Harrod Mary Ellen, Couzos Sophia, Ward James, Saunders Mark, Donovan Basil, Hammond Belinda, Delaney-Thiele Dea, Belfrage Mary, Williams Sid, Smith Lucy Watchirs, Kaldor John M
NSW Users and AIDS Association, Level 5, 414 Elizabeth Street, Surry Hills, NSW 2012, Australia.
James Cook University, 1 James Cook Drive, Townsville, Qld 4811, Australia.
Sex Health. 2017 Aug;14(4):320-324. doi: 10.1071/SH16046.
Background Gonorrhoea occurs at high levels in young Aboriginal and Torres Strait Islander people living in remote communities, but there are limited data on urban and regional settings. An analysis was undertaken of gonorrhoea testing and positivity at four non-remote Aboriginal Community Controlled Health Services participating in a collaborative research network.
This was a retrospective analysis of clinical encounter data derived from electronic medical records at participating services. Data were extracted using the GRHANITE program for all patients aged 15-54 years from 2009 to 2013. Demographic characteristics and testing and positivity for gonorrhoea were calculated for each year.
A total of 2971 patients (2571 Aboriginal and/or Torres Strait Islander) were tested for gonorrhoea during the study period. Among Aboriginal and/or Torres Strait Islander patients, 40 (1.6%) tested positive. Gonorrhoea positivity was associated with clinic location (higher in the regional clinic) and having had a positive chlamydia test. By year, the proportion of patients aged 15-29 years tested for gonorrhoea increased in both men (7.4% in 2009 to 15.9% in 2013) and women (14.8% in 2009 to 25.3% in 2013). Concurrent testing for chlamydia was performed on 86.3% of testing occasions, increasing from 75% in 2009 to 92% in 2013. Factors related to concurrent testing were sex and year of test.
The prevalence of gonorrhoea among young Aboriginal and/or Torres Strait Islander people in non-remote settings suggests that the current approach of duplex testing for chlamydia and gonorrhoea simultaneously is justified, particularly for women.
背景 淋病在居住于偏远社区的年轻原住民和托雷斯海峡岛民中高发，但关于城市和地区环境的数据有限。对参与合作研究网络的四家非偏远原住民社区控制卫生服务机构的淋病检测及阳性情况进行了分析。
这是一项对参与机构电子病历中的临床诊疗数据进行的回顾性分析。使用GRHANITE程序提取了2009年至2013年所有15至54岁患者的数据。计算了每年的人口统计学特征以及淋病检测和阳性情况。
在研究期间，共有2971名患者（2571名原住民和/或托雷斯海峡岛民）接受了淋病检测。在原住民和/或托雷斯海峡岛民患者中，40人（1.6%）检测呈阳性。淋病阳性与诊所地点（地区诊所较高）以及衣原体检测呈阳性有关。按年份来看，15至29岁接受淋病检测的患者比例在男性（从2009年的7.4%增至2013年的15.9%）和女性（从2009年的14.8%增至2013年的25.3%）中均有所增加。86.3%的检测场合同时进行了衣原体检测，从2009年的75%增至2013年的92%。与同时检测相关的因素是性别和检测年份。
非偏远地区年轻原住民和/或托雷斯海峡岛民中的淋病患病率表明，目前同时对衣原体和淋病进行双重检测的方法是合理的，尤其是对女性而言。
