Document Detail

Prevalence and Risk Factors for Chlamydia trachomatis Infection Among Young Thai Men in 2008-2009.
MedLine Citation:
PMID:  23407469     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Asymptomatic Chlamydia trachomatis (CT) infection and other sexually transmitted infections in men potentially contribute significantly in sustaining the spread of the infection. To describe the distribution and related sexual behaviors, we conducted a cross-sectional study among young Thai men using a (1:30) systematic sampling of all newly inducted military conscripts in Thailand.
METHODS: In November 2008 and May 2009, participants' urine and serum samples were tested for CT and Neisseria gonorrhoeae, using a multiplex polymerase chain reaction technique, and serologic testing for Treponema pallidum and HIV-1 was done. Information on demographic data and risk behaviors was obtained by a self-administered questionnaire.
RESULTS: The overall prevalence rates of CT, N. gonorrhoeae, HIV-1, and syphilis infection were 7.9%, 0.9%, 0.5%, 0.05%, respectively. The risk factors for CT infection were living in the upper north region (adjusted rate ratios [95% confidence interval], 2.13 [1.39-3.26]), having had 4 or more sexual partners (2.14 [1.48-3.09]), graduation from a vocational school (1.66 [1.14-2.41]), inconsistent condom use (1.48 [1.05-2.08]), unemployment (1.82 [1.06-3.12]), and age 21 years or younger (1.63 [1.01-2.63]).
CONCLUSIONS: The prevalence of CT infection among young male military conscripts was high, especially among men from upper northern Thailand. Multiple sexual partners, graduation from a vocational school, inconsistent condom use, unemployment before the military induction, and younger age were independently associated with the CT infection among young Thai men. These data will be useful to develop more effective public health interventions to prevent, detect, and treat sexually transmitted infections among young men in Thailand.
Anchalee Jatapai; Pachara Sirivongrangson; Somchai Lokpichat; Thippawan Chuenchitra; Kenrad E Nelson; Ram Rangsin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  40     ISSN:  1537-4521     ISO Abbreviation:  Sex Transm Dis     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  241-6     Citation Subset:  IM    
From the *Research and Development Office, Phramongkutklao College of Medicine, Bangkok, Thailand; †Bureau of AIDS/TB/STIs, Department of Disease Control, Ministry of Public Health, Bangkok, Thailand; ‡Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; §Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD; and ¶Department of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, Thailand.
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