Asking about condom use: a key to individualized care when screening for chlamydia

Asking about condom use : a key to individualized care when screening for chlamydia

Chlamydia trachomatis (CT) infection has been a target for both selective and national screening programmes, and Sweden has an opportunistic approach. A national plan of action states that risk groups should be identified and offered risk reduction counselling. Patients attending a drop-in sexually transmitted infection (STI) clinic reception at the University Hospital, Umeå, Sweden, were invited to complete a questionnaire regarding sociodemographic characteristics, symptoms and sexual risk behaviour; all had a CT test taken. A total of 1305 patients were included, 58% men, mean age 27.8 years. CT prevalence was 11%; 51% of those with CT were ≥ 25 years old. Only 5% used a condom during the entire sexual intercourse with their last new/temporary partner. Sexually active inconsistent condom users comprised 62% of the study population and contributed to 81% of the chlamydia infections. Asking whether a condom was used could quickly triage patients into groups with a 'higher risk' (none or inconsistent use of condoms and at least one new/temporary partners), and 'lower risk' (with more consistent condom use, although not always accurate) allowing for individualized care and counselling when screening for chlamydia. Evaluating whether a condom was used throughout the sexual intercourse did not add any useful information.

Lindström, RichardUmeå universitet,Dermatologi och venereologi(Swepub:umu)ridlim96 (author)
Boman, JensUmeå universitet,Institutionen för folkhälsa och klinisk medicin(Swepub:umu)jebo0011 (author)
Janlert, UrbanUmeå universitet,Epidemiologi och global hälsa,Arcum(Swepub:umu)urja0001 (author)
Lundqvist, LottaUmeå universitet,Dermatologi och venereologi(Swepub:umu)loalut02 (author)
Nylander, ElisabetUmeå universitet,Dermatologi och venereologi(Swepub:umu)elny0011 (author)
Umeå universitetDermatologi och venereologi (creator_code:org_t)

In:International Journal of STD and AIDS (London): Sage Publications22:8, s. 436-4410956-46241758-1052

By the author/editor: Carré, Helena; Lindström, Richa ...; Boman, Jens; Janlert, Urban; Lundqvist, Lotta; Nylander, Elisab ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Basic Medicine; and Immunology in th ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Infectious Medic ...

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