Table 3.
Serologic Measure used to Determine Chlamydia trachomatis Seropositivity | |||||||
---|---|---|---|---|---|---|---|
Case Definition (by Race) | N | Positive by Medac IgG MOMP OR (95% CI)a |
Positive by EB-ELISA (IgG1 or IgG3) OR (95% CI)a |
Positive by EB-ELISA IgG1 OR (95% CI)a |
Positive by EB ELISA IgG3 OR (95% CI)a |
Positive by Medac IgG MOMP or EB ELISA OR (95% CI)a |
Positive by Medac IgG MOMP and EB ELISA OR (95% CI)a |
Black Race | |||||||
HSG case definitionb | 107c | 0.98 (0.45–2.11) |
1.17 (0.45–3.02) |
0.91 (0.36–2.26) |
0.68 (0.31–1.49) |
1.22 (0.45–3.28) |
0.96 (0.44–2.07) |
Expanded case definitiond | 117c | 0.93 (0.45–1.92) |
1.04 (0.43–2.51) |
0.85 (0.36–2.01) |
0.74 (0.35–1.57) |
1.18 (0.46–2.98) |
0.86 (0.41–1.78) |
Laparoscopy case definitione | 31 | 1.13 | 2.95 (0.48–18.3) |
2.95 (0.48–18.3) |
1.50 (0.36–6.23) |
1.50 (0.21–10.5) |
1.93 (0.44–8.33) |
Non-Black Race | |||||||
HSG case definitionb | 620 | 1.54 (0.96–2.45) |
1.62 (1.07–2.47) |
1.58 (0.98–2.56) |
2.33 (1.46–3.73) |
1.41 (0.95–2.09) |
2.30 (1.30–4.06) |
Expanded case definitiond | 654 |
1.61 (1.05–2.48) |
1.78 (1.21–2.62) |
1.81 (1.17–2.80) |
2.37 (1.53–3.66) |
1.56 (1.09–2.25) |
2.37 (1.39–4.01) |
Laparoscopy case definitione | 138 |
3.04 (1.27–7.29) |
2.13 (1.01–4.50) |
2.24 (0.91–5.49) |
3.74 (1.58–8.87) |
1.90 (0.94–3.85) |
5.44 (1.71–17.3) |
OR, odds ratio; HSG, hysterosalpingogram; MOMP, major outer membrane protein; CI, confidence interval; EB, elementary body; ELISA, enzyme-linked immunosorbent assay
Statistically significant results (P<0.05) are indicated by bold print.
TFI case=unilateral or bilateral fallopian tube blockage on HSG; Control=bilateral patent tubes and no other tubal abnormalities on HSG and no prior history of tubal ectopic pregnancy or surgery to repair blocked tubes
Medac IgG MOMP result was not available for one participant
TFI case=unilateral or bilateral fallopian tube blockage or other tubal abnormalities on HSG, or prior history of tubal ectopic pregnancy, hydrosalpinx, or surgery to repair blocked tubes; Control=bilateral patent tubes and no other tubal abnormalities on HSG and no prior history of tubal ectopic pregnancy or surgery to repair blocked tubes
TFI case=laparoscopy showing evidence of tubal damage; Control=laparoscopy within one year of study showing no evidence of tubal damage