Regional differences in chlamydia and gonorrhoeae positivity rate among heterosexual STI clinic visitors in the Netherlands: contribution of client and regional characteristics as assessed by cross-sectional surveillance data.

Hannelore M GötzLouise Aam van OeffelenChristian J P A HoebeBirgit Hb van Benthem

Published in: BMJ open (2019)

Regional variance was explained by differences in client characteristics, indicating that triage and self-selection influence positivity rates in the surveillance data.Clustering of Ng in low SES regions additionally explained regional variance in Ng; targeted interventions in low SES regions may assist Ng control. Including educational level as triage criterion is recommended. Studies incorporating prevalence data are needed to assess whether regional clustering underlies unexplained regional variance.

Keyphrases

emergency department
electronic health record
public health
primary care
risk factors
single cell
machine learning
men who have sex with men
cancer therapy
data analysis
deep learning