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Complete Health Indicator Report of Chlamydia Rates

Definition

Chlamydia cases reported in the state of New Mexico per 100,000 population.

Numerator

Number of cases of chlamydia reported to the state of New Mexico (and Centers for Disease Control) in New Mexico residents from all health care providers.

Denominator

Total Population

Data Interpretation Issues

Rates are partly a function of how much testing is done - the more you test, the more you find - which is why females have roughly three times the number of reported cases as males. Testing increased throughout the 1990s, and the number of new cases jumped in 2004 due to new nucleic acid amplitude testing (NAAT) technology which is much more sensitive than previous culture tests. NAAT has been the primary testing method to date.

Why Is This Important?

Chlamydia is the most common bacterial sexually transmitted disease. Even though symptoms of chlamydia are usually mild or absent, serious complications that cause irreversible damage, including infertility, can occur "silently" before a woman ever recognizes a problem(1). It is the leading preventable cause of infertility, and screening and treatment are the best means of preventing it.

Other Objectives

Similar to HP2020 objectives STD-1: Reduce the proportion of adolescents and young adults with Chlamydia trachomatis infections and STD-2: Reduce Chlamydia rates among females aged 15 to 44 years. New Mexico Community Health Status Indicator (CHSI)

How Are We Doing?

Overall, chlamydia rates have been increasing from 2011 (547.0 per 100,000 population) to 2017 (645.1 per 100,000 population). In 2017, chlamydia rates were highest in the Black/African American race/ethnicity category (1097.8 per 100,000), second highest in the American Indian/Alaska Native population, (817.4 per 100,000 population), and third highest in the Hispanic category (497.9 per 100,000). The lowest rates were found in the White category (268.8 per 100,000 population) and Asian/Pacific Islander category (133.5 per 100,000) respectively. By county, the highest Chlamydia rate for 2017 was found in McKinley county (904.2 per 100,000), followed by Cibola County (898.4 per 100,000) and San Juan County (864.8 per 100,000). It is unknown whether this is an actual increase in rates or due to better testing and detection activities.

How Do We Compare With the U.S.?

Chlamydia rates in New Mexico have consistently ranked higher than U.S. rates from year 2011 to 2017. In 2017, New Mexico had the 4th highest Chlamydia rate in the U.S.

What Is Being Done?

Chlamydia testing is performed on females under age 26 at approximately 200 test sites including 54 public health offices and family planning and other provider agreement sites, in addition to routine treatment and surveillance activities.

Evidence-based Practices

Despite an a recommendation from the U.S Preventive Services Task Force to annually screen all sexually active females under age 25, data from health plans shows that fewer than 50% of that group actually gets screened each year. Chlamydia is the leading preventable cause of infertility, and screening and treatment are the best means of preventing it.


Related Indicators

Risk Factors

Chlamydia can be transmitted during vaginal, anal, or oral sex. Chlamydia can also be passed from an infected mother to her baby during vaginal childbirth. Any sexually active person can be infected with chlamydia. The greater the number of sex partners, the greater the risk of infection.

Related Health Status Outcomes Indicators:




Graphical Data Views

Chlamydia Cases per 100,000 Population by Year, New Mexico and U.S., 2011-2017

::chart - missing::
confidence limits

NM vs. U.S.YearCases per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 14
New Mexico2011546.6536.6556.611,3902,083,725
New Mexico2012575.3562.9583.411,9872,091,432
New Mexico2013584.7573.4594.012,2292,095,156
New Mexico2014546.3536.4556.311,4642,098,381
New Mexico2015603.2592.7613.712,6662,099,856
New Mexico2016623.3612.6633.913,1112,103,586
New Mexico2017645.1634.3655.913,5632,102,521
United States2011453.4
United States2012453.3
United States2013443.5
United States2014452.2
United States2015475.0
United States2016494.7
United States2017528.8

Data Sources

  • Patient Reporting Investigating Surveillance Manager, Infectious Disease Bureau, New Mexico Department of Health
  • New Mexico Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
  • U.S. Data Source: Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention.


Chlamydia Cases per 100,000 Population by County, New Mexico, 2017

::chart - missing::
confidence limits

CountyCases per 100,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 35
Bernalillo725.9705.7746.14,935679,827
Catron83.80.0178.533,581
Chaves486.9433.6540.132065,727
Cibola898.4786.21,010.624427,160
Colfax492.0368.8615.16112,399
Curry781.6704.5858.839150,024
De Baca376.598.1655.071,859
Dona Ana720.6684.9756.21,561216,637
Eddy580.3518.4642.233657,901
Grant592.9503.2682.516728,168
Guadalupe223.585.1361.9104,474
Harding0.00.00.0Numbers too small for publication0698
Hidalgo657.3418.9895.7294,412
Lea501.0448.8553.035370,463
Lincoln285.7211.0360.45619,601
Los Alamos160.0102.8217.23018,749
Luna748.3640.3856.318324,456
McKinley904.2835.4973.065872,772
Mora261.3113.6408.9124,593
Otero542.1486.0598.235765,858
Quay578.6417.0740.1498,469
Rio Arriba658.2578.3738.125939,350
Roosevelt762.5640.1884.914819,409
Sandoval455.5420.5490.4650142,705
San Juan864.8814.1915.51,108128,125
San Miguel602.8512.2693.416928,037
Santa Fe435.6402.2468.9652149,694
Sierra221.1134.5307.72511,305
Socorro456.0355.7556.47917,323
Taos279.0222.1335.99232,975
Torrance292.5208.1376.94615,728
Union282.4122.8441.9124,250
Valencia741.5680.4802.656275,790
New Mexico645.1634.3655.913,5642,102,521
U.S.528.8

Data Sources

  • Patient Reporting Investigating Surveillance Manager, Infectious Disease Bureau, New Mexico Department of Health
  • New Mexico Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
  • U.S. Data Source: Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention.


Chlamydia Cases per 100,000 Population by Public Health Region, New Mexico, 2017

::chart - missing::
confidence limits

New Mexico Health RegionCases per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 6
Northwest881.4843.0919.72,010228,057
Northeast439.3415.5463.21,297295,220
Metro677.5660.7694.46,193914,050
Southeast565.7538.5592.81,660293,454
Southwest646.7620.9672.52,404371,741

Data Sources

  • New Mexico Data Source, 2006 and later: New Mexico Electronic Disease Surveillance System (NM-EDSS), Infectious Disease Epidemiology Bureau, New Mexico Department of Health.
  • New Mexico Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.


Chlamydia Cases per 100,000 Population by Race/Ethnicity, New Mexico, 2017

::chart - missing::
confidence limits

Race/EthnicityCases per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 7
American Indian/Alaska Native817.4777.0857.71,562191,103
Asian/Pacific Islander133.595.7171.24835,960
Black/African American1,097.81,002.31,193.350245,728
Hispanic497.9484.3511.55,1061,025,528
White268.8257.5280.22,162804,202
New Mexico645.1634.3655.913,5632,102,521
United States528.8

Data Sources

  • Patient Reporting Investigating Surveillance Manager, Infectious Disease Bureau, New Mexico Department of Health
  • New Mexico Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
  • U.S. Data Source: Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention.

References and Community Resources

References: (1) Chlamydia - CDC Fact Sheet. Downloaded from http://www.cdc.gov/std/Chlamydia/STDFact-Chlamydia.htm on 09/27/2018.

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 11/05/2018, Published on 10/02/2019
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Tue, 22 October 2019 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Wed, 2 Oct 2019 16:37:48 MDT