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2. Contribution of general practitioners and sexual health centres to sexually transmitted infection consultations in five Dutch regions using laboratory data of Chlamydia trachomatis testing

Author

Slurink, I. A. L., Slurink, I. A. L., Groen, K., Gotz, H. M., Meima, A., Kroone, M. M., Hogewoning, A. A., Ott, A., Niessen, W., Dukers-Muijers, N. H. T. M., Hoebe, C. J. P. A., Koedijk, F. D. H., Kampman, C. J. G., van Bergen, J. E. A. M., Slurink, I. A. L., Slurink, I. A. L., Groen, K., Gotz, H. M., Meima, A., Kroone, M. M., Hogewoning, A. A., Ott, A., Niessen, W., Dukers-Muijers, N. H. T. M., Hoebe, C. J. P. A., Koedijk, F. D. H., Kampman, C. J. G., and van Bergen, J. E. A. M.

Abstract

Effective sexually transmitted infection (STI) control requires opportunities for appropriate testing, counselling and treatment. In the Netherlands, people may attend general practitioners (GPs) and sexual health centres (SHCs; also known as STI clinics) for STI consultations. We assessed the contribution of GPs and SHCs to STI consultations in five Dutch regions with different urbanization levels, using data of urogenital Chlamydia trachomatis (CT) testing. Data (2011-2016) were retrieved from laboratories, aggregated by gender and age group (15-24 and 25-64 years). Results show that test rates and GP contribution varied widely between regions. GP contribution decreased over time in Amsterdam (60-48%), Twente (79-61%), Maastricht (60-50%) and Northeast-Netherlands (82-77%), but not in Rotterdam (65-67%). Decreases resulted from increases in SHC test rates and slight decreases in GP test rates. GPs performed more tests for women and those aged 25-64 years compared to SHCs (relative risks ranging from 1.49 to 4.76 and 1.58 to 7.43, respectively). The average yearly urogenital CT positivity rate was 9.2% at GPs and 10.7% at SHCs. Overall, GPs accounted for most STI consultations, yet SHC contribution increased. Continued focus on good quality STI care at GPs is essential, as increasing demands for care can not be entirely covered by SHCs.

Published
2020

3. Contribution of general practitioners and sexual health centres to sexually transmitted infection consultations in five Dutch regions using laboratory data of Chlamydia trachomatis testing.

Author

Slurink I, Groen K, Gotz HM, Meima A, Kroone MM, Hogewoning AA, Ott A, Niessen W, Dukers-Muijers N, Hoebe C, Koedijk F, Kampman C, and van Bergen J

Subjects
Adolescent, Adult, Chlamydia Infections epidemiology, Chlamydia trachomatis, Female, Humans, Male, Middle Aged, Netherlands epidemiology, Primary Health Care, Sexually Transmitted Diseases diagnosis, Sexually Transmitted Diseases prevention & control, Young Adult, General Practice statistics & numerical data, General Practitioners, Referral and Consultation statistics & numerical data, Sexual Health statistics & numerical data, Sexually Transmitted Diseases epidemiology
Published
2020
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4. Vaginal and anal human papillomavirus infection and seropositivity among female sex workers in Amsterdam, the Netherlands: Prevalence, concordance and risk factors.

Author

Marra E, Kroone N, Freriks E, van Dam CL, Alberts CJ, Hogewoning AA, Bruisten S, van Dijk A, Kroone MM, Waterboer T, and Schim van der Loeff MF

Subjects
Adult, Anal Canal virology, Anus Diseases virology, Cross-Sectional Studies, DNA, Viral genetics, Female, Humans, Netherlands epidemiology, Papillomaviridae classification, Papillomaviridae genetics, Prevalence, Risk Factors, Sexual Behavior statistics & numerical data, Sexually Transmitted Diseases epidemiology, Sexually Transmitted Diseases virology, Young Adult, Anus Diseases epidemiology, Papillomavirus Infections epidemiology, Sex Workers statistics & numerical data, Vagina virology
Abstract

Background: We studied prevalence, risk factors and concordance of vaginal and anal HPV infection and L1 seropositivity among female sex workers (FSW) in Amsterdam., Methods: In 2016, FSW aged ≥18 years having a sexually transmitted infections (STI) consultation were invited to participate. Participation entailed taking vaginal and anal self-swabs. Demographics and sexual behaviour data were collected. HPV DNA was analysed using the SPF10-PCR-DEIA-LiPA25-system-v1. Serum was tested for HPV L1 antibodies using multiplex serology assays. Determinants of vaginal and anal high risk HPV (hrHPV) infection and L1 seropositivity were assessed with logistic regression analyses., Results: We included 304 FSW; median age was 29 years (IQR 25-37). Vaginal and anal hrHPV prevalence were 46% and 55%, respectively. HrHPV L1 seropositivity was 37%. Vaginal-anal hrHPV concordance was strong, but no significant association between vaginal or anal hrHPV infection and seropositivity was found. Having had anal sexual contact was not associated with anal hrHPV infection (P = 0.119)., Discussion: Vaginal and anal hrHPV prevalence is high among FSW in Amsterdam, the Netherlands. Promotion of HPV vaccination, preferably at the beginning of the sex (work) career, may be a useful prevention method against hrHPV infection and disease., (Copyright © 2017 The British Infection Association. Published by Elsevier Ltd. All rights reserved.)

Published
2018
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