Attitudes to chlamydia screening in general practice among Australian university students: a pilot study

Sexual Health ◽  
2008 ◽  
Vol 5 (4) ◽  
pp. 359 ◽  
Author(s):  
Bernadette Zakher ◽  
Melissa Kang
Keyword(s):  
At Risk ◽  
General Practice ◽  
Pilot Study ◽  
Young People ◽  
University Students ◽  
Risk Group ◽  
Chlamydia Infection ◽  
Chlamydia Screening ◽  
Sexually Active ◽  
Sexually Transmissible Infections

Background: Chlamydia screening of sexually active young people in general practice is key to the Australian National Sexually Transmissible Infections Strategy 2005–2008. Overseas research indicates that young people have positive attitudes towards opportunistic screening by a general practitioner (GP). This pilot study aims to investigate the attitudes of Australian university students towards chlamydia screening in primary care. Methods: Students (16–25 years) attending a class in one of three faculties at the University of Sydney participated by completing a questionnaire, which collected information about demographics, sexual history, chlamydia knowledge, attitudes towards and preferences for chlamydia screening. Results: One hundred and eighty-five students (78% female) returned questionnaires (participation rate 92%). Arts students were younger, more likely to be sexually active and to report having little or no knowledge of chlamydia. Males in the study were less likely to have had sex as a group compared to the group of females in the sample. Science students were also less likely to have had sex compared to their counterparts in other faculties. Seventy-six percent of students were comfortable with opportunistic testing for chlamydia by their GP. Reasons for not being comfortable included ‘don’t think I’m at risk’ (65%) and ‘not comfortable discussing sexual matters with my GP’ (38%). Although comfortable with GP-based testing, the likelihood of being tested in the upcoming year for most students was low, as was personal concern about chlamydia infection. Conclusions: Findings suggest that the most at risk group for chlamydia infection is not well educated about their risk of infection. The limited numbers of tests among sexually active individuals in this sample indicate that health practitioners are not screening this high-risk group for chlamydia infection.

Missed opportunities for chlamydia screening by community pharmacists

Sexual Health ◽  
2012 ◽  
Vol 9 (3) ◽  
pp. 297
Author(s):  
Gavin Dabrera ◽  
David Pinson ◽  
Steve Whiteman
Keyword(s):  
At Risk ◽  
Young Women ◽  
Risk Group ◽  
Hormonal Contraception ◽  
Community Pharmacists ◽  
Chlamydia Screening ◽  
Community Pharmacies ◽  
Sexually Active ◽  
Missed Opportunities ◽  
Pharmacy Setting

Provision of Emergency Hormonal Contraception (EHC) is an ideal opportunity for offering Chlamydia screening (CS) to sexually active young women. We audited 3 months of CS activity in community pharmacies. This identified low rates of offers and uptake of CS in community pharmacies providing EHC to young women. This highlights the potential for significant improvement in CS uptake among this at-risk group in the pharmacy setting.

scholarly journals 3031 Facilitators and Barriers in Screening Sexually Active Female Adolescents for Chlamydia Infection in the Suburban Practice Setting

2019 ◽  
Vol 3 (s1) ◽  
pp. 144-144
Author(s):  
Ashaunta Tumblin Anderson ◽  
Barbara Frankowski ◽  
Paul J. Chung ◽  
Judith Shaw
Keyword(s):  
Best Practices ◽  
Female Adolescents ◽  
Chlamydia Infection ◽  
Pediatric Care ◽  
Chlamydia Screening ◽  
Practice Setting ◽  
Sexually Active ◽  
Structured Interviews ◽  
Policy And Practice ◽  
Pediatric Providers

OBJECTIVES/SPECIFIC AIMS: 1) Describe strategies pediatric providers perceive improve chlamydia screening of sexually active female adolescents (SA), and 2) describe barriers to regular screening of SA for chlamydia METHODS/STUDY POPULATION: Using qualitative methods, 14 general pediatric providers across 7 clinical sites in Vermont were interviewed to ascertain best practices and remaining challenges. Semi-structured interviews lasting 30-45 minutes were audiotaped and transcribed. Chlamydia screening rates provided by BCBS-VT were used to categorize participant responses across three performance tiers, data were coded, and themes identified within these tiers. RESULTS/ANTICIPATED RESULTS: Facilitators: When asked to describe facilitators of chlamydia screening, providers in the top tier of chlamydia screening emphasized the importance of adequate insurance to cover the cost of testing. Providers in the middle performance tier cited use of pre-visit questionnaires, and those in the bottom performance tier identified no best practices. Other strategies included improving physician confidence and awareness, establishing practice- and individual-level routines, and providing strong leadership and communication of local screening rates. Barriers: Across the 3 performance tiers, the most common challenges to consistent chlamydia screening were threats to patient confidentiality, cost of the screening test, and requirement for patient disclosure of sexual activity. Less commonly, providers were concerned that adolescent patients were not reliable to obtain screens off-site, or fill treatment prescriptions without the help of a parent. DISCUSSION/SIGNIFICANCE OF IMPACT: The need for systematic, confidential, and inexpensive means for screening SA for chlamydia was highlighted in both the best practices and challenges described by providers of pediatric care in the suburban practice setting. Policy and practice interventions may target these needs to improve the reproductive health of female adolescents.

