The Role of Geography, Marginalization, and Testing on Observed Chlamydia Rates in Peel Region, Ontario, Canada

dc.contributor.advisorGreer, Amy
dc.contributor.authorObress, Lindsay
dc.date.accessioned2021-08-12T20:39:21Z
dc.date.available2021-08-12T20:39:21Z
dc.date.copyright2021-08
dc.date.created2021-07-30
dc.degree.departmentDepartment of Population Medicineen_US
dc.degree.grantorUniversity of Guelphen_US
dc.degree.nameMaster of Scienceen_US
dc.degree.programmePopulation Medicineen_US
dc.description.abstractChlamydia rates in Canada and in the province of Ontario have continued to climb in recent years despite widespread screening programs. This thesis aims to untangle the variability that exists in the reported rates of chlamydia in Peel region, Ontario, Canada and the variation across both age and sex groups, and geography. The first study investigated chlamydia rates in Peel region, Ontario using geospatial analysis methods. Rates across Peel region were found to display geographic heterogeneity and clusters of increased risk were identified. Rates in Peel region at the census tract-level were found to be associated with dimensions of the Ontario Marginalization Index. The second study examined differential testing across age and sex groups and estimated test-adjusted incidence. Males aged 15–19 and 30–39 years were estimated to have increased incidence rates if tested at the same rate as the maximally tested group. The results of these studies identify groups that may be driving the transmission of chlamydia within the region. Targeting resources towards these groups could be important for curbing chlamydia rates.en_US
dc.identifier.urihttps://hdl.handle.net/10214/26240
dc.language.isoenen_US
dc.publisherUniversity of Guelphen_US
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subjectChlamydia ratesen_US
dc.subjectPeel region, Ontarioen_US
dc.subjectAgeen_US
dc.subjectSexen_US
dc.subjectGeographyen_US
dc.titleThe Role of Geography, Marginalization, and Testing on Observed Chlamydia Rates in Peel Region, Ontario, Canadaen_US
dc.typeThesisen_US

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