Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: A cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study 11 Medical and Health Sciences 1117 Public Health and Health Services

Sebastiaan H. Hulstein, Amy Matser, Catharina J. Alberts, Marieke B. Snijder, Martina Willhauck-Fleckenstein, Katrin Hufnagel, Maria Prins, Henry J. C. de Vries, Maarten F. Schim van der Loeff, Tim Waterboer

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: In the Netherlands, there are strong disparities in Chlamydia trachomatis (CT) prevalence between ethnic groups. The current study aims to identify whether socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior may explain differences in CT seroprevalence between ethnic groups. Methods: We used 2011-2014 baseline data of the HELIUS (HEalthy LIfe in an Urban Setting) study, a multi-ethnic population-based cohort study in Amsterdam, the Netherlands, including participants from Dutch, African Surinamese, South-Asian Surinamese, Ghanaian, Moroccan and Turkish origin. For this analysis, we selected sexually active, heterosexual participants aged 18-34 years old. CT seroprevalence was determined using a multiplex serology assay. The CT seroprevalence ratios between different ethnicities are calculated and adjusted for potential indicators of socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Results: The study population consisted of 2001 individuals (52.8% female) with a median age of 28 years (IQR 24-31). CT seropositivity differed by ethnicities and ranged from 71.6% (African Surinamese), and 67.9% (Ghanaian) to 31.1% (Turkish). The CT seroprevalence ratio of African Surinamese was 1.72 (95% CI 1.43-2.06) and 1.52 (95% CI 1.16-1.99) of Ghanaian as compared to the Dutch reference group, after adjustment for socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Conclusions: Indicators of socioeconomic status, sexual risk behavior, and sexual health seeking behavior could not explain the higher CT seroprevalence among African Surinamese and Ghanaian residents of Amsterdam.
Original languageEnglish
Article number612
JournalBMC Infectious Diseases
Volume18
Issue number1
DOIs
Publication statusPublished - 2018

Cite this

@article{78e2c6ca45444d7ba334a9d90fa41e2c,
title = "Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: A cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study 11 Medical and Health Sciences 1117 Public Health and Health Services",
abstract = "Background: In the Netherlands, there are strong disparities in Chlamydia trachomatis (CT) prevalence between ethnic groups. The current study aims to identify whether socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior may explain differences in CT seroprevalence between ethnic groups. Methods: We used 2011-2014 baseline data of the HELIUS (HEalthy LIfe in an Urban Setting) study, a multi-ethnic population-based cohort study in Amsterdam, the Netherlands, including participants from Dutch, African Surinamese, South-Asian Surinamese, Ghanaian, Moroccan and Turkish origin. For this analysis, we selected sexually active, heterosexual participants aged 18-34 years old. CT seroprevalence was determined using a multiplex serology assay. The CT seroprevalence ratios between different ethnicities are calculated and adjusted for potential indicators of socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Results: The study population consisted of 2001 individuals (52.8{\%} female) with a median age of 28 years (IQR 24-31). CT seropositivity differed by ethnicities and ranged from 71.6{\%} (African Surinamese), and 67.9{\%} (Ghanaian) to 31.1{\%} (Turkish). The CT seroprevalence ratio of African Surinamese was 1.72 (95{\%} CI 1.43-2.06) and 1.52 (95{\%} CI 1.16-1.99) of Ghanaian as compared to the Dutch reference group, after adjustment for socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Conclusions: Indicators of socioeconomic status, sexual risk behavior, and sexual health seeking behavior could not explain the higher CT seroprevalence among African Surinamese and Ghanaian residents of Amsterdam.",
author = "Hulstein, {Sebastiaan H.} and Amy Matser and Alberts, {Catharina J.} and Snijder, {Marieke B.} and Martina Willhauck-Fleckenstein and Katrin Hufnagel and Maria Prins and {de Vries}, {Henry J. C.} and {Schim van der Loeff}, {Maarten F.} and Tim Waterboer",
year = "2018",
doi = "10.1186/s12879-018-3533-7",
language = "English",
volume = "18",
journal = "BMC Infectious Diseases",
issn = "1471-2334",
publisher = "BioMed Central",
number = "1",

}

Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: A cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study 11 Medical and Health Sciences 1117 Public Health and Health Services. / Hulstein, Sebastiaan H.; Matser, Amy; Alberts, Catharina J.; Snijder, Marieke B.; Willhauck-Fleckenstein, Martina; Hufnagel, Katrin; Prins, Maria; de Vries, Henry J. C.; Schim van der Loeff, Maarten F.; Waterboer, Tim.

