Evaluating Chlamydia and Gonorrhea Infection and Disease in the US Army: Implications for Health Surveillance and Prevention
Abstract
US military members (particularly Army soldiers) have been classified as high risk for sexually transmitted infections such as Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) and prioritized for enhanced surveillance and prevention. Yet studies examining the associated disease burden and risk differential relative to the general public are lacking. Furthermore, surveillance system capabilities in making this determination have not been adequately explored. Age- and sex-adjusted CT and NG reported case rates were computed for US Army active component soldiers and US adults 18-64 years of age during 2015-2019. Army reporting system data were supplemented with military health system medical encounters and laboratory data. Using this comprehensive dataset, incidence rates, morbidity burden, and system-specific case capture were calculated. Multivariable generalized linear models were used to characterize risk by covariates of interest (e.g., age, sex, race/ethnicity, and education).
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 20, 2023
- Accession Number
- AD1212227
Entities
People
- Nikki N. Jordan
Organizations
- Uniformed Services University of the Health Sciences