{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T04:40:04Z","timestamp":1792384804706,"version":"4.4.0"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      <jats:italic>Chlamydia trachomatis<\/jats:italic>\n                      remains a major global public health concern, particularly among sexually active adolescents and young adults. Disclosure of an infection to sexual partners is essential for effective management and reduction of onward transmission; however, barriers to disclosure and communication persist.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      This study assessed the proportion of participants willing to disclose a positive\n                      <jats:italic>Chlamydia trachomatis<\/jats:italic>\n                      result, the barriers to disclosure, and the factors associated with intended disclosure among sexually active individuals in Buea.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This community\u2010based, mixed\u2010methods cross\u2010sectional study was conducted from February to April 2024 among 253 participants aged \u2265\u200915 years recruited through convenience sampling. Structured questionnaires and in\u2010depth interviews captured sociodemographic characteristics, sexual behaviours, and perceived disclosure barriers. Quantitative data were analysed using descriptive statistics, Chi\u2010square tests, and multivariable logistic regression, while qualitative data were analysed thematically. Analyses were performed using SPSS version 26.0, with statistical significance set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The participants' mean age was 24.2 years (SD\u2009=\u20094.85); most were female (64.0%) and single (89.3%). Overall, 68 participants (26.9%) indicated that they would not disclose a positive Chlamydia result, corresponding to approximately one in four participants. Major barriers included anxiety (13.1%), lack of communication (6.1%), fear of stigma, and anticipated negative partner reactions. Participants who anticipated a violent partner reaction were significantly less likely to disclose (AOR\u2009=\u20090.259, 95% CI: 0.109\u20130.615,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), as were those who were uncertain about their partner's reaction (AOR\u2009=\u20090.401, 95% CI: 0.171\u20130.943,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.036). Females had higher odds of intended disclosure than males (AOR\u2009=\u20091.93, 95% CI: 1.072\u20133.475,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028). Casual sex and inconsistent condom use were not significantly associated with intended disclosure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Intended disclosure of\n                      <jats:italic>Chlamydia trachomatis<\/jats:italic>\n                      infection was constrained by psychosocial and relational barriers in Molyko. Interventions should prioritise stigma reduction, partner communication support, and community\u2010based education to improve disclosure practices and reduce transmission among populations at risk.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73344","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:03:20Z","timestamp":1791983000000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers and Factors Associated With Disclosure of\n                    <i>Chlamydia trachomatis<\/i>\n                    Infection Among Sexually Active Individuals in Buea, Cameroon: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1300-7845","authenticated-orcid":false,"given":"Pride Tanyi","family":"Bobga","sequence":"first","affiliation":[{"name":"Model Preparatory Initiative of Academic Research, and Health (MOPIARH) Buea Cameroon"},{"name":"Department of Clinical Research &amp; Implementation INFIUSS Health New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6336-6160","authenticated-orcid":false,"given":"Njouendou Abdel","family":"Jelil","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Faculty of Health Sciences University of Buea Buea Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dickson Shey","family":"Nsagha","sequence":"additional","affiliation":[{"name":"Department of Public Health and Hygiene, Faculty of Health Sciences University of Buea Buea Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2264-1218","authenticated-orcid":false,"given":"Fabrice Ambe","family":"Ngwa","sequence":"additional","affiliation":[{"name":"Model Preparatory Initiative of Academic Research, and Health (MOPIARH) Buea Cameroon"},{"name":"Department of Microbiology and Parasitology, Faculty of Science University of Buea Buea Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raiye Andrel Dzon","family":"Etou","sequence":"additional","affiliation":[{"name":"Department of Disease Surveillance Ministry of Public Health Brazzaville Republic of the Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianpambe Ousmaila","family":"Ignagali","sequence":"additional","affiliation":[{"name":"Department of Disease Surveillance District Medical Officer Mozogo Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8414-2843","authenticated-orcid":false,"given":"Arrey Tabe","family":"Michael","sequence":"additional","affiliation":[{"name":"Department of Research Services Model Faculties of Medicine\/Engineering Entrance Preparatory Center (MUFEPREC) Buea Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bime Melissa Jane","family":"Siben","sequence":"additional","affiliation":[{"name":"Department of Clinical Research &amp; Implementation INFIUSS Health New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7660-6645","authenticated-orcid":false,"given":"Jane\u2010Francis Tatah Kihla","family":"Akoachere","sequence":"additional","affiliation":[{"name":"Department of Public Health and Hygiene, Faculty of Health Sciences University of Buea Buea Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/v15091954"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6805a1"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12081795"},{"key":"e_1_2_13_5_1","unstructured":"M.Dolo B.Keita B.Sanogo et al.Prevalence and Risk Factors of Genital Chlamydia trachomatis Infection in Sub\u2010Saharan Africa: A Systematic Review from 1990 to 2025."},{"issue":"9","key":"e_1_2_13_6_1","article-title":"Translational Potential into Health Care of Basic Genomic and Genetic Findings for Human Immunodeficiency Virus, Chlamydia trachomatis, and Human papilloma Virus","volume":"15","author":"Malogajski J.","year":"2023","journal-title":"Biomed Central Public Health"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.4236\/jbm.2025.135029"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2023.2220188"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2011.010425"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000002472"},{"issue":"3","key":"e_1_2_13_11_1","first-page":"115","article-title":"Genital and Extra\u2010Genital Chlamydia trachomatis and Neisseria gonorrhoeae Infections in Young Women Attending a Sexually Transmitted Infections (STI) Clinic","volume":"43","author":"Foschi C.","year":"2020","journal-title":"New Microbiology"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH20109"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.4236\/jbm.2020.82003"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2020.09.358"},{"key":"e_1_2_13_15_1","first-page":"40","article-title":"Awareness and Knowledge of Sexually Transmissible Infections (STIs) among Secondary School Students in Bamenda I Sub\u2010Division, Cameroon","volume":"17","author":"Nabong N. 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