The tip of the iceberg: opportunistic screening for Chlamydia trachomatis in asymptomatic patients attending a young people's health clinic reveals a high prevalence — a pilot study

Sexual Health ◽  
2004 ◽  
Vol 1 (2) ◽  
pp. 115 ◽  
Author(s):  
Stephanie Jones ◽  
Sue Barker ◽  
Eugene Athan ◽  
Stephen Graves
Keyword(s):  
Nucleic Acid ◽  
Chlamydia Trachomatis ◽  
Young People ◽  
Nucleic Acid Amplification Test ◽  
Nucleic Acid Amplification ◽  
Chlamydia Infection ◽  
Health Clinic ◽  
Opportunistic Screening ◽  
Sexually Active ◽  
High Prevalence

Objectives: We implemented an opportunistic screening programme for Chlamydia trachomatis amongst patients presenting to a young peoples’ health service in the city of Geelong, Australia, to define the prevalence of infection and to identify specific risk factors. Methods: Over a 7-month period sexually active patients attending the young peoples’ clinic were offered C. trachomatis screening by nucleic acid amplification test. There was 100% acceptance rate among those offered the test. Patient demographics, reason for presentation at the clinic and reported symptoms were documented by the clinicians and correlated with laboratory findings. Results: 163 patients between the ages of 12–25 were tested, nine males and 154 females. The prevalence of chlamydia infection was 5.8% and was highest (16.0%) among patients presenting for the morning after pill. Inhibition of the nucleic acid amplification test occurred in 11.0% of urine samples. All patients with inhibited tests were asked to provide a repeat sample for retesting, but only 50% complied with this request. The majority of repeat samples (88.9%) had no inhibitors present and yielded a negative result. There was no correlation between symptoms and a positive chlamydia result. Conclusions: Chlamydia infection is common in young people engaging in unsafe sexual practice and cannot be predicted by the presence of symptoms. The high prevalence of infection in Geelong would make screening cost effective in this age group. Ongoing population screening of sexually active young people should be encouraged in community health centres. Inhibition of the nucleic acid amplification test was common but repeat testing of urine a few days later usually gave satisfactory results.

scholarly journals POINT OF CARE RAPID DIAGNOSTIC SCREENING FOR CHLAMYDIA TRACHOMATIS AMONG SEXUALLY ACTIVE ASYMPTOMATIC FEMALES IN OKADA, SOUTH-SOUTH NIGERIA

2021 ◽  
Vol 4 (1) ◽  
pp. 4-7
Author(s):  
Obhioze Augustine Akpoka ◽  
E. J. Okafor-Elenwo ◽  
C. C. Nwadukwe ◽  
M. U. Okwu
Keyword(s):  
Chlamydia Trachomatis ◽  
Point Of Care ◽  
Age Groups ◽  
Previous History ◽  
Public Health Intervention ◽  
Rapid Test ◽  
University Teaching ◽  
Chlamydia Infection ◽  
Chlamydia Screening ◽  
Sexually Active

Introduction: Chlamydia is transmitted through sexual contact with the penis, vagina, mouth, or anus of an infected partner. It can be transmitted or acquired even without ejaculation. It can also be transmitted perinatally from an untreated mother to her baby during childbirth, resulting in ophthalmia neonatorum or pneumonia in some exposed infants. Objective: The objective of this study was to screen for and determine the prevalence of Chlamydia trachomatis in asymptomatic sexually active women aged 16-33 years with the aid of a point of care rapid test kits within a resource-limited setting. Methods: In this study endocervical swab of a total of 170 female subjects between the ages of 16 to 33 were screened for Chlamydia trachomatis with two types of rapid test kits (Diaspot and Abon Rapid test kits for chlamydia). The subjects consisted of 140 study subjects and 30 control subjects attending the gynecological unit in Igbinedion University Teaching Hospital (IUTH) for other reasons, all subjects were random, sexually active, asymptomatic females and residents in Okada and its environs. Results: A total of 11 subjects tested positive to chlamydia (7.85 %). The samples that tested positive for Chlamydia were from patients that were unmarried and students. The age groups with the highest prevalence were 22-28 (5.71 %) and 16-21 (2 %). 23.63 % have had a previous history of STD and 26.47 % had awareness of chlamydia infection. The ages group (22 - 27) had the highest level of awareness. The prevalence of Chlamydia trachomatis was consistent with their sexual lifestyles. Conclusion: Chlamydia screening should be a continuous public health intervention and screening programmes should ensure regular chlamydia screening for a high proportion of the target population. The methods for monitoring and ways to ensure standards are met should be adopted.

