Integrating testing for sexually transmissible infections into annual health assessments for Aboriginal and Torres Strait Islander young people: a cross-sectional analysis.
Heather McCormack, Handan Wand, Christopher Bourne, James Ward, Clare Bradley, Donna Mak, Rebecca Guy
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引用次数: 0
Abstract
Background: In the context of an expanding syphilis epidemic, we assessed the integration of sexually transmissible infection (STI) testing within annual health assessments for Aboriginal and Torres Strait Islander young people aged 16-29years in Aboriginal Community Controlled Health Services between 2018 and 2020.
Methods: Using routinely collected electronic medical record data from a national sentinel surveillance system (ATLAS), we performed a cross-sectional analysis to calculate the proportion of assessments that integrated any or all of the tests for chlamydia, gonorrhoea, syphilis, and HIV. We used logistic regression to identify correlates of integration of any STI test.
Results: Of the 13 892 assessments, 23.8% (95% CI 23.1, 24.6) integrated a test for any STI and 11.5% (95% CI 10.9, 12.0) included all four STIs. Of assessments that included a chlamydia/gonorrhoea test, 66.9% concurrently included a syphilis test. Integration of any STI test was associated with patients aged 20-24years (OR 1.2, 95% CI 1.1-1.4) and 25-29years (OR 1.1, 95% CI 1.0-1.2) compared to 16-19years and patients residing in very remote (OR 4.2, 95% CI 3.7-4.8), remote (OR 2.4, 95% CI 2.1-2.8), and regional areas (OR 2.5, 95% CI 2.2-2.8) compared to metropolitan areas. There was no association with patient sex.
Conclusions: Integration of STI testing into annual health assessments for Aboriginal and Torres Strait Islander young people was higher in remote areas where disease burden is greatest. Integration is similar in men and women, which contrasts with most studies that have found higher testing in women.
背景:在梅毒疫情不断扩大的背景下,我们评估了2018年至2020年间原住民社区控制健康服务机构对16至29岁原住民和托雷斯海峡岛民年轻人进行年度健康评估时将性传播感染(STI)检测纳入其中的情况:我们利用从国家定点监测系统(ATLAS)中例行收集的电子病历数据,进行了一项横断面分析,以计算纳入衣原体、淋病、梅毒和艾滋病毒的任何或所有检测的评估比例。我们使用逻辑回归法来确定整合任何性传播感染检测的相关因素:在 13 892 次评估中,23.8%(95% CI 23.1,24.6)的评估包含了任何一种性传播感染的检测,11.5%(95% CI 10.9,12.0)的评估包含了所有四种性传播感染的检测。在包含衣原体/淋病检测的评估中,66.9%同时包含梅毒检测。与16-19岁的患者相比,20-24岁(OR 1.2,95% CI 1.1-1.4)和25-29岁(OR 1.1,95% CI 1.0-1.2)的患者以及居住在非常偏远地区(OR 4.2,95% CI 3.7-4.8)、偏远地区(OR 2.4,95% CI 2.1-2.8)和地区(OR 2.5,95% CI 2.2-2.8)的患者都需要进行任何性传播感染检测。这与患者的性别无关:在疾病负担最重的偏远地区,将性传播感染检测纳入土著居民和托雷斯海峡岛民青少年年度健康评估的比例更高。男性和女性的整合情况相似,这与大多数研究发现女性的检测率较高形成鲜明对比。
期刊介绍:
Sexual Health publishes original and significant contributions to the fields of sexual health including HIV/AIDS, Sexually transmissible infections, issues of sexuality and relevant areas of reproductive health. This journal is directed towards those working in sexual health as clinicians, public health practitioners, researchers in behavioural, clinical, laboratory, public health or social, sciences. The journal publishes peer reviewed original research, editorials, review articles, topical debates, case reports and critical correspondence.
Officially sponsored by:
The Australasian Chapter of Sexual Health Medicine of RACP
Sexual Health Society of Queensland
Sexual Health is the official journal of the International Union against Sexually Transmitted Infections (IUSTI), Asia-Pacific, and the Asia-Oceania Federation of Sexology.