{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T19:13:01Z","timestamp":1790363581121,"version":"4.1.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2016,7,11]],"date-time":"2016-07-11T00:00:00Z","timestamp":1468195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:p>Summary<\/jats:p>\n                  <jats:p>Reactive arthritis is an under-studied complication of genital Chlamydia trachomatis infection (chlamydia). We assessed trends and risk factors for reactive arthritis in a large urban sexual health clinic. Using a case-control design, data on reactive arthritis cases and controls at the Sydney Sexual Health Centre over the period 1992\u20132012 were extracted and multivariate analyses were performed. Trend analyses were performed on reactive arthritis diagnoses. Over the 1992\u20132012 study period, 85 reactive arthritis cases were diagnosed at Sydney Sexual Health Centre. The rate of reactive arthritis diagnoses decreased over time (23 in 1992\u20131996 to one in 2007\u20132011 and none in 2012), while chlamydia diagnoses increased (770 in 1992\u20131996 to 2257 in 2007\u20132011). In multivariate analysis, factors independently associated with a reactive arthritis diagnosis were: being male (adjusted odds ratio [aOR] 3.27; 95% confidence interval [CI] 1.04\u201310.32; p\u2009=\u20090.043) or born overseas (aOR 2.69; 95% CI 1.27\u20135.70; p\u2009=\u20090.010), while a past sexually transmitted infection other than chlamydia or non-gonococcal urethritis was protective (aOR 0.21; 95% CI 0.10\u20130.45; p\u2009&lt;\u20090.001). Reactive arthritis was not associated with current or recent chlamydia infection ( p\u2009=\u20090.184) but was marginally associated with past non-gonococcal urethritis ( p\u2009=\u20090.080). This study found a decline in reactive arthritis diagnoses despite an increase in chlamydia diagnoses.<\/jats:p>","DOI":"10.1177\/0956462415598251","type":"journal-article","created":{"date-parts":[[2015,9,16]],"date-time":"2015-09-16T23:19:04Z","timestamp":1442445544000},"page":"882-889","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Reactive arthritis at the Sydney Sexual Health Centre 1992\u20132012: declining despite increasing chlamydia diagnoses"],"prefix":"10.1177","volume":"27","author":[{"given":"E","family":"Mason","sequence":"first","affiliation":[{"name":"Sydney Sexual Health Centre, Sydney Hospital, Sydney, NSW, Australia"},{"name":"Faculty of Medicine, UNSW Australia, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Wray","sequence":"additional","affiliation":[{"name":"Sydney Sexual Health Centre, Sydney Hospital, Sydney, NSW, Australia"},{"name":"School of Women\u2019s and Children\u2019s Health, UNSW Australia, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Foster","sequence":"additional","affiliation":[{"name":"The Kirby Institute, UNSW Australia, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MS","family":"Jamil","sequence":"additional","affiliation":[{"name":"The Kirby Institute, UNSW Australia, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Guy","sequence":"additional","affiliation":[{"name":"The Kirby Institute, UNSW Australia, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"McNulty","sequence":"additional","affiliation":[{"name":"Sydney Sexual Health Centre, Sydney Hospital, Sydney, NSW, Australia"},{"name":"School of Public Health and Community Medicine, UNSW Australia, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Donovan","sequence":"additional","affiliation":[{"name":"Sydney Sexual Health Centre, Sydney Hospital, Sydney, NSW, Australia"},{"name":"The Kirby Institute, UNSW Australia, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,7,11]]},"reference":[{"key":"bibr1-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2009.03.010"},{"key":"bibr2-0956462415598251","unstructured":"Kirby Institute. HIV, viral hepatitis and sexually transmissible infections in Australia. Annual surveillance report 2014. 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United Kingdom National Guideline on the management of sexually acquired reactive arthritis, 2008, available at: www.bashh.org\/documents\/1772.pdf (accessed 21 July 2015)."},{"key":"bibr15-0956462415598251","first-page":"66","volume":"4","author":"Couldwell D","year":"1991","journal-title":"Venereology"},{"key":"bibr16-0956462415598251","volume-title":"Sexually transmitted diseases","author":"Holmes","year":"2008"},{"key":"bibr17-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2008.02.047"},{"key":"bibr18-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1258\/095646204322916669"},{"key":"bibr19-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2011.173"},{"key":"bibr20-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.10.911"},{"key":"bibr21-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1097\/01.bor.0000126150.04251.f9"},{"key":"bibr22-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780240612"},{"key":"bibr23-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1136\/ard.55.8.564"},{"key":"bibr24-0956462415598251","first-page":"2185","volume":"27","author":"Braun J","year":"2000","journal-title":"J Rheumatol"},{"key":"bibr25-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780350210"},{"key":"bibr26-0956462415598251","volume-title":"Sexually transmitted infections","author":"Gupta","year":"2012"},{"key":"bibr27-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2006.08.015"},{"key":"bibr28-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199011000-00016"},{"key":"bibr29-0956462415598251","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/S0889-857X(21)00723-7","volume":"18","author":"Clark MR","year":"1992","journal-title":"Rheum Dis Clin of North Am"},{"key":"bibr30-0956462415598251","doi-asserted-by":"publisher","DOI":"10.1086\/375091"},{"key":"bibr31-0956462415598251","first-page":"51","volume":"26","author":"Donovan B","year":"2002","journal-title":"Commun Dis Intell"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462415598251","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462415598251","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462415598251","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:35:23Z","timestamp":1777674923000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462415598251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,11]]},"references-count":31,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1177\/0956462415598251"],"URL":"https:\/\/doi.org\/10.1177\/0956462415598251","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,11]]}}}