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Alcohol availability and prevalent Chlamydia trachomatis in young Australians: a multi-level analysis
Amie L Bingham1, Anurika P De Silva1, Alaina M Vaisey1
1Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Vic., Australia.
Sexual Health
|November 30, 2021
Summary
This study found no link between local alcohol availability and chlamydia rates in young Australians. However, inconsistent condom use was significantly associated with higher chlamydia prevalence.
Area of Science:
- Public Health
- Epidemiology
- Sexual Health
Background:
- Sexually transmitted infections (STIs) prevalence is potentially linked to alcohol availability.
- This study examines the relationship between alcohol availability in local areas and chlamydia rates among young Australians.
Purpose of the Study:
- To investigate the association between alcohol availability at the postcode level and chlamydia prevalence in young Australians (16-29 years).
- To examine the association between condom use and chlamydia prevalence, adjusting for alcohol availability.
Main Methods:
- Alcohol availability data were sourced from liquor licensing records at the postcode level.
- Participant data (postcode, sexual behavior, chlamydia test results) were collected via a survey of young Australians in rural/regional areas.
- Mixed-effects logistic regression models were employed to analyze associations.
Main Results:
- Little evidence was found to support an association between local alcohol availability and chlamydia prevalence.
- Significant associations were observed between inconsistent condom use and chlamydia prevalence, even after adjusting for alcohol availability (AOR 2.19-2.20).
Conclusions:
- No significant association was found between alcohol availability and chlamydia at the postcode level in young Australians.
- Inconsistent condom use is a significant risk factor for chlamydia.
- Further research is needed to define 'local area' measures and their impact on sexual health outcomes.
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