Chlamydia trachomatis prevalence in undocumented migrants undergoing voluntary termination of pregnancy: a prospective cohort study.

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Serval ID
serval:BIB_5C31A49D02CE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Chlamydia trachomatis prevalence in undocumented migrants undergoing voluntary termination of pregnancy: a prospective cohort study.
Journal
BMC Public Health
Author(s)
Wolff H., Lourenço A., Bodenmann P., Epiney M., Uny M., Andreoli N., Irion O., Gaspoz J.M., Dubuisson J.B.
ISSN
1471-2458[electronic]
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
8
Number
391
Pages
1-7
Language
english
Abstract
BACKGROUND: Chlamydia trachomatis infection (CTI) is the most frequent sexual transmitted disease (STI) in Switzerland but its prevalence in undocumented migrants is unknown. We aimed to compare CTI prevalence among undocumented migrants undergoing termination of pregnancy (ToP) to the prevalence among women with residency permit. METHODS: This prospective cohort study included all pregnant, undocumented women presenting from March 2005 to October 2006 to the University hospital for ToP. The control group consisted of a systematic sample of pregnant women with legal residency permit coming to the same hospital during the same time period for ToP. RESULTS: One hundred seventy five undocumented women and 208 women with residency permit (controls) were included in the study. Mean ages were 28.0 y (SD 5.5) and 28.2 y (SD 7.5), respectively (p = 0.77). Undocumented women came primarily from Latin-America (78%). Frequently, they lacked contraception (23%, controls 15%, OR 1.8, 95% CI 1.04;2.9). Thirteen percent of undocumented migrants were found to have CTI (compared to 4.4% of controls; OR 3.2, 95% CI 1.4;7.3). CONCLUSION: This population of undocumented, pregnant migrants consisted primarily of young, Latino-American women. Compared to control women, undocumented migrants showed higher prevalence rates of genital CTI, which indicates that health professionals should consider systematic screening for STI in this population. There is a need to design programs providing better access to treatment and education and to increase migrants' awareness of the importance of contraception and transmission of STI.
Keywords
Abortion, Induced, Adult, Chlamydia Infections, Chlamydia trachomatis, Cohort Studies, Female, Hospitals, University, Humans, Pregnancy, Prospective Studies, Social Class, Switzerland, Transients and Migrants, Young Adult
Pubmed
Web of science
Open Access
Yes
Create date
27/03/2009 10:46
Last modification date
20/08/2019 14:14
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