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Weaver ER, Bowring AL, Guy R, et al. Reattendance and chlamydia retesting rates at 12 months among young people attending Australian general practice clinics 2007-10: a longitudinal study. Sex Health. 2014;11(4):366-9doi: 10.1071/SH14079.
Weaver, E. R., Bowring, A. L., Guy, R., van Gemert, C., Hocking, J. S., Boyle, D. I., Merritt, T., Heal, C., Lau, P. M., Donovan, B., & Hellard, M. E. (2014). Reattendance and chlamydia retesting rates at 12 months among young people attending Australian general practice clinics 2007-10: a longitudinal study. Sexual health, 11(4), 366-9. https://doi.org/10.1071/SH14079
Weaver, Emma R, et al. "Reattendance and chlamydia retesting rates at 12 months among young people attending Australian general practice clinics 2007-10: a longitudinal study." Sexual health vol. 11,4 (2014): 366-9. doi: https://doi.org/10.1071/SH14079
Weaver ER, Bowring AL, Guy R, van Gemert C, Hocking JS, Boyle DI, Merritt T, Heal C, Lau PM, Donovan B, Hellard ME. Reattendance and chlamydia retesting rates at 12 months among young people attending Australian general practice clinics 2007-10: a longitudinal study. Sex Health. 2014 Sep;11(4):366-9. doi: 10.1071/SH14079. PMID: 25054477.
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Sex Health. 2014 Sep;11(4):366-9. doi: 10.1071/SH14079.

Reattendance and chlamydia retesting rates at 12 months among young people attending Australian general practice clinics 2007-10: a longitudinal study.

Sexual health

Emma R Weaver, Anna L Bowring, Rebecca Guy, Caroline van Gemert, Jane S Hocking, Douglas I Boyle, Tony Merritt, Clare Heal, Phyllis M Lau, Basil Donovan, Margaret E Hellard

Affiliations

  1. Centre for Population Health, Burnet Institute, 85 Commercial Road, Melbourne, Vic. 3004, Australia.
  2. Kirby Institute, Wallace Wurth Building, UNSW Australia, Sydney, NSW 2052, Australia.
  3. Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, 207 Bouverie Street, The University of Melbourne, Carlton, Vic. 3010, Australia.
  4. Health Informatics Unit, Rural Health Academic Centre, 49 Graham Street, Melbourne Medical School, University of Melbourne, Shepparton, Vic. 3630, Australia.
  5. Hunter New England Population Health, Locked bag 10, Wallsend, NSW 2287, Australia.
  6. General Practice and Rural Medicine, Mackay Base Hospital, Bridge Road, James Cook University, Mackay, Qld 4740, Australia.
  7. General Practice and Primary Health Care Academic Centre, 200 Berkeley Street, University of Melbourne, Carlton, Vic. 3053, Australia.

PMID: 25054477 DOI: 10.1071/SH14079

Abstract

UNLABELLED: Background Clinical guidelines commonly recommend annual chlamydia (Chlamydia trachomatis) testing in young people. General practice (GP) clinics can play an important role in annual testing, as a high proportion of young people attend these clinics annually; however, little is known about the timing of attendance and testing in this setting.

METHODS: The Australian Collaboration for Coordinated Enhanced Sentinel Surveillance of Sexually Transmitted Infections and Blood-Borne Viruses system extracted consultation and pathology data on 16-29-year-olds attending 25 GP clinics in 2007-10. We calculated the proportion of individuals with an initial negative test that reattended at 12 months (±3 months) and retested at 12 months (±3 months). Individuals with an initial positive test were excluded, as guidelines recommend retesting at 3 months.

RESULTS: Among 3852 individuals who had an initial negative test, 2201 (57.1%) reattended at ~12 months; reattendance was higher among females (60.8%) than males (44.1%; P<0.001) and higher among 16-19-year-olds (64.2%) than 25-29-year-olds (50.8%; P<0.001). Of 2201 individuals who reattended at 12 months, 377 had a chlamydia test (retesting rate of 9.8%); retesting was higher among females (10.8%) than males (6.1%; P<0.01) and higher among 16-19-year-olds (13.3%) than 25-29-year-olds (7.5%; P<0.001).

CONCLUSION: Although over half of young people reattended their GP clinic ~1 year after a negative chlamydia baseline test, only 9.8% were retested at this visit. Strategies are needed to promote regular attendance and testing to both patients and clinicians.

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