{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T23:17:41Z","timestamp":1761347861875,"version":"build-2065373602"},"reference-count":39,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":1114,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,4,17]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chlamydia trachomatis is the most frequently notified sexually transmitted infection in Australia. Untreated infections in women can cause health problems. Professional guidelines encourage opportunistic testing of young people. To increase understanding of who is being tested, we investigated factors associated with testing in a population of young women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In total, 14\u00a0002 sexually active women, aged 18\u201323 years at baseline (2013), from the Australian Longitudinal Study on Women\u2019s Health, were included. We used random intercepts, mixed-effects binary logistic regression with robust standard errors to assess associations between socioeconomic, health and behavioural factors and chlamydia testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Associations between chlamydia testing and partner status varied by a woman\u2019s body mass index (BMI). Compared to women with a stable partner\/BMI &amp;lt;25\u00a0kg\/m2, women with a stable partner\/BMI \u226525\u00a0kg\/m2 were less likely to be tested (adjusted odds ratios [AOR]\u00a0=\u00a00.79, 95% CI: 0.71\u20130.88). In contrast, although women without a partner were more likely to be tested irrespective of BMI, the odds were higher for those with a BMI &amp;lt;25\u00a0kg\/m2 (AOR\u00a0=\u00a02.68, 95% CI: 2.44\u20132.94) than a BMI \u226525\u00a0kg\/m2 (AOR\u00a0=\u00a01.65, 95% CI: 1.48\u20131.84). Women who reported a prior chlamydia infection were also more likely to be tested (AOR\u00a0=\u00a02.01, 95% CI: 1.83\u20132.20), as were women engaging in any combination of cannabis use and\/or heavy episodic drinking compared to doing neither of these activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women without a partner, women with a prior chlamydia infection and those engaging in risk-taking behaviours are more likely to have chlamydia testing. Additional research is needed to understand whether there are deficits in testing among overweight\/obese women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh21230","type":"journal-article","created":{"date-parts":[[2022,4,27]],"date-time":"2022-04-27T20:39:05Z","timestamp":1651091945000},"page":"112-121","source":"Crossref","is-referenced-by-count":0,"title":["Socioeconomic, behavioural and health factors associated with chlamydia testing in sexually active young women: an Australian observational cohort study"],"prefix":"10.1071","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8709-8968","authenticated-orcid":true,"given":"Louise Forsyth","family":"Wilson","sequence":"first","affiliation":[{"name":"AThe University of Queensland, NHMRC Centre for Research Excellence on Women and Non-communicable Diseases (CREWaND), School of Public Health, Herston Road, Herston, Qld, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annette Jane","family":"Dobson","sequence":"additional","affiliation":[{"name":"AThe University of Queensland, NHMRC Centre for Research Excellence on Women and Non-communicable Diseases (CREWaND), School of Public Health, Herston Road, Herston, Qld, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny","family":"Doust","sequence":"additional","affiliation":[{"name":"AThe University of Queensland, NHMRC Centre for Research Excellence on Women and Non-communicable Diseases (CREWaND), School of Public Health, Herston Road, Herston, Qld, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gita Devi","family":"Mishra","sequence":"additional","affiliation":[{"name":"AThe University of Queensland, NHMRC Centre for Research Excellence on Women and Non-communicable Diseases (CREWaND), School of Public Health, Herston Road, Herston, Qld, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2022,4,28]]},"reference":[{"key":"2025102419125379600_R1"},{"key":"2025102419125379600_R2"},{"key":"2025102419125379600_R3"},{"key":"2025102419125379600_R4"},{"issue":"3","key":"2025102419125379600_R5","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1093\/aje\/kws583","article-title":"Risk of pelvic inflammatory disease following Chlamydia trachomatis infection: analysis of prospective studies with a multistate model.","volume":"178","author":"Price","year":"2013","journal-title":"Am J Epidemiol"},{"issue":"5","key":"2025102419125379600_R6","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1136\/sextrans-2019-053999","article-title":"Pregnancy and fertility-related adverse outcomes associated with Chlamydia trachomatis infection: a global systematic review and meta-analysis.","volume":"96","author":"Tang","year":"2020","journal-title":"Sex Transm Infect"},{"key":"2025102419125379600_R7"},{"key":"2025102419125379600_R8"},{"key":"2025102419125379600_R9"},{"key":"2025102419125379600_R10","unstructured":"Communicable Diseases Network Australia (CDNA). 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