title: Impact of Cervical Cancer Screening Guidelines on Screening for Chlamydia.
abstract: The highest prevalence of chlamydia infection in the United States is among people aged 15 to 24 years. We assessed the impact of not doing routine cervical cancer screening on the rates of chlamydia screening in women aged 15 to 21 years. We classified visits to family medicine ambulatory clinics according to their timing relative to the 2009 guideline change that led to more restrictive cervical cancer screening. Women had higher odds of being screened for chlamydia before vs after the guideline change (odds ratio = 13.97; 95% CI, 9.17-21.29; P <.001). Chlamydia and cervical cancer screening need to be uncoupled and new screening opportunities should be identified.
authors.affiliation: Department of Family Medicine, University of Michigan, Ann Arbor, Michigan awessel@med.umich.edu.
authors.forename: Allison
authors.initials: A
authors.lastname: Ursu
authors.affiliation: Department of Family Medicine, University of Michigan, Ann Arbor, Michigan Department of Biostatistics, University of Michigan, Ann Arbor, Michigan.
authors.forename: Ananda
authors.initials: A
authors.lastname: Sen
authors.affiliation: Department of Family Medicine, University of Michigan, Ann Arbor, Michigan.
authors.forename: Mack
authors.initials: M
authors.lastname: Ruffin
mesh_terms: D000293:Adolescent; D002690:Chlamydia Infections / Q000175:diagnosis* / Q000453:epidemiology*; D002692:Chlamydia trachomatis; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D016015:Logistic Models; D008403:Mass Screening / Q000379:methods*; D016017:Odds Ratio; D017410:Practice Guidelines as Topic; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control; D055815:Young Adult
keywords: Papanicolaou test; cervical cancer screening; chlamydia screening; primary care; sexually transmitted infection screening