BMC Health Services Research | |
Chlamydia among Australian Aboriginal and/or Torres Strait Islander people attending sexual health services, general practices and Aboriginal community controlled health services | |
Basil Donovan4  Rebecca J Guy5  Margaret Hellard2  John M Kaldor5  Phyllis Yau2  Mark Saunders3  Sophia Couzos1  Anna Bowring2  Hammad Ali5  Jane Goller2  James Ward6  | |
[1] James Cook University, James Cook Drive, Townsville QLD 4811, Australia;The University of Melbourne, Grattan Street, Parkville VIC 3010, Australia;National Aboriginal Community Controlled Health Organisation, Canberra City ACT 2601, Australia;Sydney Sexual Health Centre, Sydney Hospital, Sydney 2000 NSW, Australia;The Kirby Institute, The University of New South Wales, Sydney 2052 NSW, Australia;Baker IDI Heart and Diabetes Institute, Alice Springs 0871 NT, Australia | |
关键词: Australia; Indigenous; Positivity; Testing; Aboriginal and Torres Strait Islander people; Chlamydia; | |
Others : 1130648 DOI : 10.1186/1472-6963-14-285 |
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received in 2013-11-21, accepted in 2014-06-27, 发布年份 2014 | |
【 摘 要 】
Background
Chlamydia infections are notified at much higher rates in Aboriginal and/or Torres Strait Islander people compared to non-Indigenous people. The Australian Collaboration Chlamydia Enhanced Sentinel Surveillance System (ACCESS) was established to complement population-based surveillance.
Methods
We describe patient demographics, completeness of recording of Aboriginal and/or Torres Strait Islander (‘Aboriginal’) status, chlamydia testing rates and positivity rates from the Aboriginal Community Controlled Health Service (ACCHSs), General Practice (GP) clinics and Sexual Health Services (SHSs) networks in ACCESS during 2009. Data were extracted from electronic medical records of each participating health service for consultations with patients aged 16–29 years and for chlamydia testing and positivity.
Results
Data were included from 16–29 year olds attending six ACCHSs (n = 4,950); 22 SHSs (n = 20,691) and 25 GP clinics (n = 34,462). Aboriginal status was unknown for 79.3% of patients attending GP clinics, 4.5% attending SHSs and 3.8% of patients attending ACCHSs. Chlamydia testing rates among Aboriginal patients were 19.8% (95%CI:18.6%-21.0%) at ACCHSs, 75.5% (95% CI:72.5%-78.4%) at SHSs and 4.3% (95% CI: 2.6%-6.6%) at GP clinics. Positivity rates were highest in Aboriginal patients tested at SHSs at 22.7% (95% CI:19.5%-26.2%), followed by 15.8% (95% CI:3.8%-43.4%) at GP clinics and 8.6% at ACCHSs (95% CI:7.9%-12.4%). This compared with non-Indigenous patients positivity rates at SHSs of 12.7% (95% CI:12.2-13.2%); 8.6% (7.2%-11.3%) at GP clinics and 11.3% at ACCHSs (95% CI:15.4%-24.9%).
Conclusions
Higher chlamydia positivity in Aboriginal people across a range of clinical services is reflected in national notification data. Targeted efforts are required to improve testing rates in primary care services; to improve identification of Aboriginal patients in mainstream services such as GP clinics; and to better engage with young Aboriginal Australians.
【 授权许可】
2014 Ward et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150228020319301.pdf | 189KB | download |
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