ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2006
Opportunistic and systematic screening for chlamydia: a study of consultations by young adults in general practice.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Application of the COM-B model to barriers and facilitators to chlamydia testing in general practice for young people and primary care practitioners: a systematic review.Implementation science : IS · 2018Pooled it
- Chlamydia prevalence in the general population: is there a sex difference? a systematic review.BMC infectious diseases · 2013Pooled it
- Service evaluation of an educational intervention to improve sexual health services in primary care implemented using a step-wedge design: analysis of chlamydia testing and diagnosis rate changes.BMC public health · 2016Trial
- Tools to overcome potential barriers to chlamydia screening in general practice: Qualitative evaluation of the implementation of a complex intervention.BMC family practice · 2016Trial
- Increasing chlamydia screening tests in general practice: a modified Zelen prospective Cluster Randomised Controlled Trial evaluating a complex intervention based on the Theory of Planned Behaviour.Sexually transmitted infections · 2014Trial
- Correcting for the Inflated Adult Population Denominator in an English Nationwide Health Care Cohort: Database Analysis Study.JMIR public health and surveillance · 2025Article
- How to increase chlamydia testing in primary care: a qualitative exploration with young people and application of a meta-theoretical model.Sexually transmitted infections · 2020Article
- Article
- Chlamydia and HIV testing, contraception advice, and free condoms offered in general practice: a qualitative interview study of young adults' perceptions of this initiative.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Exploring why a complex intervention piloted in general practices did not result in an increase in chlamydia screening and diagnosis: a qualitative evaluation using the fidelity of implementation model.BMC family practice · 2017Article
- Article
- Provision of chlamydia testing, and training of primary health care staff about chlamydia testing, across four European countries.BMC public health · 2014Article
- The views of general practitioners and practice nurses towards the barriers and facilitators of proactive, internet-based chlamydia screening for reaching young heterosexual men.BMC family practice · 2014Article
- Where do young men want to access STI screening? A stratified random probability sample survey of young men in Great Britain.Sexually transmitted infections · 2012Article
- Using educational outreach and a financial incentive to increase general practices' contribution to chlamydia screening in South-East London 2003-2011.BMC public health · 2012Article
- "...they should be offering it": a qualitative study to investigate young peoples' attitudes towards chlamydia screening in GP surgeries.BMC public health · 2010Article
- Promoting chlamydia screening with posters and leaflets in general practice--a qualitative study.BMC public health · 2009Article
- A study of young peoples' attitudes to opportunistic Chlamydia testing in UK general practice.Reproductive health · 2008Article
- Cost effectiveness of home based population screening for Chlamydia trachomatis in the UK: economic evaluation of chlamydia screening studies (ClaSS) project.BMJ (Clinical research ed.) · 2007Article
- Focus on Chlamydia.Sexually transmitted infections · 2007Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOpportunistic screening for genital chlamydia infection is being introduced in England, but evidence for the effectiveness of this approach is lacking. There are insufficient data about young peoples' use of primary care services to determine the potential coverage of opportunistic screening in comparison with a systematic population-based approach.
aimTo estimate use of primary care services by young men and women; to compare potential coverage of opportunistic chlamydia screening with a systematic postal approach. DESIGN OF STUDY: Population based cross-sectional study.
settingTwenty-seven general practices around Bristol and Birmingham.
methodA random sample of patients aged 16-24 years were posted a chlamydia screening pack. We collected details of face-to-face consultations from general practice records. Survival and person-time methods were used to estimate the cumulative probability of attending general practice in 1 year and the coverage achieved by opportunistic and systematic postal chlamydia screening.
resultsOf 12 973 eligible patients, an estimated 60.4% (95% confidence interval [CI] = 58.3 to 62.5%) of men and 75.3% (73.7 to 76.9%) of women aged 16-24 years attended their practice at least once in a 1-year period. During this period, an estimated 21.3% of patients would not attend their general practice but would be reached by postal screening, 9.2% would not receive a postal invitation but would attend their practice, and 11.8% would be missed by both methods.
conclusionsOpportunistic and population-based approaches to chlamydia screening would both fail to contact a substantial minority of the target group, if used alone. A pragmatic approach combining both strategies might achieve higher coverage.
Indexed as
Identifiers
16464322PMC1828253W1833695739What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.