%0 Journal Article
%T Chlamydia trachomatis infection in women living in remote areas in Amazonas, Brazil¡ªa self
%A Adriene F  Ara¨²jo
%A Ant£¿nio NN Xavier
%A C¨¢ssia de Oliveira Moraes
%A Danielle AP Rocha
%A Josiane M Mari£¿o
%A Jos¨¦ E Levi
%A K¨¢tia L Torres
%A Lainara Castelo dos Santos
%A L¨ªgia Menezes da Mata
%A Renato dos Santos Reis
%A S¨ªlvia CC Soares
%A ¨ºmille dos Santos Beltr£¿o
%J International Journal of STD & AIDS
%@ 1758-1052
%D 2019
%R 10.1177/0956462418809297
%X Chlamydia trachomatis infection is the most common sexually transmitted bacterial infection among women. In Brazil, there is no organized screening program for C. trachomatis, and the actual prevalence of infection is unknown. This study aimed to determine the prevalence of C. trachomatis infection in women living in riverside communities in the Amazon, using self-collection employing the Evalyn£¿ Brush and polymerase chain reaction. A total of 299 riverine women aged 18¨C81 years, mean age 35.7 (¡À12.8) years, predominantly agricultural workers, with low schooling and living with a partner, participated in this study. The prevalence of C. trachomatis infection was found to be 3.7% (95% CI 1.8¨C6.5), most of them being symptomatic. The mean age of the first sexual intercourse reported by women was 15.2 (¡À2.3) years, and the majority reported having had none or only one partner in the last 12 months, with very low adherence to consistent condom use (15.4%). Most women (98.3%) reported having approved using the vaginal self-collecting brush, and only 4.7% reported having difficulty in handling the brush. We consider that a vaginal self-collecting device is adequate for diagnosing C. trachomatis infection in women living in remote, hard-to-reach areas
%K Chlamydia (Chlamydia trachomatis)
%K South America
%K epidemiology
%U https://journals.sagepub.com/doi/full/10.1177/0956462418809297