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首页> 外文期刊>Annals of epidemiology >Screening young adults for prevalent chlamydial infection in community settings.
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Screening young adults for prevalent chlamydial infection in community settings.

机译：在社区环境中筛查年轻人中常见的衣原体感染。

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PURPOSE: Community-based testing may identify young adults in the general population with sexually transmitted chlamydial infection. To develop selective screening guidelines appropriate for community settings, the authors conducted a cross-sectional analysis of the National Longitudinal Study of Adolescent Health Wave III (April 2, 2001, to May 9, 2002). METHODS: Separately for women and men, we developed three predictive models by using unconditional multiple logistic regression for survey data. To account for racial/ethnic disparity in prevalence, initial models included identical predictor characteristics plus information on 1) respondent's race/ethnicity; or 2) respondent's most recent partner's race/ethnicity; or 3) no information on race/ethnicity. RESULTS: Chlamydia trachomatis diagnosis was available for 10,928 (88.6%) of the sexually experienced respondents. A combination of five characteristics for women and six characteristics for men identified approximately 80% of infections when testing /=50% of the population. Information regarding race/ethnicity dramatically affected algorithm performance. CONCLUSION: The use of race/ethnicity in any screening algorithm is problematic and controversial, but the model without race information missed many diagnoses in the minority groups. Universal screening in high-prevalence regions and selective screening in low-prevalence regions may be one method of reaching the affected populations while avoiding the stigma of guidelines incorporating race/ethnicity.
机译：目的：基于社区的测试可以确定一般人群中的年轻人是否患有性传播的衣原体感染。为了制定适合社区环境的选择性筛查指南，作者对《美国国家青少年健康纵波III》（2001年4月2日至2002年5月9日）进行了横断面分析。方法：分别针对男女，我们通过使用无条件多元逻辑回归作为调查数据，开发了三种预测模型。为了说明种族之间的种族差异，初始模型包括相同的预测变量特征以及以下信息：1）受访者的种族/民族;或2）受访者的最近伴侣的种族/民族;或3）没有有关种族/民族的信息。结果：10,928名（88.6％）有性经验的受访者可诊断沙眼衣原体。在测试

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