{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T11:24:44Z","timestamp":1761391484090},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Infectious Diseases in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2001,1]]},"abstract":"<jats:p><jats:italic>Objective:<\/jats:italic> To determine predictors of <jats:italic>Chlamydia trachomatis<\/jats:italic> infection among women 14\u201324 years of age\nattending family planning clinics throughout a rural Midwestern state.<\/jats:p><jats:p><jats:italic>Methods:<\/jats:italic> The study population included 16 756 women between the ages of 14 and 24 years attending family\nplanning clinics for annual examinations throughout the state of Iowa in 1997. All women under 25 years of age\nhaving annual exams were tested for <jats:italic>C. trachomatis<\/jats:italic> during the visit. At the time of exam, both behavioral and\ndemographic data were collected on all women participating in the study.<\/jats:p><jats:p><jats:italic>Results:<\/jats:italic> The majority of women in the study (96%) reported no symptoms of chlamydia. Only 2.5% of all women\nhad a positive test result. In the multivariate model, the odds ratios were significantly increased among the youngest\nage (14\u201317 years; OR = 2.2), those with mucopurulent cervicitis (OR = 3.4), cervical friability (OR = 2.2),\nsymptomatic for infection (OR = 1.8), risk history (OR = 1.6), and black race (OR = 1.2) and predictive of a\n<jats:italic>C. trachomatis<\/jats:italic> infection.<\/jats:p><jats:p><jats:italic>Conclusions:<\/jats:italic> Risk factors predictive of <jats:italic>C. trachomatis<\/jats:italic> infection among younger aged women attending family\nplanning clinics in a Midwest rural population are consistent with predictors of infection among women attending\nfamily planning clinics across theUnited States. The overall findings suggest the importance of developing screening\nguidelines as a means of lowering chlamydia rates. This may be a particularly difficult task in light of the low rate of\nsymptoms that would lead a woman to seek medical care, even in younger age women who are at higher risk. In\naddition, screening guidelines would be more difficult to implement in a rural setting.<\/jats:p>","DOI":"10.1155\/s1064744901000023","type":"journal-article","created":{"date-parts":[[2007,3,7]],"date-time":"2007-03-07T13:08:38Z","timestamp":1173272918000},"page":"3-8","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Predictors of <i>Chlamydia trachomatis<\/i> Infection Among WomenAttending Rural Midwest Family Planning Clinics"],"prefix":"10.1155","volume":"9","author":[{"given":"Tami M.","family":"Hilger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine M.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Ault","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2001,1,22]]},"container-title":["Infectious Diseases in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2001\/843945.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2001\/843945.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/S1064744901000023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T20:42:32Z","timestamp":1723063352000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/S1064744901000023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2001,1]]}},"alternative-id":["10.1155\/S1064744901000023"],"URL":"https:\/\/doi.org\/10.1155\/s1064744901000023","archive":["Portico"],"relation":{},"ISSN":["1064-7449"],"issn-type":[{"type":"print","value":"1064-7449"}],"subject":[],"published":{"date-parts":[[2001,1]]},"assertion":[{"value":"2000-10-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2001-01-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2001-01-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}