Poulin C, Alary M, Ringuet J, Frappier J Y, Roy E, Lefebvre J
Centre de santé publique de Québec.
Can J Public Health. 1997 Jul-Aug;88(4):266-70. doi: 10.1007/BF03404794.
This study aimed to determine the prevalence of chlamydial infection in adolescents entering public juvenile facilities in the province of Quebec and the frequency of their risk behaviours for STDs and HIV infection. Adolescents were asked to complete an anonymous self-administered questionnaire and to be screened for Chlamydia trachomatis. Of 731 sexually active adolescents, 62% agreed to be tested. The overall prevalence rate was 7.7% (95% confidence interval: 5.1%-10.3%). The prevalence was significantly higher in female than in male teenagers: 12% vs 3% (p < 0.001, Fisher's exact test). These results suggest that screening for chlamydial infection should be offered to all sexually active female teenagers admitted into juvenile facilities. For males, selective screening taking into account sexual history would be a more realistic approach. The frequency of high risk activities for STDs and HIV infection points to the importance of specific prevention programs for this population.
本研究旨在确定进入魁北克省公共青少年教养机构的青少年中衣原体感染的患病率，以及他们感染性传播疾病和艾滋病毒的危险行为发生频率。研究要求青少年填写一份匿名的自填问卷，并接受沙眼衣原体筛查。在731名有性行为的青少年中，62%同意接受检测。总体患病率为7.7%（95%置信区间：5.1%-10.3%）。女性青少年的患病率显著高于男性青少年：12% 对 3%（p < 0.001，Fisher精确检验）。这些结果表明，对于所有进入青少年教养机构的有性行为的女性青少年，都应提供衣原体感染筛查。对于男性，考虑性病史进行选择性筛查将是一种更现实的方法。感染性传播疾病和艾滋病毒的高危活动发生频率表明，针对这一人群开展特定预防项目非常重要。
