Home > Review Articles > Ethnic disparities > Retesting and repeat positivity following diagnosis of Chlamydia trachomatis and Neisseria gonorrhoea in New Zealand: a retrospective cohort study

Retesting and repeat positivity following diagnosis of Chlamydia trachomatis and Neisseria gonorrhoea in New Zealand: a retrospective cohort study

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Summary:

This paper reports rates of retesting and repeat positivity 6 weeks to 6 months following diagnosis of chlamydia or gonorrhoea between July 2012 and July 2015 in Wellington primary care and sexual health clinics. Of all 6530 cases, 1919 (29%) were retested between 6 weeks and 6 months; 347 (18%) of those retested returned positive results. In logistic regression analysis adjusted for potential confounders (age, gender, ethnicity and socioeconomic deprivation), factors associated with significantly lower odds of retesting included male gender (OR 0.4; 95% CI, 0.34 to 0.48, reference female), New Zealand Māori (OR 0.72; 95% CI, 0.61 to 0.85, reference European) and Pacific ethnicities (OR 0.49; 95% CI, 0.39 to 0.62, reference European). Factors associated with significantly higher odds of repeat positivity when retested included male gender (OR 2.0; 95% CI, 1.14 to 2.82), younger age (15–19 years, OR 1.78; 95% CI, 1.32 to 2.41, reference 20–24 years), chlamydia/gonorrhoea co-infection at the index event (OR 2.39; 95% CI, 1.32 to 4.35, reference chlamydia only), New Zealand Māori (OR 1.6, 1.18 to 2.17, reference European) and Pacific ethnicities (OR 1.88; 95% CI, 1.22 to 2.9, reference European).

Comment:
Nothing more to add here but perhaps consider auditing your own practice – I know I will be.
Reference: BMC Infect Dis. 2017;17(1):526
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

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