UNIGE document Scientific Article
previous document  unige:1273  next document
add to browser collection
Title

Chlamydia trachomatis prevalence in undocumented migrants undergoing voluntary termination of pregnancy: a prospective cohort study

Authors
Uny, Monique
Andreoli, Nicole
show hidden authors show all authors [1 - 9]
Published in BMC Public Health. 2008, vol. 8, p. 391
Abstract BACKGROUND: Chlamydia trachomatis infection (CTI) is the most frequent sexual transmitted disease (STI) in Switzerland but its prevalence in undocumented migrants is unknown. We aimed to compare CTI prevalence among undocumented migrants undergoing termination of pregnancy (ToP) to the prevalence among women with residency permit. METHODS: This prospective cohort study included all pregnant, undocumented women presenting from March 2005 to October 2006 to the University hospital for ToP. The control group consisted of a systematic sample of pregnant women with legal residency permit coming to the same hospital during the same time period for ToP. RESULTS: One hundred seventy five undocumented women and 208 women with residency permit (controls) were included in the study. Mean ages were 28.0 y (SD 5.5) and 28.2 y (SD 7.5), respectively (p = 0.77). Undocumented women came primarily from Latin-America (78%). Frequently, they lacked contraception (23%, controls 15%, OR 1.8, 95% CI 1.04;2.9). Thirteen percent of undocumented migrants were found to have CTI (compared to 4.4% of controls; OR 3.2, 95% CI 1.4;7.3). CONCLUSION: This population of undocumented, pregnant migrants consisted primarily of young, Latino-American women. Compared to control women, undocumented migrants showed higher prevalence rates of genital CTI, which indicates that health professionals should consider systematic screening for STI in this population. There is a need to design programs providing better access to treatment and education and to increase migrants' awareness of the importance of contraception and transmission of STI.
Keywords Abortion, InducedAdultChlamydia Infections/epidemiologyChlamydia trachomatis/isolation & purificationCohort StudiesFemaleHospitals, UniversityHumansPregnancyProspective StudiesSocial ClassSwitzerland/epidemiologyTransients and MigrantsYoung Adult
Stable URL https://archive-ouverte.unige.ch/unige:1273
Full text
Identifiers
PMID: 19025656
Structures
Research groups Groupe Jean-Michel Gaspoz (23)
Groupe Irion Olivier/Boulvain Michel (gynécologie et obstétrique) (272)

319 hits

423 downloads

Update

Deposited on : 2009-03-31

Export document
Format :
Citation style :