Department of Community Medicine and Primary Care, Geneva University Hospitals & University of Geneva, Switzerland.
Swiss Med Wkly. 2011 Jul 18;141:w13220. doi: 10.4414/smw.2011.13220. eCollection 2011.
Young offenders represent a group for which Chlamydia trachomatis infection screening is recommended in the US. In the absence of local epidemiological data it is difficult to assess whether such recommendations apply to the Swiss context. Our aim was to obtain local prevalence data for Chlamydia trachomatis infection among young male offenders as a basis for screening strategies in Swiss juvenile detention centres.
This cross-sectional study was conducted in a juvenile detention facility in Geneva, Switzerland. Adolescent males aged 15-18 years admitted to the detention facility were invited to participate during a consultation with a nurse conducted within 48 hours of admission. Participants were asked to provide a first void urine sample for PCR detection of Chlamydia trachomatis infection and to complete a questionnaire on reproductive health behaviours.
72 males were considered for participation in the study. 13 were excluded (mainly due to the language barrier or a shorter than 3 days' stay in the facility) and 9 (15%) declined participation. Not being sexually active was the most common reason for declining participation. Most participants originated from Switzerland or the European Union and 68% reported having ≥2 sexual partners in the past year. Only one participant (18 years, asymptomatic) had Chlamydia trachomatis infection (2%; 95%CI: 0-6%).
This study does not support screening for Chlamydia trachomatis among young offenders admitted to detention centres in Switzerland. Studies in other European detention centres should document the extent to which our findings are generalisable to the European context.
在美国，衣原体感染筛查建议适用于年轻罪犯群体。在缺乏当地流行病学数据的情况下，难以评估这些建议是否适用于瑞士的情况。我们的目的是获得瑞士青少年拘留中心年轻男性罪犯群体中沙眼衣原体感染的当地流行率数据，为瑞士青少年拘留中心的筛查策略提供依据。
这是一项在瑞士日内瓦的青少年拘留设施中进行的横断面研究。在拘留设施中接受护士咨询的 15-18 岁青少年男性被邀请在入住后 48 小时内参加。参与者被要求提供第一份尿样，用于 PCR 检测沙眼衣原体感染，并填写一份关于生殖健康行为的问卷。
共有 72 名男性被考虑参加该研究。13 名男性被排除在外（主要是由于语言障碍或在设施中的停留时间短于 3 天），9 名（15%）拒绝参加。不进行性行为是拒绝参加的最常见原因。大多数参与者来自瑞士或欧盟，68%的人报告在过去一年中有≥2 个性伴侣。只有一名参与者（18 岁，无症状）患有沙眼衣原体感染（2%；95%CI：0-6%）。
本研究不支持对瑞士拘留中心的年轻罪犯进行沙眼衣原体筛查。其他欧洲拘留中心的研究应记录我们的发现在多大程度上适用于欧洲背景。
