Dataset Information

Incident sexually transmitted infections and their risk factors in an Aboriginal community in Australia: a population based cohort study.

ABSTRACT:

Objective

To identify risk factors for incident sexually transmitted infections (STI) in a remote Aboriginal community in Australia.

Design

A population based cohort study.

Setting

An Aboriginal community in central Australia.

Participants

1034 Aboriginal people aged 12-40 years, resident in the study region, seen during the period 1 January 1996 to 30 June 1998 for STI diagnosis.

Main outcome measures

Incident rate of gonorrhoea, chlamydia, and syphilis per 100 person years.

Results

There were 313 episodes of incident gonorrhoea, 240 of incident chlamydial infection, and 17 of incident syphilis. For gonorrhoea, risk factors were age, substance abuse, and previous prevalent chlamydial infection with a rate ratio (RR) of 3.2 in people aged 15-19 years, 1.6 in people who abused alcohol, and 3.2 in women who had sniffed petrol on a regular basis. For chlamydia, risk factors were sex, age, and a previous history of STI with a RR of 2.7 in people aged 15-19 years. Similar factors were associated with an increased risk of syphilis but the associations were not statistically significant.

Conclusion

This study identified objective predictors of incident STI which can be used to target interventions and maximise their impact. The results of this study may well have relevance to indigenous communities in other countries that are faced with high levels of STI and substance abuse.

SUBMITTER: Miller PJ

PROVIDER: S-EPMC1758324 | biostudies-literature | 2001 Feb

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Incident sexually transmitted infections and their risk factors in an Aboriginal community in Australia: a population based cohort study.

Miller P J PJ Law M M Torzillo P J PJ Kaldor J J

Sexually transmitted infections 20010201 1

<h4>Objective</h4>To identify risk factors for incident sexually transmitted infections (STI) in a remote Aboriginal community in Australia.<h4>Design</h4>A population based cohort study.<h4>Setting</h4>An Aboriginal community in central Australia.<h4>Participants</h4>1034 Aboriginal people aged 12-40 years, resident in the study region, seen during the period 1 January 1996 to 30 June 1998 for STI diagnosis.<h4>Main outcome measures</h4>Incident rate of gonorrhoea, chlamydia, and syphilis per 1 ...[more]

PMID: 11158687

Similar Datasets

Project description:IntroductionSexually Transmitted Infections (STIs) have always represented a public health concern in the military, yet most studies rely on self-reports among non-random samples of military populations. In addition, most of the studies exploring STI rates among the military focus on US service members. This paper assesses the prevalence and correlates of STIs in the French military using biomarkers and compares self-reported versus diagnosed STIs.MethodsData are drawn from the COSEMIL study, a national sexual health survey conducted in the French military in 2014 and 2015. A random sample of 784 men and 141 women aged 18-57 years completed a self-administered questionnaire and provided biological samples for STI testing. We used logistic regression modeling to identify the correlates of STI diagnosis and self-reports.ResultsThe prevalence of diagnosed STIs was 4.7% [3.8-5.9], mostly due to Chlamydia trachomatis. This rate was four times higher than the 12 months self-reported rate of 1.1% [0.6-2.3]. Reported STI rates were similar among men and women (1.1% versus 1.8%), but diagnosed STI rates were twice as high among females versus males (10.4% versus 4.1%, p = 0.007). There were significant differences in the determinants of reported versus diagnosed STIs. In particular, age and sexual orientation were associated with reported STIs, but not with diagnosed STIs. Conversely, STI counseling and depression were associated with STI diagnosis but not with STI reports.ConclusionThis study underlines the need to use biomarkers in population-based surveys, given the differential and substantial underreporting of STIs. Results also highlight the need for programmatic adaptation to address gender inequalities in STI rates, by developing women's health services in the French military. Addressing such needs not only benefits women but could also serve as a strategy to reduce overall STI rates as most military women have military partners, increasing the risk of internal transmission.

Dataset Information

Incident sexually transmitted infections and their risk factors in an Aboriginal community in Australia: a population based cohort study.

Objective

Design

Setting

Participants

Main outcome measures

Results

Conclusion

Publications

Incident sexually transmitted infections and their risk factors in an Aboriginal community in Australia: a population based cohort study.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets