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Chlamydia test results were associated with sexual risk behavior change among participants of the Chlamydia screening implementation in The Netherlands.
- Source :
-
Sexually transmitted diseases [Sex Transm Dis] 2015 Mar; Vol. 42 (3), pp. 109-14. - Publication Year :
- 2015
-
Abstract
- Objective: To examine the effect of a laboratory-confirmed Chlamydia trachomatis (Ct) test result on subsequent sexual risk behavior in a large population-based screening program.<br />Methods: The study population consisted of 16- to 29-year-old participants of the Chlamydia Screening Implementation who completed Ct testing and questionnaires in 2 or more rounds. The influence of a Ct test result on sexual behavior was analyzed by generalized estimating equation models, in which the Ct test result of the previous round was the independent variable and 1 of the 8 sexual risk behavior indicators was the dependent variable, adjusted for covariates.<br />Results: Of 48,910 Chlamydia Screening Implementation participants with completed questionnaires and test results, 14.1% (n = 6802) and 2.6% (n = 1272) completed 2 and 3 rounds, respectively, and were included in this study. Analysis showed that Ct positives less often reported to "never" use condoms with a casual partner (%change pretest/posttest = -5.7% [-10.3 to -0.9]), whereas Ct negatives less often reported to "always" use condoms with a casual partner (-4.6% [-6.4 to -2.8]; odds ratio [95% confidence interval], 1.75 [1.09 to 2.80]). Ct positives also had more sexual partners in the subsequent round than did participants with a Ct-negative test result (relative risk [95% confidence interval], 1.14 [1.01 to 1.29]).<br />Conclusions: Ct test results were associated with subsequent sexual risk behavior. In general, Ct positives were more likely to change their behavior after a Ct test result in a more positive and protective direction than Ct negatives, who were more likely to change their behavior toward more risky behavior. Effects over time after a Ct test should be investigated further, especially in the Ct negatives.
- Subjects :
- Adolescent
Adult
Chlamydia Infections epidemiology
Chlamydia Infections psychology
Female
Follow-Up Studies
Health Knowledge, Attitudes, Practice
Humans
Male
Netherlands epidemiology
Program Evaluation
Risk-Taking
Sexual Behavior statistics & numerical data
Surveys and Questionnaires
Time Factors
Chlamydia Infections diagnosis
Chlamydia trachomatis isolation & purification
Condoms statistics & numerical data
Mass Screening psychology
Sexual Behavior psychology
Sexual Partners psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1537-4521
- Volume :
- 42
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Sexually transmitted diseases
- Publication Type :
- Academic Journal
- Accession number :
- 25668640
- Full Text :
- https://doi.org/10.1097/OLQ.0000000000000234