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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 04574naa a2200409 4500 | |
| 001 | oai:DiVA.org:uu-308377 | |
| 003 | SwePub | |
| 008 | 161125s2016 | |||||||||||000 ||eng| | |
| 009 | oai:prod.swepub.kib.ki.se:134169577 | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3083772 URI |
| 024 | 7 | a https://doi.org/10.1136/bmjopen-2016-0113122 DOI |
| 024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1341695772 URI |
| 040 | a (SwePub)uud (SwePub)ki | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Velicko, Ingau Karolinska Institutet,Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Publ Hlth Agcy Sweden, Unit Monitoring & Evaluat, Stockholm, Sweden.4 aut |
| 245 | 1 0 | a Sexual and testing behaviour associated with Chlamydia trachomatis infection :b a cohort study in an STI clinic in Sweden |
| 264 | c 2016-08-26 | |
| 264 | 1 | b BMJ,c 2016 |
| 338 | a electronic2 rdacarrier | |
| 520 | a Background: Genital chlamydia infection (chlamydia) is the most commonly reported sexually transmitted infection (STI) in Sweden. To guide prevention needs, we aimed to investigate factors associated with chlamydia. Methods: A cohort of visitors aged 20-40 years at an urban STI clinic in Sweden was recruited. Behavioural data were collected using a self-administered questionnaire. Self-sampled specimens were tested for chlamydia by a DNA amplification assay. Statistically significant (p<0.05) and epidemiologically relevant covariates were entered in a multivariate Poisson model adjusted for potential confounders (age and gender). Backward stepwise elimination produced a final model. Multiple imputation was used to account for missing values. Results: Out of 2814 respondents, 1436 were men with a chlamydia positivity rate of 12.6% vs 8.9% in women. Lifetime testing for chlamydia and HIV was high (82% and 60%, respectively). Factors significantly associated with chlamydia were: 20-24 years old (adjusted risk ratio (ARR)=2.10, 95% CI 1.21 to 3.65); testing reason: contact with a chlamydia case (ARR=6.55, 95% CI 4.77 to 8.98) and having symptoms (ARR=2.19, 95% CI 1.48 to 3.24); 6-10 sexual partners (ARR=1.53, 95% CI 1.06 to 2.21); last sexual activity 'vaginal sex and oral sex and anal sex and petting' (ARR=1.84, 95% CI 1.09 to 3.10); alcohol use before sex (ARR=1.98, 95% CI 1.10 to 3.57); men with symptoms (ARR=2.09, 95% CI 1.38 to 3.18); tested for chlamydia (ARR=0.72, 95% CI 0.55 to 0.94). Conclusions: Risk factors associated with chlamydia were consistent with previous reports in similar settings and suggest no major changes over time. Increased risk for chlamydia infection associated with high-risk behaviour (eg, alcohol use, increased number of sexual partners) supports the need for behavioural interventions in this population such as promotion of safer sex behaviour (condom use) and testing. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng |
| 700 | 1 | a Ploner, Alexanderu Karolinska Institutet,Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.4 aut |
| 700 | 1 | a Sparén, Päru Karolinska Institutet,Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.4 aut |
| 700 | 1 | a Marions, Lenau Karolinska Institutet,Karolinska Inst, Dept Clin Sci & Educ, Stockholm, Sweden.;Stockholm South Gen Hosp, Sect Obstet & Gynaecol, Stockholm, Sweden.4 aut |
| 700 | 1 | a Herrmann, Björnu Uppsala universitet,Klinisk mikrobiologi och infektionsmedicin4 aut0 (Swepub:uu)bjorherr |
| 700 | 1 | a Kühlmann-Berenzon, Sharonu Publ Hlth Agcy Sweden, Unit Monitoring & Evaluat, Stockholm, Sweden.4 aut |
| 710 | 2 | a Karolinska Institutetb Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Publ Hlth Agcy Sweden, Unit Monitoring & Evaluat, Stockholm, Sweden.4 org |
| 773 | 0 | t BMJ Opend : BMJg 6:8q 6:8x 2044-6055 |
| 856 | 4 | u https://uu.diva-portal.org/smash/get/diva2:1049641/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
| 856 | 4 | u https://bmjopen.bmj.com/content/bmjopen/6/8/e011312.full.pdf |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-308377 |
| 856 | 4 8 | u https://doi.org/10.1136/bmjopen-2016-011312 |
| 856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:134169577 |
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