ArticleSexually transmitted diseases2013
Incidence and correlates of Chlamydia trachomatis infection in a high-risk cohort of Kenyan women.
Article in Sexually transmitted diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Hormonal contraceptive use and the risk of sexually transmitted infections: a systematic review and meta-analysis.Scientific reports · 2022Pooled it
- Trial
- Prevalence and Determinants of Common Sexually Transmitted Infections Among Women Presenting with Vaginal Discharge at a Tertiary Care Hospital in Eritrea.International journal of women's health · 2025Article
- Prevalence of cervical intraepithelial lesions and associated factors among women attending a cervical cancer clinic in Western Uganda; results based on Pap smear cytology.SAGE open medicine · 2024Article
- Schistosoma mansoni infection and socio-behavioural predictors of HIV risk: a cross-sectional study in women from Uganda.BMC infectious diseases · 2018Article
- Gonorrhea, Chlamydia and HIV incidence among female sex workers in Cotonou, Benin: A longitudinal study.PloS one · 2018Article
- Contraceptive use and the risk of sexually transmitted infection: systematic review and current perspectives.Open access journal of contraception · 2018Review
- Education, early screening and treatment of STIs could reduce infertility among women in Kenya.Facts, views & vision in ObGyn · 2017Article
- Comparison of clinical performance of antigen based-enzyme immunoassay (EIA) and major outer membrane protein (MOMP)-PCR for detection of genital Chlamydia trachomatis infection.International journal of reproductive biomedicine · 2016Article
- Prevalence and risk factors of three curable sexually transmitted infections among women in Nairobi, Kenya.BMC research notes · 2016Article
- Providing comprehensive health services for young key populations: needs, barriers and gaps.Journal of the International AIDS Society · 2015Review
- Biological and behavioral risks for incident Chlamydia trachomatis infection in a prospective cohort.Obstetrics and gynecology · 2014Article
- Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundIn Africa, data on Chlamydia trachomatis infection are scarce because reliable diagnosis is costly and not widely available. Our objective was to evaluate the incidence and correlates of C. trachomatis infection among high-risk Kenyan women.
methodsWe conducted prospective cohort analyses using data from a cohort of women who reported transactional sex. C. trachomatis testing was performed using the Gen-Probe Aptima GC/CT Detection System. We used Andersen-Gill proportional hazards modeling to evaluate correlates of C. trachomatis.
resultsBetween August 2006 and December 2010, 865 women contributed 2011 person-years of observation. Sixty-four women experienced 101 episodes of C. trachomatis infection (incidence rate, 5.0/100 person-years). There was a large difference in incidence by age group: those younger than 25 years had an incidence of 27.6 per 100 person-years (95% confidence interval [CI], 16.3-46.5), those 25 to 34 years old had an incidence of 8.4 per 100 person-years (95% CI, 6.4-11.0), and those 35 years and older had an incidence of 2.6 per 100 person-years (95% CI, 1.8-3.6). In multivariate analyses, younger age (<25 and 25-34 years vs. ≥35 years; hazard ratio [HR], 8.5 [95% CI, 4.1-17.7] and 2.9 [95% CI, 1.7-5.0], respectively), depot medroxyprogesterone acetate use (HR, 1.8; 95% CI, 1.1-3.0), and recent Neisseria gonorrhoeae infection (HR, 3.3; 95% CI, 1.5-7.4) were significantly associated with increased risk of acquiring C. trachomatis infection.
conclusionsThe high incidence of C. trachomatis among younger high-risk women suggests the need for screening as an important public health intervention for this population.
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