Opportunistic screening for chlamydia in young men

Background: Information on prevalence of genital Chlamydia trachomatis in young men attending Australian general practices is scarce. Objective: We aimed to estimate the prevalence of chlamydia in this group; establish behaviours associated with infection, and evaluate general practitioner follow up of positive cases. Methods: Sexually active men (aged 15–29 years) attending 10 general practices in Perth, Western Australia, were tested for chlamydia and completed a self report questionnaire concerning sexual practices and symptoms. Results: Prevalence of chlamydia was 3.7% (95% CI: 2–6%, n=14/383). High rates of risky sexual practices were observed in both chlamydia positive and negative participants. The association between chlamydia status and risky sexual practices however, was not statistically significant. Treatment and notification of positive cases were usually undertaken, but GPs did not always check that patients had contacted sexual partners. Conclusion: We found little relationship between reported sexual behaviour and chlamydia infection in young men. It may be appropriate to offer screening to all at risk individuals