Surveillance of Chlamydia trachomatis and Neisseria gonorrhoeae infections in women in detention in Baltimore, Maryland

Justin Hardick, Yu-Hsiang Hsieh, Scott Tulloch, James Kus, Jennifer Tawes, Charlotte A Gaydos

Research output: Contribution to journalArticle

Abstract

Background: In conjunction with a program to expand syphilis and HIV infection services, women were also offered screening for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) during intake at the Baltimore Women's Detention Center. Goal: The goal was to assess the effectiveness of a routine screening program for CT and GC in women in a detention setting. The association among infection, race, and area of residence was also explored. Study Design: CT and GC prevalences were determined and analyzed by demographic data, including zip code, for 1858 women enrolled over a 48-week period. Informed consent was obtained, and infections were detected with use of urine samples tested by ligase chain reaction. Results: Overall, the population had prevalence rates of 5.9% (109/1858) and 3.4% (63/1858) for CT and GC respectively. Among whites, CT and GC prevalences were 9.0% (29/323) and 8.7% (28/323), respectively. Among African Americans the prevalence rates were 5.1% (77/1510) and 2.3% (34/1510) for CT and GC, respectively. White women <25 years of age were associated with the highest CT and GC prevalences, at 20.0% (13/65) and 13.9% (9/65), respectively. African American women <25 years of age also were associated with the highest CT and GC prevalences, at 13.9% (24/173) and 5.8% (10/173), respectively. Multivariate analysis of risk factors and demographic data indicated that ages <25 years and 25 to 34 years, white race, and certain zip codes of residence were risk factors for infection. Conclusion: This study illustrated that urine-based screening for CT and GC is feasible in detention settings and can be productive in high-prevalence areas. Geographic analysis demonstrated no definitive relationship among race, infection, and area of residence, although it did demonstrate clustering of infected individuals and could be useful in future interventions. These findings demonstrated the need for implementing screening programs for sexually transmitted infections in detention centers.

Original languageEnglish (US)
Pages (from-to)64-70
Number of pages7
JournalSexually Transmitted Diseases
Volume30
Issue number1
DOIs
StatePublished - Jan 1 2003
Externally publishedYes

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Baltimore
Neisseria gonorrhoeae
Chlamydia trachomatis
Infection
African Americans
Ligase Chain Reaction
Demography
Urine
Syphilis
Sexually Transmitted Diseases
Informed Consent
HIV Infections
Cluster Analysis
Multivariate Analysis

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)

Cite this

Surveillance of Chlamydia trachomatis and Neisseria gonorrhoeae infections in women in detention in Baltimore, Maryland. / Hardick, Justin; Hsieh, Yu-Hsiang; Tulloch, Scott; Kus, James; Tawes, Jennifer; Gaydos, Charlotte A.

In: Sexually Transmitted Diseases, Vol. 30, No. 1, 01.01.2003, p. 64-70.

Research output: Contribution to journalArticle

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AU - Tawes, Jennifer

AU - Gaydos, Charlotte A

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