Evidence map›Paper›PMID 18504140›Full record

ArticleAnnals of epidemiology2008

Screening young adults for prevalent chlamydial infection in community settings.

Cheryl R Stein, Jay S Kaufman, Carol A Ford, Peter A Leone, Paul J Feldblum, William C Miller

Open access · greenAbstract read
In one paragraph

Article in Annals of epidemiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Inequities inAmerican journal of public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Cheryl R SteinDepartment of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, USA. cheryl.stein@mssm.edu
Jay S Kaufman
Carol A Ford
Peter A Leone
Paul J Feldblum
William C Miller
University of North Carolina at Chapel Hill · USFamily Health International 360 · US

Funding

Ethnicity and Pregnancy Outcomes in New York CityR21HD050739 · NICHD · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI SAVITZ, DAVID A. · 2005 to 2006
$369k
NICHD NIH HHS R21 HD050739
6 · The paper itself

Abstract

purposeCommunity-based testing may identify young adults in the general population with sexually transmitted chlamydial infection. To develop selective screening guidelines appropriate for community settings, the authors conducted a cross-sectional analysis of the National Longitudinal Study of Adolescent Health Wave III (April 2, 2001, to May 9, 2002).

methodsSeparately for women and men, we developed three predictive models by using unconditional multiple logistic regression for survey data. To account for racial/ethnic disparity in prevalence, initial models included identical predictor characteristics plus information on 1) respondent's race/ethnicity; or 2) respondent's most recent partner's race/ethnicity; or 3) no information on race/ethnicity.

resultsChlamydia trachomatis diagnosis was available for 10,928 (88.6%) of the sexually experienced respondents. A combination of five characteristics for women and six characteristics for men identified approximately 80% of infections when testing </=50% of the population. Information regarding race/ethnicity dramatically affected algorithm performance.

conclusionThe use of race/ethnicity in any screening algorithm is problematic and controversial, but the model without race information missed many diagnoses in the minority groups. Universal screening in high-prevalence regions and selective screening in low-prevalence regions may be one method of reaching the affected populations while avoiding the stigma of guidelines incorporating race/ethnicity.

Indexed as

AdolescentAdultChlamydia InfectionsChlamydia trachomatisCommunity Health ServicesCross-Sectional StudiesFemaleHealthcare DisparitiesHealth Status DisparitiesHumansMaleMass ScreeningPrevalenceRisk AssessmentSexual BehaviorSocioeconomic Factors

Identifiers

PMID18504140
PMCPMC2490822
OpenAlexW2054788885

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.