In: BMC Infectious Diseases, Vol. 18, No. 1, 612, 2018.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Differences in Chlamydia trachomatis seroprevalence between ethnic groups cannot be fully explained by socioeconomic status, sexual healthcare seeking behavior or sexual risk behavior: A cross-sectional analysis in the HEalthy LIfe in an Urban Setting (HELIUS) study 11 Medical and Health Sciences 1117 Public Health and Health Services

AU - Hulstein, Sebastiaan H.

AU - Matser, Amy

AU - Alberts, Catharina J.

AU - Snijder, Marieke B.

AU - Willhauck-Fleckenstein, Martina

AU - Hufnagel, Katrin

AU - Prins, Maria

AU - de Vries, Henry J. C.

AU - Schim van der Loeff, Maarten F.

AU - Waterboer, Tim

PY - 2018

Y1 - 2018

N2 - Background: In the Netherlands, there are strong disparities in Chlamydia trachomatis (CT) prevalence between ethnic groups. The current study aims to identify whether socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior may explain differences in CT seroprevalence between ethnic groups. Methods: We used 2011-2014 baseline data of the HELIUS (HEalthy LIfe in an Urban Setting) study, a multi-ethnic population-based cohort study in Amsterdam, the Netherlands, including participants from Dutch, African Surinamese, South-Asian Surinamese, Ghanaian, Moroccan and Turkish origin. For this analysis, we selected sexually active, heterosexual participants aged 18-34 years old. CT seroprevalence was determined using a multiplex serology assay. The CT seroprevalence ratios between different ethnicities are calculated and adjusted for potential indicators of socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Results: The study population consisted of 2001 individuals (52.8% female) with a median age of 28 years (IQR 24-31). CT seropositivity differed by ethnicities and ranged from 71.6% (African Surinamese), and 67.9% (Ghanaian) to 31.1% (Turkish). The CT seroprevalence ratio of African Surinamese was 1.72 (95% CI 1.43-2.06) and 1.52 (95% CI 1.16-1.99) of Ghanaian as compared to the Dutch reference group, after adjustment for socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Conclusions: Indicators of socioeconomic status, sexual risk behavior, and sexual health seeking behavior could not explain the higher CT seroprevalence among African Surinamese and Ghanaian residents of Amsterdam.

AB - Background: In the Netherlands, there are strong disparities in Chlamydia trachomatis (CT) prevalence between ethnic groups. The current study aims to identify whether socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior may explain differences in CT seroprevalence between ethnic groups. Methods: We used 2011-2014 baseline data of the HELIUS (HEalthy LIfe in an Urban Setting) study, a multi-ethnic population-based cohort study in Amsterdam, the Netherlands, including participants from Dutch, African Surinamese, South-Asian Surinamese, Ghanaian, Moroccan and Turkish origin. For this analysis, we selected sexually active, heterosexual participants aged 18-34 years old. CT seroprevalence was determined using a multiplex serology assay. The CT seroprevalence ratios between different ethnicities are calculated and adjusted for potential indicators of socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Results: The study population consisted of 2001 individuals (52.8% female) with a median age of 28 years (IQR 24-31). CT seropositivity differed by ethnicities and ranged from 71.6% (African Surinamese), and 67.9% (Ghanaian) to 31.1% (Turkish). The CT seroprevalence ratio of African Surinamese was 1.72 (95% CI 1.43-2.06) and 1.52 (95% CI 1.16-1.99) of Ghanaian as compared to the Dutch reference group, after adjustment for socioeconomic status, sexual risk behavior and sexual healthcare seeking behavior. Conclusions: Indicators of socioeconomic status, sexual risk behavior, and sexual health seeking behavior could not explain the higher CT seroprevalence among African Surinamese and Ghanaian residents of Amsterdam.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85057577719&origin=inward

U2 - 10.1186/s12879-018-3533-7

DO - 10.1186/s12879-018-3533-7

M3 - Article

VL - 18

JO - BMC Infectious Diseases

JF - BMC Infectious Diseases

SN - 1471-2334

IS - 1

M1 - 612

ER -