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Brief Encounters
  1. Rob Miller,
  2. Helen Ward, Editors

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    Simms et al used the Hager definition for clinical diagnosis of pelvic inflammatory disease (PID) in a case-control study of risk factors. Control groups were PID-free women undergoing tubal ligation, and general practice attendees. Compared with both control groups, PID was associated with younger age (under 25), having had first sex under the age of 20, self-reported sexually transmitted infection and exposure to Chlamydia trachomatis. Non-white ethnicity, having no children, lower socio-economic status, being single and a previous adverse pregnancy outcome were also associated with increased risk. PID control strategies currently focus on Chlamydia screening, but these data suggest a broader approach including behavioural interventions may be needed.
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