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Australian Family Physician
Australian Family Physician

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Volume 38, Issue 9, September 2009

Opportunistic screening for chlamydia in young men

Donna B Mak Tom Brett Diane Arnold-Reed Dana Hince Max Bulsara Robert Moorhead
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Background
Information on prevalence of genital Chlamydia trachomatis in young men attending Australian general practices is scarce.
Objective
We aimed to estimate the prevalence of chlamydia in this group; establish behaviours associated with infection, and evaluate general practitioner follow up of positive cases.
Results
Prevalence of chlamydia was 3.7% (95% CI: 2–6%, n=14/383). High rates of risky sexual practices were observed in both chlamydia positive and negative participants. The association between chlamydia status and risky sexual practices however, was not statistically significant. Treatment and notification of positive cases were usually undertaken, but GPs did not always check that patients had contacted sexual partners.
Conclusion
We found little relationship between reported sexual behaviour and chlamydia infection in young men. It may be appropriate to offer screening to all at risk individuals.

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