{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:18:27Z","timestamp":1761513507731,"version":"build-2065373602"},"reference-count":30,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":3133,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,6,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chlamydia re-infection increases the likelihood of adverse long-term sequelae. Clinical guidelines recommend retesting at 3\u201312 months for individuals with positive results, to detect re-infections. Retesting and test positivity levels were measured in young people who previously tested positive for chlamydia infection. Methods: All chlamydia tests conducted during 2012\u201313 in Tasmanian residents aged 15\u201329 years were linked. Retesting and retest positivity rates were calculated by sex, age, socioeconomic indicators and test timeframe. Results: Retesting rates were higher in females than males at 3 months (14.5%, n = 242\/1673 vs 10%, n = 71\/721) (P &amp;lt; 0.01) and 12 months (27%, 265\/968 vs 24%, 98\/410) (P = 0.24). The retesting rate was higher in females living in areas of most disadvantage (35.5%, 154\/434) compared with areas of middle and least disadvantage (26% 139\/534) (P &amp;lt; 0.01). Males were more likely than females to retest positive at 3 months (35%, 25\/71 vs 23%, 55\/242) (P &amp;lt; 0.01); retest positivity at 12 months was 32% in both sexes (males 98\/140; females 265\/968). Retest positivity was higher in males living in areas of least disadvantage (43%, 3\/7) compared with middle (24%, 16\/67) (P = 0.27) and most (27%, 10\/37) (P = 0.09); and higher in females living in areas of least disadvantage (39%, 7\/18) compared with middle (24%, 29\/121) (P &amp;lt; 0.01) and most (31%, 48\/154) (P = 0.02). Conclusions: Retesting rates are low in Tasmania and retest positivity is high, reinforcing the importance of promoting safer sex practices, partner notification and treatment, and retesting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh16137","type":"journal-article","created":{"date-parts":[[2017,1,29]],"date-time":"2017-01-29T21:57:49Z","timestamp":1485727069000},"page":"261-267","source":"Crossref","is-referenced-by-count":2,"title":["Chlamydia retesting and retest positivity rates: results from a state-wide laboratory data linkage study in Tasmania, 2012\u201313"],"prefix":"10.1071","volume":"14","author":[{"given":"Nicola","family":"Stephens","sequence":"first","affiliation":[{"name":"ACommunicable Disease Epidemiology and Surveillance, Health Protection Branch, Victorian Department of Health and Human Services, Melbourne, Vic. 3000, Australia."},{"name":"BMenzies Institute for Medical Research, University of Tasmania, Hobart, Tas. 7000, Australia."},{"name":"HCorresponding author. Email: nicola.stephens@dhhs.vic.gov.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Coleman","sequence":"additional","affiliation":[{"name":"CPublic Health Services, Tasmanian Department of Health and Human Services, Hobart, Tas. 7000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Shaw","sequence":"additional","affiliation":[{"name":"DPrimary Health Tasmania, Hobart, Tas. 7000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maree","family":"O\u2019Sullivan","sequence":"additional","affiliation":[{"name":"EGold Coast Hospital and Health Service, Queensland Health, Gold Coast, Qld 4217, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alistair","family":"McGregor","sequence":"additional","affiliation":[{"name":"FHobart Pathology, Hobart, Tas. 7000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Cooley","sequence":"additional","affiliation":[{"name":"GRoyal Hobart Hospital, Hobart, Tas. 7000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Venn","sequence":"additional","affiliation":[{"name":"BMenzies Institute for Medical Research, University of Tasmania, Hobart, Tas. 7000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2017,1,30]]},"reference":[{"key":"2025102617142888400_R1","doi-asserted-by":"crossref","first-page":"E48","DOI":"10.33321\/cdi.2016.40.4","article-title":"Australia\u2019s notifiable disease status, 2014: annual report of the National Notifiable Diseases Surveillance System.","volume":"40","author":"National Annual Report Writing Group.","year":"2016","journal-title":"Commun Dis Intell Q Rep"},{"key":"2025102617142888400_R2","doi-asserted-by":"publisher","first-page":"57","DOI":"10.2147\/RMHP.S12710","article-title":"Public health policies and management strategies for genital Chlamydia trachomatis infection.","volume":"4","author":"Shaw","year":"2011","journal-title":"Risk Manag Healthc Policy"},{"key":"2025102617142888400_R3","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1097\/OLQ.0b013e3181a2a933","article-title":"Repeat infection with Chlamydia and gonorrhea among females: a systematic review of the literature.","volume":"36","author":"Hosenfeld","year":"2009","journal-title":"Sex Transm Dis"},{"key":"2025102617142888400_R4","doi-asserted-by":"publisher","first-page":"e007455","DOI":"10.1136\/bmjopen-2014-007455","article-title":"An observational study to evaluate three pilot programmes of retesting chlamydia-positive individuals within 6 months in the South West of England.","volume":"5","author":"Angel","year":"2015","journal-title":"BMJ Open"},{"key":"2025102617142888400_R5","doi-asserted-by":"publisher","first-page":"S549","DOI":"10.1093\/infdis\/jiu483","article-title":"Heterogeneity in risk of pelvic inflammatory diseases after chlamydia infection: a population-based study in Manitoba, Canada.","volume":"210","author":"Davies","year":"2014","journal-title":"J Infect Dis"},{"issue":"Suppl 2","key":"2025102617142888400_R6","doi-asserted-by":"publisher","first-page":"S134","DOI":"10.1086\/652395","article-title":"Risk of sequelae after Chlamydia trachomatis genital infection in women.","volume":"210","author":"Haggerty","year":"2010","journal-title":"J Infect Dis"},{"key":"2025102617142888400_R7","first-page":"55","article-title":"Sexually transmitted diseases treatment guidelines, 2015.","volume":"64","author":"Workowski","year":"2015","journal-title":"MMWR Recomm Rep"},{"key":"2025102617142888400_R8","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1086\/648734","article-title":"Repeated Chlamydia trachomatis genital infections in adolescent women.","volume":"201","author":"Batteiger","year":"2010","journal-title":"J Infect Dis"},{"key":"2025102617142888400_R9","unstructured":"The Kirby Institute. 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