Prevalence of chlamydia, gonorrhoea, syphilis and trichomonas in Aboriginal and Torres Strait Islander Australians: a systematic review and meta-analysis

Sexual Health
Simon GrahamJane Hocking

Abstract

Higher notification rates of sexually transmissible infections (STIs) are reported among Aboriginal and Torres Strait Islander (Aboriginal) compared with non-Aboriginal people in Australia. The aim of this study is to estimate the pooled prevalence of chlamydia, gonorrhoea, syphilis and trichomonas among Aboriginal people in Australia by sex, age-group, setting (clinic vs population/community-based) and population group [adults, pregnant females, young people (12-29 years) and prisoners]. The databases Medline, PubMed and Web of Science were searched in May 2015. A meta-analysis was conducted to estimate the pooled prevalence of the four STIs in Aboriginal people and if possible, by gender, age-group, setting and population group. A total of 46 studies were included. The pooled prevalence was 11.2% (95%CI: 9.4-13.0%) for chlamydia (36 studies), 12.5% (95%CI: 10.5-14.6%) for gonorrhoea (28 studies), 16.8% (95%CI: 11.0-22.6%) for syphilis (13 studies) and 22.6% (95%CI: 18.5-26.7%) for trichomonas (11 studies); however, there was significant heterogeneity between studies (I(2) <97.5%, P<0.01). In the subgroup analysis, a higher pooled prevalence occurred in females than males for chlamydia (12.7% vs 7.7%) and gonorrhoea (10.7% vs ...Continue Reading

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Citations

Nov 7, 2019·Sexually Transmitted Diseases·Kate WhitfordUNKNOWN ACCESS collaboration
Aug 21, 2020·Journal of Paediatrics and Child Health·Kimberly JohansenAnita D'Aprano
Dec 20, 2019·Sexually Transmitted Diseases·Kate WhitfordUNKNOWN ACCESS collaboration
Aug 9, 2019·BioMed Research International·Siraj Hussen, Birkneh Tilahun Tadesse
May 28, 2020·International Journal of Environmental Research and Public Health·Emma GriffithsDavid Atkinson
May 15, 2020·Irish Journal of Psychological Medicine·Yulia Furlong, Tanya Finnie

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