Prevalence of C trachomatis infection and risk factors among participants sexually active in the previous six months in a screening programme
n | N | % | Univariable | Multivariable | |||||
---|---|---|---|---|---|---|---|---|---|
OR | 95% CI | p LR | OR | 95% CI | p LR | ||||
*AAD 1, very high urban (>2500 addresses/km2); AAD 2, high urban (1500–2500 addresses/km2); AAD 3, moderate urban (1000–1500 addresses/km2); AAD 4, low urban (500–1000 addresses/km2); AAD 5, rural (<500 addresses/km2). | |||||||||
†Low: primary school, lower vocational, or lower general secondary education; intermediate: intermediate vocational education, intermediate, or higher general secondary education; high: higher vocational education or university education. | |||||||||
Sex | |||||||||
Men | 39 | 1999 | 2.0 | 1.0 | |||||
Women | 114 | 4304 | 2.6 | 1.4 | 0.9–2.0 | 0.088 | – | ||
Age group (years) | 0.030 | 0.084 | |||||||
15–19 | 45 | 1440 | 3.1 | 1.2 | 0.8–1.8 | 1.4 | 0.9–2.1 | ||
20–24 | 43 | 2359 | 1.8 | 0.7 | 0.5–1.0 | 0.8 | 0.5–1.2 | ||
25–29 | 65 | 2504 | 2.6 | 1.0 | 1.0 | ||||
AAD* | <0.001 | <0.001 | |||||||
Very high urban (AAD 1) | 57 | 1344 | 4.2 | 5.8 | 3.0–11.1 | 3.9 | 1.9–7.7 | ||
Low/moderate/high urban (AAD 2–4) | 85 | 3507 | 2.4 | 3.3 | 1.7–6.1 | 2.6 | 1.4–4.9 | ||
Rural (AAD 5) | 11 | 1452 | 0.8 | 1.0 | 1.0 | ||||
Ethnicity | <0.001 | 0.005 | |||||||
Dutch | 125 | 5802 | 2.2 | 1.0 | 1.0 | ||||
Surinamese/Antillian | 15 | 116 | 12.9 | 6.7 | 3.8–11.9 | 3.2 | 1.7–6.2 | ||
Other | 12 | 370 | 3.2 | 1.5 | 0.8–2.8 | 1.0 | 0.5–1.9 | ||
Education† | <0.001 | <0.001 | |||||||
Low | 55 | 1508 | 3.6 | 2.8 | 1.8–4.4 | 3.0 | 1.8–4.9 | ||
Intermediate | 66 | 2567 | 2.6 | 1.9 | 1.2–3.0 | 2.2 | 1.4–3.6 | ||
High | 29 | 2151 | 1.3 | 1.0 | 1.0 | ||||
Women’s complaints, previous 4 weeks | |||||||||
(Post)coital bleeding | 0.004 | 0.053 | |||||||
Yes | 12 | 184 | 6.5 | 2.7 | 1.5–5.1 | 2.0 | 1.0–4.0 | ||
No | 102 | 4120 | 2.5 | 1.0 | 1.0 | ||||
Intermenstrual bleeding | 0.002 | ||||||||
Yes | 18 | 321 | 5.6 | 2.4 | 1.4–4.0 | ||||
No | 96 | 3983 | 2.4 | 1.0 | |||||
Abnormal vaginal discharge | 0.025 | ||||||||
Yes | 29 | 741 | 3.9 | 1.7 | 1.1–2.6 | ||||
No | 85 | 3563 | 2.4 | 1.0 | |||||
Painful urination | 0.228 | ||||||||
Yes | 14 | 385 | 3.6 | 1.4 | 0.8–2.5 | ||||
No | 100 | 3919 | 2.6 | 1.0 | |||||
Frequent urination | 0.014 | ||||||||
Yes | 21 | 465 | 4.5 | 1.9 | 1.2–3.1 | ||||
No | 93 | 3839 | 2.4 | 1.0 | |||||
Lower abdominal pain | 0.025 | ||||||||
Yes | 29 | 741 | 3.9 | 1.7 | 1.1–2.6 | ||||
No | 85 | 3563 | 2.4 | 1.0 | |||||
Men’s complaints, previous 4 weeks | |||||||||
Frequent urination | 0.016 | 0.051 | |||||||
Yes | 6 | 102 | 5.9 | 3.5 | 1.4–8.6 | 2.8 | 1.1–7.2 | ||
No | 33 | 1897 | 1.7 | 1.0 | 1.0 | ||||
Painful urination | 0.060 | ||||||||
Yes | 4 | 71 | 5.6 | 3.2 | 1.1–9.3 | ||||
No | 35 | 1928 | 1.8 | 1.0 | |||||
Urethral discharge | 0.103 | ||||||||
Yes | 2 | 26 | 7.7 | 4.4 | 1.0–19.1 | ||||
No | 37 | 1973 | 1.9 | 1.0 | |||||
Age at first sex (years) | <0.001 | ||||||||
⩽15 | 61 | 1413 | 4.3 | 3.0 | 2.0–4.6 | ||||
16–17 | 57 | 2433 | 2.3 | 1.6 | 1.0–2.5 | ||||
⩾18 | 32 | 2315 | 1.4 | 1.0 | |||||
Lifetime partners (women) | <0.001 | <0.001 | |||||||
1 | 8 | 1633 | 0.5 | 1.0 | 1.0 | ||||
2–5 | 55 | 2045 | 2.7 | 5.6 | 2.7–11.8 | 4.6 | 2.4–8.9 | ||
⩾6 | 49 | 597 | 8.2 | 18.2 | 8.5–38.6 | 13.5 | 6.8–27.1 | ||
Lifetime partners (men) | <0.001 | <0.001 | |||||||
1 | 4 | 567 | 0.7 | 1.0 | 1.0 | ||||
2–5 | 13 | 919 | 1.4 | 2.0 | 0.7–6.2 | 2.6 | 1.1–5.9 | ||
⩾6 | 20 | 491 | 4.1 | 6.0 | 2.0–17.6 | 5.3 | 2.4–11.7 | ||
Partners in previous 6 months | <0.001 | ||||||||
1 | 103 | 5509 | 1.9 | 1.0 | |||||
2–5 | 43 | 717 | 6.0 | 3.3 | 2.3–4.8 | ||||
⩾6 | 7 | 77 | 9.1 | 5.2 | 2.4–11.7 | ||||
Sexual preference | 0.194 | ||||||||
Heterosexual | 148 | 6179 | 2.4 | 1.0 | |||||
Homo/bisexual | 5 | 110 | 4.5 | 1.9 | 0.8–4.8 | ||||
New contact in previous 2 months | <0.001 | 0.004 | |||||||
Yes | 47 | 765 | 6.1 | 3.3 | 2.3–4.8 | 1.9 | 1.2–2.8 | ||
No | 106 | 5515 | 1.9 | 1.0 | 1.0 | ||||
Condom use at last sexual contact | 0.204 | 0.029 | |||||||
Yes | 26 | 1330 | 2.0 | 1.0 | 1.0 | ||||
No | 126 | 4954 | 2.5 | 1.3 | 0.9–2.0 | 1.6 | 1.0–2.6 | ||
Contraception at last sexual contact | 0.169 | ||||||||
Yes | 124 | 5312 | 2.3 | 1.0 | |||||
No | 28 | 895 | 3.1 | 1.4 | 0.9–2.0 | ||||
History of self reported STI | 0.005 | ||||||||
Yes | 18 | 371 | 4.9 | 2.2 | 1.3–3.7 | ||||
No | 132 | 5894 | 2.2 | 1.0 |