Asking about condom use: a key to individualized care when screening for chlamydia
2011 (English)In: International Journal of STD and AIDS (London), ISSN 0956-4624, E-ISSN 1758-1052, Vol. 22, no 8, 436-441 p.Article in journal (Refereed) Published
Chlamydia trachomatis (CT) infection has been a target for both selective and national screening programmes, and Sweden has an opportunistic approach. A national plan of action states that risk groups should be identified and offered risk reduction counselling. Patients attending a drop-in sexually transmitted infection (STI) clinic reception at the University Hospital, Umeå, Sweden, were invited to complete a questionnaire regarding sociodemographic characteristics, symptoms and sexual risk behaviour; all had a CT test taken. A total of 1305 patients were included, 58% men, mean age 27.8 years. CT prevalence was 11%; 51% of those with CT were ≥ 25 years old. Only 5% used a condom during the entire sexual intercourse with their last new/temporary partner. Sexually active inconsistent condom users comprised 62% of the study population and contributed to 81% of the chlamydia infections. Asking whether a condom was used could quickly triage patients into groups with a 'higher risk' (none or inconsistent use of condoms and at least one new/temporary partners), and 'lower risk' (with more consistent condom use, although not always accurate) allowing for individualized care and counselling when screening for chlamydia. Evaluating whether a condom was used throughout the sexual intercourse did not add any useful information.
Place, publisher, year, edition, pages
Sage Publications, 2011. Vol. 22, no 8, 436-441 p.
chlamydia screening, Sweden, condom use, individualized care
Immunology in the medical area Infectious Medicine
IdentifiersURN: urn:nbn:se:umu:diva-57581DOI: 10.1258/ijsa.2011.010481ISI: 000293717100003PubMedID: 21795417OAI: oai:DiVA.org:umu-57581DiVA: diva2:543363