
William C Miller
Emily Erbelding
Elizabeth Eggleston
Sylvia Tan
Anthony Roman
Marcia Hobbs
James Chromy
Ravikiran Muvva
Laxminarayana Ganapathi
author_sort Susan M Rogers
collection DOAJ
description <h4>Objectives</h4>To assess the potential impact of chlamydial screening policy that recommends routine screening of women but not men.<h4>Methods</h4>Population surveys of probability samples of Baltimore adults aged 18 to 35 years in 1997-1998 and 2006-2009 collected biospecimens to estimate trends in undiagnosed chlamydial infection. Survey estimates are compared to surveillance data on diagnosed chlamydial infections reported to the Health Department.<h4>Results</h4>Prevalence of undiagnosed chlamydial infection among men increased from 1.6% to 4.0%, but it declined from 4.3% to 3.1% among women (p = 0.028 for test of interaction). The annual (average) number of diagnosed infections was substantially higher among women than men in both time periods and increased among both men and women. Undiagnosed infection prevalence was substantially higher among black than non-black adults (4.0% vs 1.2%, p = 0.042 in 1997-98 and 5.5% vs 0.7%, p<0.001 in 2006-09).<h4>Conclusion</h4>Divergent trends in undiagnosed chlamydial infection by gender parallel divergent screening recommendations that encourage chlamydial testing for women but not for men.
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spelling doaj-art-e6dd901bd4c541289b6872644fd977a52025-08-20T03:11:54ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0192e8903510.1371/journal.pone.0089035Gender-based screening for chlamydial infection and divergent infection trends in men and women.Susan M RogersCharles F TurnerWilliam C MillerEmily ErbeldingElizabeth EgglestonSylvia TanAnthony RomanMarcia HobbsJames ChromyRavikiran MuvvaLaxminarayana Ganapathi<h4>Objectives</h4>To assess the potential impact of chlamydial screening policy that recommends routine screening of women but not men.<h4>Methods</h4>Population surveys of probability samples of Baltimore adults aged 18 to 35 years in 1997-1998 and 2006-2009 collected biospecimens to estimate trends in undiagnosed chlamydial infection. Survey estimates are compared to surveillance data on diagnosed chlamydial infections reported to the Health Department.<h4>Results</h4>Prevalence of undiagnosed chlamydial infection among men increased from 1.6% to 4.0%, but it declined from 4.3% to 3.1% among women (p = 0.028 for test of interaction). The annual (average) number of diagnosed infections was substantially higher among women than men in both time periods and increased among both men and women. Undiagnosed infection prevalence was substantially higher among black than non-black adults (4.0% vs 1.2%, p = 0.042 in 1997-98 and 5.5% vs 0.7%, p<0.001 in 2006-09).<h4>Conclusion</h4>Divergent trends in undiagnosed chlamydial infection by gender parallel divergent screening recommendations that encourage chlamydial testing for women but not for men.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0089035&type=printable
spellingShingle Susan M Rogers
Charles F Turner
William C Miller
Emily Erbelding
Elizabeth Eggleston
Sylvia Tan
Anthony Roman
Marcia Hobbs
James Chromy
Ravikiran Muvva
Laxminarayana Ganapathi
Gender-based screening for chlamydial infection and divergent infection trends in men and women.
PLoS ONE
title Gender-based screening for chlamydial infection and divergent infection trends in men and women.
title_full Gender-based screening for chlamydial infection and divergent infection trends in men and women.
title_fullStr Gender-based screening for chlamydial infection and divergent infection trends in men and women.
title_full_unstemmed Gender-based screening for chlamydial infection and divergent infection trends in men and women.
title_short Gender-based screening for chlamydial infection and divergent infection trends in men and women.
title_sort gender based screening for chlamydial infection and divergent infection trends in men and women
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0089035&type=printable
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