Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: a cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study
Abstract Background In the Netherlands, there are strong disparities in Chlamydia trachomatis (CT) prevalence between ethnic groups. The current study aims to identify whether socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior may explain differences in CT seroprevalen...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12879-018-3533-7 |
| _version_ | 1811295442106843136 |
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| author | Sebastiaan H. Hulstein Amy Matser Catharina J. Alberts Marieke B. Snijder Martina Willhauck-Fleckenstein Katrin Hufnagel Maria Prins Henry J. C. de Vries Maarten F. Schim van der Loeff Tim Waterboer |
| author_facet | Sebastiaan H. Hulstein Amy Matser Catharina J. Alberts Marieke B. Snijder Martina Willhauck-Fleckenstein Katrin Hufnagel Maria Prins Henry J. C. de Vries Maarten F. Schim van der Loeff Tim Waterboer |
| author_sort | Sebastiaan H. Hulstein |
| collection | DOAJ |
| description | Abstract Background In the Netherlands, there are strong disparities in Chlamydia trachomatis (CT) prevalence between ethnic groups. The current study aims to identify whether socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior may explain differences in CT seroprevalence between ethnic groups. Methods We used 2011–2014 baseline data of the HELIUS (HEalthy LIfe in an Urban Setting) study, a multi-ethnic population-based cohort study in Amsterdam, the Netherlands, including participants from Dutch, African Surinamese, South-Asian Surinamese, Ghanaian, Moroccan and Turkish origin. For this analysis, we selected sexually active, heterosexual participants aged 18–34 years old. CT seroprevalence was determined using a multiplex serology assay. The CT seroprevalence ratios between different ethnicities are calculated and adjusted for potential indicators of socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Results The study population consisted of 2001 individuals (52.8% female) with a median age of 28 years (IQR 24–31). CT seropositivity differed by ethnicities and ranged from 71.6% (African Surinamese), and 67.9% (Ghanaian) to 31.1% (Turkish). The CT seroprevalence ratio of African Surinamese was 1.72 (95% CI 1.43–2.06) and 1.52 (95% CI 1.16–1.99) of Ghanaian as compared to the Dutch reference group, after adjustment for socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Conclusions Indicators of socioeconomic status, sexual risk behavior, and sexual health seeking behavior could not explain the higher CT seroprevalence among African Surinamese and Ghanaian residents of Amsterdam. |
| first_indexed | 2024-04-13T05:33:25Z |
| format | Article |
| id | doaj.art-dfa2e6766b464bfe88feef52876e325f |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-04-13T05:33:25Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-dfa2e6766b464bfe88feef52876e325f2022-12-22T03:00:22ZengBMCBMC Infectious Diseases1471-23342018-12-0118111110.1186/s12879-018-3533-7Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: a cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) studySebastiaan H. Hulstein0Amy Matser1Catharina J. Alberts2Marieke B. Snijder3Martina Willhauck-Fleckenstein4Katrin Hufnagel5Maria Prins6Henry J. C. de Vries7Maarten F. Schim van der Loeff8Tim Waterboer9Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam)Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam)Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam)Department of Public Health, Amsterdam Public Health Research Institute, Academic Medical CenterMolecular Diagnostics of Oncogenic Infections Division, German Cancer Research Center (Deutsches Krebsforschungszentrum DKFZ)Molecular Diagnostics of Oncogenic Infections Division, German Cancer Research Center (Deutsches Krebsforschungszentrum DKFZ)Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam)Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam)Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam)Molecular Diagnostics of Oncogenic Infections Division, German Cancer Research Center (Deutsches Krebsforschungszentrum DKFZ)Abstract Background In the Netherlands, there are strong disparities in Chlamydia trachomatis (CT) prevalence between ethnic groups. The current study aims to identify whether socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior may explain differences in CT seroprevalence between ethnic groups. Methods We used 2011–2014 baseline data of the HELIUS (HEalthy LIfe in an Urban Setting) study, a multi-ethnic population-based cohort study in Amsterdam, the Netherlands, including participants from Dutch, African Surinamese, South-Asian Surinamese, Ghanaian, Moroccan and Turkish origin. For this analysis, we selected sexually active, heterosexual participants aged 18–34 years old. CT seroprevalence was determined using a multiplex serology assay. The CT seroprevalence ratios between different ethnicities are calculated and adjusted for potential indicators of socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Results The study population consisted of 2001 individuals (52.8% female) with a median age of 28 years (IQR 24–31). CT seropositivity differed by ethnicities and ranged from 71.6% (African Surinamese), and 67.9% (Ghanaian) to 31.1% (Turkish). The CT seroprevalence ratio of African Surinamese was 1.72 (95% CI 1.43–2.06) and 1.52 (95% CI 1.16–1.99) of Ghanaian as compared to the Dutch reference group, after adjustment for socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Conclusions Indicators of socioeconomic status, sexual risk behavior, and sexual health seeking behavior could not explain the higher CT seroprevalence among African Surinamese and Ghanaian residents of Amsterdam.http://link.springer.com/article/10.1186/s12879-018-3533-7EthnicityChlamydia trachomatisSexual healthcare seeking behaviorSocioeconomic statusSexual risk behavior |
| spellingShingle | Sebastiaan H. Hulstein Amy Matser Catharina J. Alberts Marieke B. Snijder Martina Willhauck-Fleckenstein Katrin Hufnagel Maria Prins Henry J. C. de Vries Maarten F. Schim van der Loeff Tim Waterboer Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: a cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study BMC Infectious Diseases Ethnicity Chlamydia trachomatis Sexual healthcare seeking behavior Socioeconomic status Sexual risk behavior |
| title | Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: a cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study |
| title_full | Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: a cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study |
| title_fullStr | Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: a cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study |
| title_full_unstemmed | Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: a cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study |
| title_short | Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: a cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study |
| title_sort | differences in chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status sexual healthcare seeking behavior or sexual risk behavior a cross sectional analysis in the healthy life in an urban setting helius study |
| topic | Ethnicity Chlamydia trachomatis Sexual healthcare seeking behavior Socioeconomic status Sexual risk behavior |
| url | http://link.springer.com/article/10.1186/s12879-018-3533-7 |
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