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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 technology which is much more sensitive than previous culture tests.

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.

How Are We Doing?

Overall, chlamydia rates have been increasing from 2005 (435.0 per 100,000 population) to 2012 (573.2 per 100,000 population). In 2012, chlamydia rates were highest in the American Indian/Alaska Native race/ethnicity category (1106.1 per 100,000), second highest in the Black/African American category, (691.2 per 100,000 population), and third highest in the Hispanic category (436.6 per 100,000). The lowest rates were found in the White category (190.1 per 100,000 population) and Asian/Pacific Islander category (122.2 per 100,000) respectively. By county, the highest Chlamydia rate for 2012 was found in McKinley county (1291.1 per 100,000), followed by Dona Ana County (698.5 per 100,000) and Bernalillo County (612.5 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 2005 to 2011. In 2011, New Mexico had the 8th highest Chlamydia rate in the U.S. (U.S. data for 2012 not available as of this printing).

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.



Graphical Data Views

Chlamydia Cases per 100,000 Population by Year, New Mexico and United States 2005-2012

::chart - missing::

NM vs. U.S.YearCases per 100,000 Population
Record Count: 15
New Mexico2005435.0
New Mexico2006499.7
New Mexico2007475.4
New Mexico2008460.1
New Mexico2009466.2
New Mexico2010566.8
New Mexico2011546.6
New Mexico2012573.2
U.S.2005329.4
U.S.2006344.3
U.S.2007367.5
U.S.2008398.1
U.S.2009405.3
U.S.2010423.6
U.S.2011457.6

Data Sources

  • U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. http://www.cdc.gov/nchs/.
  • Patient Reporting Investigating Surveillance Manager, Infectious Disease Bureau, New Mexico Department of Health
  • Population Data Source: Geospatial and Population Studies Program, University of New Mexico. http://bber.unm.edu/bber_research_demPop.html.


Chlamydia Cases per 100,000 Population by County, New Mexico 2012

::chart - missing::
confidence limits

CountyCases per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 34
Bernalillo612.5593.9631.24,138675,550
Catron53.40.0127.423,745
Chaves432.6382.4482.728666,120
Cibola672.7575.5769.918427,353
Colfax392.1286.5497.65313,518
Curry584.7517.4652.029049,596
De Baca100.40.0239.721,991
Dona Ana698.5663.2733.91,501214,878
Eddy310.1263.5356.817054,815
Grant581.8494.6669.117129,389
Guadalupe514.6308.7720.4244,664
Harding0.00.00.00695
Hidalgo395.3217.5573.0194,807
Lea485.5432.5538.532266,322
Lincoln228.4163.1293.74720,578
Los Alamos208.6142.3274.93818,219
Luna584.8490.2679.314725,138
McKinley1,291.11,208.91,373.394873,426
Mora311.1153.6468.5154,822
Otero580.5521.8639.237664,768
Quay406.7273.8539.5368,852
Rio Arriba581.3506.8655.723440,257
Roosevelt408.2320.9495.58420,577
Sandoval761.6714.0809.3981128,805
San Juan589.8501.7678.017229,160
San Miguel375.9343.3408.5511135,950
Santa Fe437.4403.5471.2641146,559
Sierra268.7175.6361.83211,908
Socorro433.5336.6530.37717,764
Taos301.9242.7361.110033,122
Torrance401.6303.9499.26516,187
Union176.454.2298.684,535
Valencia404.6359.8449.431377,361
NM573.2562.9583.411,9872,091,432

Data Sources

  • Patient Reporting Investigating Surveillance Manager, Infectious Disease Bureau, New Mexico Department of Health
  • Population Data Source: Geospatial and Population Studies Program, University of New Mexico. http://bber.unm.edu/bber_research_demPop.html.


Chlamydia Cases per 100,000 Population by Race and Ethnicity, New Mexico 2012

::chart - missing::

RaceCases per 100,000 Population
Record Count: 6
American Indian/Alaska Native1,106.1
Asian/Pacific Islander122.2
Black/African American691.2
Hispanic436.6
White190.1
New Mexico573.2

Data Sources

  • Patient Reporting Investigating Surveillance Manager, Infectious Disease Bureau, New Mexico Department of Health
  • Population Data Source: Geospatial and Population Studies Program, University of New Mexico. http://bber.unm.edu/bber_research_demPop.html.

References and Community Resources

References: (1) Chlamydia - CDC Fact Sheet. Downloaded from http://www.cdc.gov/std/Chlamydia/STDFact-Chlamydia.htm on 01/14/2011.

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.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 10/02/2013, Published on 09/05/2014
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, 01 September 2015 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Fri, 12 Sep 2014 14:45:01 MDT