Document Detail


Prevalence and correlates of Trichomonas vaginalis infection among female US federal prison inmates.
MedLine Citation:
PMID:  20803782     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Previous studies have observed high prevalences of Trichomonas vaginalis infection among women entering US jails and state prisons (22%-47%). We sought to determine the prevalence among women incarcerated in 2 US female-only federal prisons.
METHODS: Female inmates were recruited at 2 prisons (n = 624). Participants completed a self-administered questionnaire and provided self-collected first-catch urine and vaginal swab specimens. Specimens were tested for T. vaginalis DNA.
RESULTS: Approximately 8.5% of participants at the first prison, and 8.3% at the second prison had a positive urine result, vaginal swab result or both, for a combined prevalence of 8.5%. Using positivity in either specimen as the reference standard, urine polymerase chain reaction had a sensitivity of 66.7% and vaginal swab polymerase chain reaction had a sensitivity of 84.4%. The only significant positive correlate of T. vaginalis infection was lower household income before arrest. Other variables nonsignificantly positively correlated with T. vaginalis were being employed at the time of arrest, having experienced sexual, physical, or emotional abuse by a family member, having a parent who had not had a drug or alcohol addiction, never exchanging sex for money or drugs, ever being pregnant, having abnormal vaginal bleeding/spotting, and having concurrent chlamydia or gonorrhea.
CONCLUSIONS: Although not as high as in other studies of women entering US jails and state prisons, our observed T. vaginalis prevalence of 8.5% was much higher than in the general US population. Therefore, screening for T. vaginalis infection may be warranted at federal prison entry, as well as sexual health education during prison stay.
Authors:
Siobhan Sutcliffe; Sara B Newman; Andrew Hardick; Charlotte A Gaydos
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  37     ISSN:  1537-4521     ISO Abbreviation:  Sex Transm Dis     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-27     Completed Date:  2011-01-11     Revised Date:  2014-04-11    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  585-90     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
DNA, Protozoan / analysis
Female
Humans
Polymerase Chain Reaction / methods
Prevalence
Prisoners / statistics & numerical data*
Prisons
Questionnaires
Risk Factors
Sensitivity and Specificity
Trichomonas Infections / epidemiology*,  microbiology
Trichomonas Vaginitis / epidemiology*,  microbiology
Trichomonas vaginalis / genetics,  isolation & purification*
United States / epidemiology
Urine / parasitology
Vagina / parasitology
Grant Support
ID/Acronym/Agency:
U01 A1068613//PHS HHS; U54 EB007958/EB/NIBIB NIH HHS
Chemical
Reg. No./Substance:
0/DNA, Protozoan

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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