Han Y, Morse D L, Lawrence C E, Murphy D, Hipp S
New York State Department of Health.
J Community Health. 1993 Feb;18(1):1-9. doi: 10.1007/BF01321516.
The prevalence of chlamydial infection and associated risk factors were studied in 1531 women from ten clinics in New York State excluding New York City. Overall Chlamydia infection rates were 13.6%; 17.6% in eight high risk family planning and STD clinics, and 5.7% in two low risk college and private clinics. Risk factors for Chlamydia infection included: age < 20 years (odds ratio 1.6), use of oral contraceptives (odds ratio 2.0), a history of having more than one sexual partner (odds ratio 1.7) and, in one clinic where data was available, inflammation on Papanicolaou smears (odds ratio 2.1). These data helped secure funding for Chlamydia preventive services and permitted development of a risk profile (score card) of Chlamydia for each age group. Use of such a score card can be most helpful in assigning which patients could benefit most from Chlamydia cultures, especially in those areas where testing is unavailable or too costly to screen all patients.
在纽约州（不包括纽约市）十个诊所的1531名女性中，对衣原体感染的患病率及其相关风险因素进行了研究。衣原体总体感染率为13.6%；在八家高风险计划生育和性传播疾病诊所中为17.6%，在两家低风险大学诊所和私人诊所中为5.7%。衣原体感染的风险因素包括：年龄<20岁（比值比1.6）、使用口服避孕药（比值比2.0）、有多个性伴侣的病史（比值比1.7），以及在一家可获取数据的诊所中，巴氏涂片检查有炎症（比值比2.1）。这些数据有助于为衣原体预防服务争取资金，并允许为每个年龄组制定衣原体风险概况（记分卡）。使用这样的记分卡对于确定哪些患者能从衣原体培养中获益最大最为有用，尤其是在那些无法进行检测或检测成本过高而无法对所有患者进行筛查的地区。
