Study of Chlamydia Trachomatis in Military Women; Prevalence, Risk Factors, and a Cost Benefits Analysis of Early Diagnosis and Treatment.
Abstract
This ongoing study used urine LCR to determine the prevalence of and risk factors for chlamydial infections among military females. Three different populations were screened: recruits who were beginning military service, symptomatic patients attending a Troop Medical Clinic (TMC), and asymptomatic women having a PAP test. Urine specimens and questionnaires were collected. Urines I were tested by LCR (Abbott Labs); PAP patients were also tested by cervical culture. In 10,361 women screened from 1-96 to 6-97, prevalence was 9.1%. The recruits, TMC, and PAP populations had prevalences of 9.0%, 11.9%, and 7.3%, respectively. The mean age was 22; 50.5% were Caucasian; 94% were sexually active, 25.3% had more than 1 sex partner in the last 90 days; and 29.2% had a new sex partner; 16.2% used condoms consistently; and 9.4% had a previous chlamydial infection. Compared to cervical culture, LCR sensitivity was 88.6% (asymptomatic group, N=434). Multivariate analysis of the recruit population (N 9,192) identified several significant risk factors useful for predicting chlamydia positivity: young age (OR 3.4), African-American race (OR 2.7), vaginal sex (OR 4.1), more than 1 sex partner (OR lA), and a new partner (OR 1.5). For the recruit population, a screening program based solely on young age L>25) could detect 95.8% of the positives while only screening 87.2% of the population. Preliminary analysis indicates mass therapy is potentially costeffective in preventing the disease.
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 01, 1997
- Accession Number
- ADA332457
Entities
People
- Charlotte Gaydos
Organizations
- Johns Hopkins University