Study of Chlamydia trachomatis in Military Women; Prevalence, Risk Factors, and a Cost Benefit Analysis of Early Diagnosis and Treatment

Abstract

In the third project year, 5,657 women and 1,203 male military recruits were screened at Fort Jackson, Sc. Over the course of the project, there have been 16,727 women and 1,203 men screened. Those that tested positive received treatment at the Troop Medical Clinic (TMC). Methods: After receiving an hour of instruction on chiamydia including symptoms and sequelae, prevention, and screening and treatment, potential subjects were asked for their inforrned consent. All potential subjects answered a chlamydia risk history questionnaire, however, some who chose each month not to participate submitted the questionnaire anonymously. Study participants submitted a first catch urine specimen for testing at Johns Hopkins by ligase chain reaction (LCR). Results: 583 women (10.3%) and 59 men (4.9%) tested positive and were subsequently treated. If a questionnaire could be avoided and young age (%< 25 years) used alone as the screening criterion, 87.9% (11,603/13,204) of the population would need to be tested, and 95.3 % (1,162/1,219) of the positives would be identified. Young age was not a risk factor for men, as it was for women. Conclusion: We recommend screening women < 25 years of age in this population.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 1998
Accession Number
ADA374243

Entities

People

  • Charlotte A. Gaydos

Organizations

  • Johns Hopkins University

Tags

DTIC Thesaurus Topics

  • Chemical Reactions
  • Chlamydia
  • Cost Effectiveness
  • Databases
  • Genital Diseases
  • Health Care
  • Health Services
  • Hiv Infections
  • Infectious Diseases
  • Information Science
  • Institutional Review Board
  • Laboratory Procedures
  • Medical Personnel
  • Pain
  • Public Health
  • Risk Factors
  • Sexually Transmitted Diseases

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Gender and Food Studies
  • Infectious Disease/Epidemiology