Sipkin Diane L, Gillam Alix, Grady Laurie Bisset
Student Health Center at California State University, Sacramento 95819-6045, USA.
J Am Coll Health. 2003 Sep-Oct;52(2):65-71. doi: 10.1080/07448480309595726.
Chlamydia trachomatis infection in college students has not undergone a detailed large-scale evaluation. The authors undertook a cross-sectional study of 4,086 students enrolled on the campuses of California State University, Sacramento, and 3 local community colleges from fall 2000 through spring 2002. They used an outreach screening model to determine the presence of infection by testing urine for chlamydial DNA by polymerase chain reaction. Participants completed demographic and behavioral risk questionnaires and a chlamydia knowledge assessment. Overall, 3.4% of participants tested positive for infection. Screening of male and female students was evenly distributed and incidence rates for males (3.03%) and females (3.78%) were similar Variables associated with significantly increased risk were younger than 25 years, ethnicity other than White, more than one sexual partner in the preceding year or a new partner in the preceding 2 months, and current symptoms. Innovative outreach programs to screen a majority of at-risk college students should be developed.
大学生沙眼衣原体感染尚未经过详细的大规模评估。作者于2000年秋季至2002年春季对萨克拉门托加利福尼亚州立大学校园以及3所当地社区学院的4086名学生进行了一项横断面研究。他们采用外展筛查模式，通过聚合酶链反应检测尿液中的衣原体DNA来确定感染情况。参与者完成了人口统计学和行为风险问卷以及衣原体知识评估。总体而言，3.4%的参与者检测出感染呈阳性。对男女生的筛查分布均匀，男性（3.03%）和女性（3.78%）的发病率相似。与风险显著增加相关的变量包括年龄小于25岁、非白人种族、前一年有多个性伴侣或前两个月有新伴侣以及当前有症状。应制定创新的外展项目，以筛查大多数高危大学生。
