Background: Knowledge about genital Chlamydia trachomatis (CT) infections in the Pacific is limited. In this study we investigated CT infection in Samoan women.
Methods: We recruited women having unprotected sex aged 18 to 29 years from 41 Samoan villages. They completed a questionnaire and provided a urine sample for CT testing by PCR. Associations between CT infection and possible risk factors were explored using logistic regression.
Results: Altogether, 239 women were recruited; 86 (36.0%; weighted estimate of prevalence: 41.9%; 95% CI: 33.4-50.5%) were positive for CT infection. A higher proportion of women aged 18 to 24 were positive (54/145; 37.2%) than those aged 25 to 29 (32/94; 34.0%; p=0.20). Being single (OR 1.92; 95% CI: 1.02-3.63) and having two or more lifetime sexual partners (OR 3.02; 95% CI: 1.19-7.67) were associated with CT infection; 27.6% of those with one lifetime partner were positive. Participants who had a previous pregnancy were less likely to be positive (OR 0.49; 95% CI: 0.27-0.87). Primiparous and multiparous women were less likely to be positive than nulliparous women (OR 0.54; 95% CI: 0.30-0.99 and OR 0.46; 95% CI: 0.24-0.89, respectively).
Conclusions: The prevalence of CT infection in these Samoan women is very high. Further studies, including investigating the prevalence of CT infection in men, and strategies for sustainable control are needed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1093/trstmh/trv014 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Identification of High-Incidence Populations in the United States for Anti-Epstein-Barr Virus Serologic Screening for Nasopharyngeal Carcinoma.
Cancer Epidemiol Biomarkers Prev
December 2024
Center for Immunotherapy and Precision Immuno-Oncology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.
Article Synopsis
- EBV-related nasopharyngeal carcinoma (NPC) significantly affects Asian Americans and Native Hawaiians/other Pacific Islanders in the U.S. who lack screening access, and early detection has proven effective in Asian trials.
- Analysis of NPC incidence data highlighted that 10.7% of the U.S. population accounts for 42.7% of NPC cases, with anti-BNLF2b screening being the most effective method, potentially reducing mortality significantly.
- The recommended target group for NPC screening in the U.S. consists of certain ethnic men and women aged 35 to 65, indicating that a one-time screening approach could be both effective and economically feasible.
Living with rheumatic fever and rheumatic heart disease in Victoria, Australia: A qualitative study.
PLoS Negl Trop Dis
August 2024
Murdoch Children's Research Institute, The Royal Children's Hospital, Parkville, Australia.
Background: In Victoria, Australia, children with Pacific Islander ('Pacific') ethnicities are overrepresented in acute rheumatic fever (ARF) and rheumatic heart disease (RHD). In June 2023, ARF and RHD became notifiable in Victoria. To inform public health and clinical practice, we described young Pacific patients' and their caregivers' understandings and experiences of ARF/RHD, and identified possible ways to improve the delivery of clinical care.
View Article and Find Full Text PDFFurther delineation of short-chain enoyl-CoA hydratase deficiency in the Pacific population.
Mol Genet Metab
July 2024
Paediatric and Adult National Metabolic Service, Te Toka Tumai, Te Whatu Ora Health New Zealand, Auckland, New Zealand.
Short-chain enoyl-coA hydratase (SCEH) deficiency due to biallelic pathogenic ECHS1 variants was first reported in 2014 in association with Leigh syndrome (LS) and increased S-(2-carboxypropyl)cysteine excretion. It is potentially treatable with a valine-restricted, high-energy diet and emergency regimen. Recently, Simon et al.
View Article and Find Full Text PDFThe roles of emergency medical teams in response to Samoa's 2019 measles outbreak.
Western Pac Surveill Response J
May 2024
Ministry of Health, Apia, Samoa.
Problem: On 15 November 2019, Samoa's Government declared a state of emergency in response to a rapidly worsening measles outbreak. The outbreak overwhelmed Samoa's health system, necessitating international assistance, including from emergency medical teams (EMTs).
Context: Measles spread globally throughout 2019, with cases rising by more than 300% in the first quarter of 2019, as compared with 2018.
COVID-19 Hospitalization in Hawai'i and Patterns of Insurance Coverage, Race and Ethnicity, and Vaccination.
JAMA Netw Open
May 2024
Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu.
Importance: The people of Hawai'i have both high rates of health insurance and high levels of racial and ethnic diversity, but the degree to which insurance status and race and ethnicity contribute to health outcomes in COVID-19 remains unknown.
Objective: To evaluate the associations of insurance coverage, race and ethnicity (using disaggregated race and ethnicity data), and vaccination with outcomes for COVID-19 hospitalization.
Design, Setting, And Participants: This retrospective cohort study included hospitalized patients at a tertiary care medical center between March 2020 and March 2022.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!