Evidence map›Paper›PMID 30095784›Full record

ArticleObstetrics and gynecology2018

Rectal Chlamydia trachomatis and Neisseria gonorrhoeae Infections Among Women Reporting Anal Intercourse.

Eloisa Llata, Jim Braxton, Lenore Asbel, Joan Chow, Lindsay Jenkins, Ryan Murphy, Preeti Pathela, Christina Schumacher, Elizabeth Torrone

Open access · greenAbstract read
In one paragraph

Article in Obstetrics and gynecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Clinical Updates in Sexually Transmitted Infections, 2024.Journal of women's health (2002) · 2024
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Childhood Traumatic Experiences and Receptive Anal Intercourse Among Women.Perspectives on sexual and reproductive health · 2020
    Article
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

9 authors at 1 institution in 1 country.

Eloisa LlataCenters for Disease Control and Prevention, Division of STD Prevention (NCCHSTP), Surveillance and Data Management Branch, Atlanta, Georgia; the Philadelphia Department of Public Health, Philadelphia, Pennsylvania; the California Department of Public Health-STD Control Branch, Richmond, California; the Multnomah County Health Department, Portland, Oregon; the Los Angeles County Department of Public Health, Los Angeles, California; the New York City Department of Health and Mental Hygiene, New York, New York; and the Johns Hopkins University School of Medicine and Baltimore City Health Department, Baltimore, Maryland.
Jim Braxton
Lenore Asbel
Joan Chow
Lindsay Jenkins
Ryan Murphy
Preeti Pathela
Christina Schumacher
Elizabeth Torrone
Los Angeles County Department of Public Health · US

Funding

THE GRANT CONSISTS OF PART A AND B. PART A WILL EXPAND SURVEILLANCE ACTIVITES. PAH25PS001205 · PS · COLORADO STATE DEPT/PUB HLTH & ENVIRONMT · PI MATTSON, MELANIE · 2008 to 2012
$1.0M
NCHHSTP CDC HHS H25 PS001205
6 · The paper itself

Abstract

objectiveTo examine the prevalence and treatment of rectal Chlamydia trachomatis and Neisseria gonorrhoeae infections among women reporting receptive anal intercourse in a network of sexually transmitted disease or sexual health clinics and estimate the proportion of missed infections if women were tested at the genital site only.

methodsWe conducted a cross-sectional analysis of C trachomatis and N gonorrhoeae test results from female patients reporting receptive anal intercourse in the preceding 3 months during visits to 24 sexually transmitted disease clinics from 2015 to 2016. Primary outcomes of interest were 1) anatomic site-specific C trachomatis and N gonorrhoeae testing and positivity among women attending selected U.S. sexually transmitted disease clinics who reported receptive anal intercourse and 2) the proportion of rectal infections that would have remained undetected if only genital sites were tested.

resultsOverall, 7.4% (3,743/50,785) of women reported receptive anal intercourse during the 2 years. Of the 2,818 women tested at both the genital and rectal sites for C trachomatis, 292 women were positive (61 genital only, 60 rectal only, and 171 at both sites). Of the 2,829 women tested at both the genital and rectal sites for N gonorrhoeae, 128 women were positive (31 genital only, 23 rectal only, and 74 at both sites). Among women tested at both anatomic sites, the proportion of missed C trachomatis infections would have been 20.5% and for N gonorrhoeae infections, 18.0%.

conclusionGenital testing alone misses approximately one fifth of C trachomatis and N gonorrhoeae infections in women reporting receptive anal intercourse in our study population. Missed rectal infections may result in ongoing transmission to other sexual partners and reinfection.

Indexed as

Sexual BehaviorAdultAnti-Bacterial AgentsChlamydia InfectionsChlamydia trachomatisCross-Sectional StudiesFemaleGonorrheaHumansMid-Atlantic RegionNeisseria gonorrhoeaePacific StatesPrevalenceRectal DiseasesRectumYoung AdultAnti-Bacterial Agents

Identifiers

PMID30095784
PMCPMC6748307
OpenAlexW2886635728

What OpenQuestion holds

Textmetadata
LicenceTDM
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.