title: Value of self-reportable screening criteria to identify asymptomatic individuals in the general population for urogential Chlamydia trachomatis infection screening.
abstract: Submission of samples from the home allows screening for Chlamydia trachomatis without preceding professional assessment of clinical risk factors. Therefore, a validation of self-reportable information for use as selective screening criteria is needed. We asked a total of 1175 women and 1033 men who participated in an in-home sampling screening study to provide information on behavior and sociodemographic characteristics. In a multivariate model, selective screening criteria were developed on the basis of information from a random part of the tested population (development group), and the validity was assessed for the remaining part of the tested population (validation group). To find all infections, 95% of the subjects had to be screened, and screening 63% of them would have detected 86% of infections. Low predictive values were found when selective screening criteria from other studies were assessed. Selective screening by means of in-home sampling strategies among men and women aged 21-23 years cannot be recommended in the area studied.
authors.affiliation: Research Unit and Department of General Practice, Aarhus University, Denmark . ba@alm.au.dk
authors.forename: Berit
authors.initials: B
authors.lastname: Andersen
authors.forename: Irene
authors.initials: I
authors.lastname: van Valkengoed
authors.forename: Frede
authors.initials: F
authors.lastname: Olesen
authors.forename: Jens K
authors.initials: JK
authors.lastname: Møller
authors.forename: Lars
authors.initials: L
authors.lastname: Østergaard
mesh_terms: D000328:Adult; D002690:Chlamydia Infections / Q000453:epidemiology*; D002692:Chlamydia trachomatis; D005260:Female; D052776:Female Urogenital Diseases / Q000453:epidemiology*; D006801:Humans; D008297:Male; D052801:Male Urogenital Diseases; D008403:Mass Screening; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires