Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: a cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study.

Autor: Hulstein SH; Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam), Nieuwe Achtergracht 100, 1018, WT, Amsterdam, The Netherlands. bhulstein@ggd.amsterdam.nl.; Department of Internal Medicine, Amsterdam Institute for Infection and Immunity (AI&II), Academic Medical Center, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands. bhulstein@ggd.amsterdam.nl., Matser A; Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam), Nieuwe Achtergracht 100, 1018, WT, Amsterdam, The Netherlands., Alberts CJ; Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam), Nieuwe Achtergracht 100, 1018, WT, Amsterdam, The Netherlands., Snijder MB; Department of Public Health, Amsterdam Public Health Research Institute, Academic Medical Center, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.; Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam Public Health Research Institute, Academic Medical Center, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands., Willhauck-Fleckenstein M; Molecular Diagnostics of Oncogenic Infections Division, German Cancer Research Center (Deutsches Krebsforschungszentrum DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany., Hufnagel K; Molecular Diagnostics of Oncogenic Infections Division, German Cancer Research Center (Deutsches Krebsforschungszentrum DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany., Prins M; Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam), Nieuwe Achtergracht 100, 1018, WT, Amsterdam, The Netherlands.; Department of Internal Medicine, Amsterdam Institute for Infection and Immunity (AI&II), Academic Medical Center, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands., de Vries HJC; Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam), Nieuwe Achtergracht 100, 1018, WT, Amsterdam, The Netherlands.; Department of Dermatology, Academic Medical Center, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands., Schim van der Loeff MF; Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam), Nieuwe Achtergracht 100, 1018, WT, Amsterdam, The Netherlands.; Department of Internal Medicine, Amsterdam Institute for Infection and Immunity (AI&II), Academic Medical Center, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands., Waterboer T; Molecular Diagnostics of Oncogenic Infections Division, German Cancer Research Center (Deutsches Krebsforschungszentrum DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.
Jazyk: angličtina
Zdroj: BMC infectious diseases [BMC Infect Dis] 2018 Dec 03; Vol. 18 (1), pp. 612. Date of Electronic Publication: 2018 Dec 03.
DOI: 10.1186/s12879-018-3533-7
Abstrakt: Background: In the Netherlands, there are strong disparities in Chlamydia trachomatis (CT) prevalence between ethnic groups. The current study aims to identify whether socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior may explain differences in CT seroprevalence between ethnic groups.
Methods: We used 2011-2014 baseline data of the HELIUS (HEalthy LIfe in an Urban Setting) study, a multi-ethnic population-based cohort study in Amsterdam, the Netherlands, including participants from Dutch, African Surinamese, South-Asian Surinamese, Ghanaian, Moroccan and Turkish origin. For this analysis, we selected sexually active, heterosexual participants aged 18-34 years old. CT seroprevalence was determined using a multiplex serology assay. The CT seroprevalence ratios between different ethnicities are calculated and adjusted for potential indicators of socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior.
Results: The study population consisted of 2001 individuals (52.8% female) with a median age of 28 years (IQR 24-31). CT seropositivity differed by ethnicities and ranged from 71.6% (African Surinamese), and 67.9% (Ghanaian) to 31.1% (Turkish). The CT seroprevalence ratio of African Surinamese was 1.72 (95% CI 1.43-2.06) and 1.52 (95% CI 1.16-1.99) of Ghanaian as compared to the Dutch reference group, after adjustment for socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior.
Conclusions: Indicators of socioeconomic status, sexual risk behavior, and sexual health seeking behavior could not explain the higher CT seroprevalence among African Surinamese and Ghanaian residents of Amsterdam.
Databáze: MEDLINE
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