PMID- 17508486
OWN - NLM
STAT- MEDLINE
DCOM- 20070601
LR  - 20151119
IS  - 0350-6134 (Print)
IS  - 0350-6134 (Linking)
VI  - 30 Suppl 2
DP  - 2006 Dec
TI  - Prevalence of chlamydial genital infection and associated risk factors in 
      adolescent females at an urban reproductive health care center in Croatia.
PG  - 131-7
AB  - The study was undertaken to determine the prevalence of chlamydial genital 
      infection in sexually active, urban adolescent females 15-19 years; to identify 
      behavioral, demographic, and clinical factors associated with chlamydial 
      infections; and to develop criteria for potential screening strategies. 500 
      adolescent women, median age 17.7 years, who visited gynecological outpatient 
      clinic in Children's Hospital Zagreb for different reasons were enrolled in this 
      study. Gynecological exam, colposcopy, detection of chlamydial infection by the 
      rapid direct immunoassay of endocervical swab (Clearview Chlamydia-Unipath), 
      endocervical cytological examination--Papanicolaou smear, and questionnaire to 
      obtain demographic, social, behavioral and presence of symptoms data were 
      performed. Positive Chlamydia trachomatis test were found in 16.4% of 
      participants, cytologic cervical abnormalities--cervical intraepithelial 
      neoplasia (CIN I-CIN III) were found in 25.2% and cytological signs of Human 
      papilloma virus were found in 11.4%. Stepwise multivariate logistic regression 
      analysis identified five factors associated with infection: the age of menarche < 
      or =13 years, > or =4 lifetime sexual partners, non-use of contraception (rare or 
      never), cervical friability, and abnormal Papanicolaou test. Urban adolescent 
      sexually active women are at high risk for chlamydial infection and other 
      sexually transmitted diseases including HIV infection. Association between 
      chlamydial genital infection and risk-taking sexual and contraceptive behavior 
      was found. Routine Chlamydia trachomatis testing for this population is 
      recommended as well as implementation of school based sexual health education 
      because of their risk-taking sexual behavior.
FAU - Hirsl-Hecej, Vlasta
AU  - Hirsl-Hecej V
AD  - Department of Reproductive Health, Children's Hospital Zagreb, School of 
      Medicine, University of Zagreb, Zagreb, Croatia. vhirsl@kdb.hr
FAU - Pustisek, Nives
AU  - Pustisek N
FAU - Sikanic-Dugic, Nives
AU  - Sikanic-Dugic N
FAU - Domljan, Luka Mislav
AU  - Domljan LM
FAU - Kani, Dubravka
AU  - Kani D
LA  - eng
PT  - Journal Article
PL  - Croatia
TA  - Coll Antropol
JT  - Collegium antropologicum
JID - 8003354
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Ambulatory Care Facilities
MH  - Chlamydia Infections/diagnosis/*etiology/physiopathology
MH  - Croatia/epidemiology
MH  - Female
MH  - Humans
MH  - Prevalence
MH  - Risk Factors
MH  - Sexually Transmitted Diseases, Bacterial/diagnosis/*etiology/physiopathology
MH  - Surveys and Questionnaires
MH  - Urban Population
EDAT- 2007/05/19 09:00
MHDA- 2007/06/02 09:00
CRDT- 2007/05/19 09:00
PHST- 2007/05/19 09:00 [pubmed]
PHST- 2007/06/02 09:00 [medline]
PHST- 2007/05/19 09:00 [entrez]
PST - ppublish
SO  - Coll Antropol. 2006 Dec;30 Suppl 2:131-7.