{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:40:41Z","timestamp":1787240441303,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,8,22]],"date-time":"2017-08-22T00:00:00Z","timestamp":1503360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001528","name":"Wellington Medical Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001528","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008247","name":"University of Otago","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008247","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Long\u2010acting reversible contraception (LARC) effectively protects against pregnancy but provides no protection against sexually transmitted infections (STIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare rates of chlamydia testing and diagnosis for women initiating long\u2010acting versus oral contraception.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>Retrospective cohort study involving data collection for 6160 women initiating post\u2010abortion contraception at a large New Zealand regional public hospital abortion clinic (2009\u20132012), with chlamydia testing data obtained from the local laboratory during two\u2010year follow up. Negative binomial regression modelling examined the effect of contraceptive method on two outcome measures: chlamydia testing and chlamydia diagnosis (adjusting for potential covariates of age, ethnicity, past chlamydia infection, pregnancy history) in year one and two of follow up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two thousand seven hundred and twenty nine women (44%) received a LARC and 1764 (28.6%) were prescribed oral contraception. Adjusted testing rates differed by contraceptive method only in year one (\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      &lt;\n                      <jats:italic>\u00a0<\/jats:italic>\n                      0.01): with higher rates among copper intrauterine device users (relative risk (RR) 1.2, 95% CI 1.06\u20131.35), and lower rates for implant users (RR 0.84, 95% CI 0.72\u20130.99) compared with oral contraceptive users (reference group). No significant differences were observed in chlamydia diagnosis rates by contraceptive method (\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      &gt;\n                      <jats:italic>\u00a0<\/jats:italic>\n                      0.05). Younger age, past chlamydia infection, Maori and Pacific ethnicity were associated with higher rates of chlamydia diagnosis (\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      &lt;\n                      <jats:italic>\u00a0<\/jats:italic>\n                      0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Known STI\u2010related risk factors (age, ethnicity, past infection) but not contraceptive method were independently related to rates of subsequent chlamydia diagnosis. This suggests that increased LARC uptake would not occur at the expense of chlamydia control. Regular screening and risk reduction advice (including condom use) are important chlamydia control measures for at\u2010risk\u00a0groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.12685","type":"journal-article","created":{"date-parts":[[2017,8,22]],"date-time":"2017-08-22T04:04:44Z","timestamp":1503374684000},"page":"665-675","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Chlamydia testing and diagnosis following initiation of long\u2010acting reversible contraception: A retrospective cohort study"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5626-5142","authenticated-orcid":false,"given":"Sally B.","family":"Rose","sequence":"first","affiliation":[{"name":"Department of Primary Health Care and General Practice University of Otago  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M.","family":"Garrett","sequence":"additional","affiliation":[{"name":"Department of Primary Health Care and General Practice University of Otago  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8572-1047","authenticated-orcid":false,"given":"James","family":"Stanley","sequence":"additional","affiliation":[{"name":"Biostatistical Group University of Otago  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan R. H.","family":"Pullon","sequence":"additional","affiliation":[{"name":"Department of Primary Health Care and General Practice University of Otago  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.02.017"},{"key":"e_1_2_6_3_1","unstructured":"The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG).Long acting reversible contraception (C\u2010Gyn 34) 2014. 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[Accessed 16 May 2016.] Available from URL:http:\/\/www.moh.govt.nz\/notebook\/nbbooks.nsf\/0\/edfd568777f16125cc2574b600749353\/$FILE\/chlamydia-management-guidelines.pdf"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1086\/589883"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2015.09.025"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2014-101031"},{"key":"e_1_2_6_20_1","unstructured":"Abortion Supervisory Committee.Report of the Abortion Supervisory Committee 2014. Presented to the House of Representatives pursuant to Section 39 of the Contraception Sterilisation and Abortion Act 1977. New Zealand 2014. [Accessed 17 Mar 2015.] Available from URL:http:\/\/www.justice.govt.nz\/tribunals\/abortion-supervisory-committee\/annual-reports\/asc-annual-report-2014"},{"key":"e_1_2_6_21_1","unstructured":"Victoria State Government (Australia).Contraception \u2010 intrauterine devices (IUD) June 2015. 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