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Genital Chlamydia P...
Genital Chlamydia Prevalence in Europe and Non-European High Income Countries : Systematic Review and Meta-Analysis
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Redmond, Shelagh M. (författare)
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Alexander-Kisslig, Karin (författare)
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Woodhall, Sarah C. (författare)
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van den Broek, Ingrid V. F. (författare)
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van Bergen, Jan (författare)
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Ward, Helen (författare)
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Uuskula, Anneli (författare)
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- Herrmann, Björn (författare)
- Uppsala universitet,Klinisk mikrobiologi och infektionsmedicin
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Andersen, Berit (författare)
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Gotz, Hannelore M. (författare)
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Sfetcu, Otilia (författare)
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Low, Nicola (författare)
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(creator_code:org_t)
- 2015-01-23
- 2015
- Engelska.
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 10:1
- Relaterad länk:
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https://uu.diva-port... (primary) (Raw object)
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https://journals.plo...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Background Accurate information about the prevalence of Chlamydia trachomatis is needed to assess national prevention and control measures. Methods We systematically reviewed population-based cross-sectional studies that estimated chlamydia prevalence in European Union/European Economic Area (EU/EEA) Member States and non-European high income countries from January 1990 to August 2012. We examined results in forest plots, explored heterogeneity using the I-2 statistic, and conducted random effects meta-analysis if appropriate. Meta-regression was used to examine the relationship between study characteristics and chlamydia prevalence estimates. Results We included 25 population-based studies from 11 EU/EEA countries and 14 studies from five other high income countries. Four EU/ EEAMember States reported on nationally representative surveys of sexually experienced adults aged 18-26 years (response rates 52-71%). In women, chlamydia point prevalence estimates ranged from 3.0-5.3%; the pooled average of these estimates was 3.6%(95% CI 2.4, 4.8, I-2 0%). In men, estimates ranged from 2.4-7.3% (pooled average 3.5%; 95% CI 1.9, 5.2, I-2 27%). Estimates in EU/EEA Member States were statistically consistent with those in other high income countries (I-2 0% for women, 6% for men). There was statistical evidence of an association between survey response rate and estimated chlamydia prevalence; estimates were higher in surveys with lower response rates, (p = 0.003 in women, 0.018 in men). Conclusions Population-based surveys that estimate chlamydia prevalence are at risk of participation bias owing to low response rates. Estimates obtained in nationally representative samples of the general population of EU/EEA Member States are similar to estimates from other high income countries.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
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Redmond, Shelagh ...
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Alexander-Kissli ...
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Woodhall, Sarah ...
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van den Broek, I ...
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van Bergen, Jan
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Ward, Helen
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visa fler...
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Uuskula, Anneli
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Herrmann, Björn
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Andersen, Berit
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Gotz, Hannelore ...
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Sfetcu, Otilia
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Low, Nicola
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visa färre...
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