Document Detail


Sex and age correlates of Chlamydia prevalence in adolescents and adults entering correctional facilities, 2005: implications for screening policy.
MedLine Citation:
PMID:  19125147     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To evaluate sex and age correlates of chlamydia prevalence in incarcerated populations. METHODS: Cross-sectional analysis of chlamydia prevalence by demographic characteristics from incarcerated females and males entering selected juvenile and adult correctional facilities (jails) in the United States in 2005. RESULTS: A total of 97,681 and 52,485 incarcerated persons aged >/=12 years were screened for chlamydia in 141 juvenile and 22 adult correctional facilities, respectively. Overall, chlamydia prevalence was high in females (14.3% and 7.5%) in both juvenile and adult facilities when compared with that in males (6.0% and 4.6%). The chlamydia prevalence was higher in incarcerated females than in incarcerated males for persons </=35 years, and prevalence was highest among females aged </=25 years (range, 11.3%-15.6%). In juvenile facilities, prevalence did not steadily increase with age in females (12.8% in 12-14 years, 15.1% in 15-17 years, and 14.3% in 18-20 years) whereas in males prevalence steadily increased with age (2.4% in 12-14 years to 8.7% in 18-20 years). In females and males the highest prevalence in juvenile facilities was in incarcerated blacks (18.4% and 9.6%, respectively). In adult facilities, the prevalence was consistently highest in younger detainees: in females it was 15.6% in 18- to 20-year olds compared with 1.5% in those >40 years; in males it was 8.8% in 18- to 20-year olds compared with 1.4% in those >40 years. CONCLUSIONS: The consistently high chlamydia prevalence among females in juvenile facilities and females (</=25 years) in adult facilities supports a screening policy in correctional settings consistent with Centers for Disease Control and Prevention and US Preventive Services Task Force guidelines. Although the prevalence of chlamydia in males is substantial, chlamydia prevalence in females exceeds that of males </=35 years, and thus screening females for chlamydia in these facilities should take priority over screening males.
Authors:
M Riduan Joesoef; Hillard S Weinstock; Charlotte K Kent; Joan M Chow; Melina R Boudov; Farah M Parvez; Tamara Cox; Thomas Lincoln; Jamie L Miller; Maya Sternberg;
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  36     ISSN:  1537-4521     ISO Abbreviation:  Sex Transm Dis     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-26     Completed Date:  2009-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S67-71     Citation Subset:  IM    
Affiliation:
Division of Sexually Transmitted Diseases Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. mrj1@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Child
Chlamydia Infections / diagnosis,  epidemiology*
Chlamydia trachomatis*
Cross-Sectional Studies
Female
Health Policy
Humans
Juvenile Delinquency*
Male
Mass Screening* / methods
Prevalence
Prisoners
Prisons / statistics & numerical data*
Sex Distribution
United States
Young Adult
Investigator
Investigator/Affiliation:
Barbara Conrad / ; Darlene Harper / ; Patrick Harris / ; Kathleen Hutchins / ; Hillard Weinstock / ; David Novak / ; Melinda Salmon /

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


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