首页    期刊浏览 2024年09月20日 星期五
登录注册

文章基本信息

  • 标题:Prevalence of Chlamydial Genital Infection and Associated Risk Factors in Adolescent Females at an Urban Reproductive Health Care Center in Croatia
  • 本地全文:下载
  • 作者:Hiršl-Hećej, Vlasta ; Pustišek, Nives ; Šikanić-Dugić, Nives
  • 期刊名称:Collegium Antropologicum
  • 印刷版ISSN:0350-6134
  • 出版年度:2006
  • 卷号:30 - Supplement 2
  • 期号:2
  • 页码:131-137
  • 出版社:Hrvatsko antropološko društvo
  • 摘要:The study was undertaken to determine the prevalence of chlamydial genital infection in sexually active, urban adolescent females 15–19 years; to identify behavioral, demographic, and clinical factors associated with chlamydial infections; and to develop criteria for potential screening strategies. 500 adolescent women, median age 17.7 years, who visited gynecological outpatient clinic in Children’s Hospital Zagreb for different reasons were enrolled in this study. Gynecological exam, colposcopy, detection of chlamydial infection by the rapid direct immunoassay of endocervical swab (Clearview Chlamydia – Unipath), endocervical cytological examination – Papanicolaou smear, and questionnaire to obtain demographic, social, behavioral and presence of symptoms data were performed. Positive Chlamydia trachomatis test were found in 16.4% of participants, cytologic cervical abnormalities – cervical intraepithelial neoplasia (CIN I – CIN III) were found in 25.2% and cytological signs of Human papilloma virus were found in 11.4%. Stepwise multivariate logistic regression analysis identified five factors associated with infection: the age of menarche 13 years, 4 lifetime sexual partners, non-use of contraception (rare or never), cervical friability, and abnormal Papanicolaou test. Urban adolescent sexually active women are at high risk for chlamydial infection and other sexually transmitted diseases including HIV infection. Association between chlamydial genital infection and risk-taking sexual and contraceptive behavior was found. Routine Chlamydia trachomatis testing for this population is recommended as well as implementation of school based sexual health education because of their risk-taking sexual behavior.
  • 关键词:adolescents; Chlamydia trachomatis; sexually transmitted diseases
国家哲学社会科学文献中心版权所有