scholarly journals Sexuality and Quality of Life in Postmodernism in University of Mexico

2018 ◽  
Vol 1 (2) ◽  
pp. 118
Author(s):  
Julio Cufarfan Lopez ◽  
Jesus Alberto Garcia Garcia ◽  
Gabriela Moran Delgado
Keyword(s):  
Quality Of Life ◽  
Young People ◽  
University Students ◽  
Emotional Health ◽  
The State ◽  
Sexually Active ◽  
Quality Life ◽  
Unplanned Pregnancies

<p><em>This study analyzes the responses of a group of young University students from the state of Coahuila, México, in relation to variables on</em><em> </em><em>Quality of Life. Their responses are analyzed in two groups:</em><em> </em><em>sexually active young people, and those who do not. It seeks to find a different lifestyle in relation to</em><em> </em><em>Sexuality. They are young people aged between 17 and 25 years old. Although Sexuality is not mentioned as a part of quality life, it is certainly part of the physical, psychological and emotional health of people. Sexuality in Mexico is stigmatized, and deeply rooted in morality; that is why unplanned pregnancies</em><em> </em><em>are increasing and at an earlier age. Several authors refer changes in lifestyles between modernity and Postmodernity (Lechner, Lyotard, Lipovetsky, Lanceros</em><em>,</em><em> etc.) have been little explored in relation to the Quality of Life and the indicators that measure it. The results allow to affirm that studied youth perceive themselves in two different models of lifestyle: the sexual active with a tendency to postmodern styles, while the non-active, to modern lifestyles. </em></p>

scholarly journals Orthorexia nervosa risk and associated factors among Chilean nutrition students: a pilot study

2022 ◽  
Vol 10 (1) ◽  
Author(s):  
Manuel Villa ◽  
Nicole Opawsky ◽  
Sara Manriquez ◽  
Nicole Ananías ◽  
Pablo Vergara-Barra ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
At Risk ◽  
Pilot Study ◽  
Healthy Eating ◽  
Associated Factors ◽  
Risk Group ◽  
Orthorexia Nervosa ◽  
Nutrition And Dietetics ◽  
Present Pilot Study

Abstract Background Orthorexia nervosa (ON) is characterized by an excessive, obsessive concern with healthy eating generating psychological complications and even malnutrition at a caloric and protein level. Current evidence suggests that people with greater food knowledge are the most likely to be affected, placing nutrition students as a populational risk group. Since there are no nationwide studies dealing with orthorexia nervosa in this risk group, the present pilot study intends to identify risk factors for orthorexia nervosa in a sample of Nutrition and Dietetics students in Chile. Method A descriptive cross-sectional pilot study was done on 90 Nutrition and Dietetics students from a Chilean university, representing 70% of its population. The ORTHO-11-ES instrument was applied to determine ON risk, along with consulting about attitudinal, physical-clinical and social variables. Statistical tests were performed in GraphPad PRISM 8.0®, applying probability ratios and personal correlation, between the sociodemographic variables and the risk of orthorexia nervosa. This study was approved by the university Ethics Committee based on the Helsinki Declaration. Results 23.3% of the studied population was at risk of suffering ON. Associated variables were being in the second year of their major (OR 2.22), coming from a charter school (OR 3.00) and cohabitation being limited to ≤ 1 person (OR 2.47). Particularly, declared physical activity limits are associated to the risk of suffering ON (Sedentary OR 2.42, Heavy OR 3.53), as well as time spent on the social network Instagram (< 1 h OR 2.77, > 3 h OR 1.80). Conclusions There is an ON risk prevalence of 23.3% in the present pilot sample under study, indicating that years of study, cohabitation, secondary educational establishment, physical activity and Instagram use constitute associated factors for the studied condition. Some results vary from international evidence, describing a dual nature in the variables for Instagram time and declared physical activity for ON risk. This study needs replication in more representative samples and longitudinal character with control groups which can confirm the studied elements as ON risk factors. Plain English summary Orthorexia nervosa (ON) is an expression created to indicate a possible new eating disorder characterized by excessive and obsessive preoccupation with healthy eating. Some of its most distinctive traits include marked anxiety over food, exaggerated fear over the appearance of some diseases and shame about physical appearance. This ultimately impacts food choice, planning, acquisition, preparation and consumption, creating psychological complications along with some associated with malnutrition. Considering that Nutrition students are an at-risk group, the present pilot study evaluated its prevalence and associated factors in a specific sample in Chile. Conditions associated with the risk of orthorexia nervosa identified in the present study include: number of hours spent using Instagram, limited cohabitation, extreme physical activity, and number of years in the major. These results should be taken cautiously, with their association confirmed in follow-up studies.

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