Article Abstract:
A model is presented that will allow sexually transmitted diseases clinics to selectively test women at high risk of chlamydia. Universal screening tests all women but it may be difficult for communities with limited resources. The model incorporates the woman's risk for chlamydia based on symptoms, physical signs, behavior and demographics. It also incorporates the prevalence of chlamydia in the community. As the prevalence increases, the woman's risk becomes less important. This model can be used for other sexually transmitted diseases.
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Article Abstract:
Medical screening is needed in many Hispanic communities to reduce the incidence of genital chlamydial disease. Researchers tested 4,190 women attending two community clinics in the Washington Heights section of New York City. Three-quarters of the women were Hispanic. Five percent of the women tested positive and risk factors for a positive test included young age, sex at an early age, testing positive for gonorrhea and physical symptoms such as vaginal discharge and cervical abnormalities.
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Article Abstract:
The introduction of rapid urine tests for many organisms that cause sexually transmitted diseases means the many community health clinics could test large groups of people. Twenty health clinics in poor neighborhoods in St. Louis, Missouri tested urine samples from 277 people who visited the clinic. Twenty-four tested positive for gonorrhea or chlamydia and 22 were treated. Homeless shelters and residence facilities had the highest infection rates.
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