Donna B Mak
Information on prevalence of genital Chlamydia trachomatis in young men attending Australian general practices is scarce.
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.
Sexually active men (aged 15–29 years) attending 10 general
practices in Perth, Western Australia, were tested for chlamydia and
completed a self report questionnaire concerning sexual practices
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.
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.
Genital Chlamydia trachomatis notification rates in Australia have almost trebled from 88.5 to 249.3 per 100 000 between 2000–2007, with approximately 40% of notifications in 2007 for men.1 Australian notification rates for the disease are highest in the young adult population (males and females aged 20–29 years)1,2 with males generally slightly older than females supporting United Kingdom data of a peak for females aged 16–19 years and males 20–24 years.3 Screening for chlamydia in Australia has predominantly targeted young women, and the failure to detect and treat infection in men may counteract any gains in attempts to control the disease.4
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