Evidence map›Paper›PMID 23799146›Full record

ArticlePloS one2013

Higher Chlamydia trachomatis prevalence in ethnic minorities does not always reflect higher sexual risk behaviour.

Amy Matser, Nancy Luu, Ronald Geskus, Titia Heijman, Marlies Heiligenberg, Maaike van Veen, Maarten Schim van der Loeff

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Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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  10. Active Hexose Correlated Compound Activates Immune Function to DecreaseJournal of nutritional medicine and diet care · 2015
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Amy MatserCluster of Infectious Diseases, Public Health Service of Amsterdam, The Netherlands. amatser@ggd.amsterdam.nl
Nancy Luu
Ronald Geskus
Titia Heijman
Marlies Heiligenberg
Maaike van Veen
Maarten Schim van der Loeff

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn affluent countries, the prevalence of Chlamydia trachomatis (CT) is often higher in certain ethnic minorities than in the majority population. In The Netherlands, we examined why CT prevalence is higher in Surinamese/Antilleans, the largest minority in the country.

methodsHeterosexuals were recruited for a cross-sectional survey from May through August 2010 at the sexually transmitted infections (STI) clinic in Amsterdam. Participants completed a questionnaire and were tested for STI. A causal directed acyclic graph was assumed to investigate whether the association between ethnicity and CT could be explained by differences in sexual risk behaviour and socio-economic status.

resultsSubjects included 1044 with Dutch background and 335 with Surinamese/Antillean background. Median age for the combined population was 25 (IQR 22-30) years, and 55.4% was female. Sexual risk behaviour did not differ significantly between the two groups. CT was diagnosed in 17.9% of Surinamese/Antilleans and in 11.4% of Dutch. Surinamese/Antilleans were significantly more likely to have CT (OR 1.70; 95% CI 1.21-2.38). The association between ethnicity and CT remained statistically significant after adjusting for sexual risk behaviour, age, sex, and ethnic mixing (aOR 1.48; 95% CI 1.00-2.18), but not after adjusting for education and neighbourhood, markers of socio-economic status (aOR 1.08; 95% CI 0.71-1.64).

conclusionThe difference in CT prevalence between the minority and majority groups was not explained by differences in sexual risk behaviour. The higher CT prevalence found among Surinamese/Antilleans appeared to reflect their lower educational level and neighbourhood, two markers of lower socio-economic status. We hypothesise that the effect results from lower health-seeking behaviour.

Indexed as

Chlamydia trachomatisAdultChlamydia InfectionsFemaleHumansMaleNetherlandsNetherlands AntillesPatient Acceptance of Health CarePrevalenceRisk-TakingSexual BehaviorSocial ClassSurinameUrban PopulationYoung Adult

Identifiers

PMID23799146
PMCPMC3682972

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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.