Chlamydia screening practices among physicians and community nurses in Yukon, Canada

Area of Science:

• Public Health
• Epidemiology
• Infectious Disease Control

Background:

• Yukon, Canada, exhibits high rates of sexually transmitted chlamydia infections.
• Understanding screening practices is crucial for addressing this public health issue.

Purpose of the Study:

• To examine chlamydia screening practices among physicians and community nurses in Yukon.
• To identify factors contributing to high chlamydia infection rates.

Main Methods:

• A cross-sectional survey was conducted among physicians and community nurses in Yukon.
• Questionnaires assessed sexual health assessment and chlamydia testing frequency, and barriers to screening.
• Physician practices were compared to another Canadian jurisdiction and laboratory data.

Main Results:

• Physicians screened 15-24-year-old females more frequently than males for chlamydia.
• Physicians who performed sexual health assessments were more likely to test for chlamydia.
• Barriers included patient discomfort, reluctance to discuss screening, and provider discomfort with assessments.

Conclusions:

• Physician screening rates in Yukon may be higher than in other Canadian jurisdictions.
• Consistent application of optimal screening methods and improved communication are needed.
• Addressing barriers can help reduce Yukon's high chlamydia rates.