Findings from STD screening of adolescents and adults entering corrections facilities: implications for STD control strategies
| Autor: | Kristen J. Mertz, William C. Levine, Richard Voigt, Kathleen Hutchins |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Microbiology (medical)
Sexually transmitted disease Adult Male Pediatrics medicine.medical_specialty Adolescent Gonorrhea Population Ethnic group Sexually Transmitted Diseases Dermatology Asymptomatic Age Distribution medicine Prevalence Humans Mass Screening Syphilis Sex Distribution education Child Mass screening education.field_of_study Chlamydia business.industry Public Health Environmental and Occupational Health Chlamydia Infections medicine.disease United States Infectious Diseases Prisons Female medicine.symptom business Developed country |
| Zdroj: | Sexually transmitted diseases. 29(12) |
| ISSN: | 0148-5717 |
| Popis: | Background: Persons entering corrections facilities are at high risk for sexually transmitted diseases (STDs) because of risky sexual behavior and lack of access to routine screening. Goal: The goal of the study was to develop a national picture of STD prevalence in this population. Study Design: We analyzed information on age race/ethnicity urethral symptoms (men only) and test results for approximately 85000 chlamydia 157000 gonorrhea and 293000 syphilis tests for persons entering 23 jails and 12 juvenile detention centers in 13 US counties from 1996 through 1999. Results: At adult jails in nine counties the median percentage of persons with reactive syphilis tests by county was 8.2% (range 0.3–23.8%) for women and 2.5% (range 1.0–7.8%) for men. At juvenile detention facilities in five counties the median positivity for chlamydial infection was 15.6% (range 8.0– 19.5%) for adolescent girls and 7.6% (range 2.8–8.9%) for adolescent boys; the median positivity for gonorrhea was 5.2% (range 3.4–10.0%) for adolescent girls and 0.9% (range 0.7– 2.6%) for adolescent boys. Of adolescent boys testing positive for chlamydial infection at three juvenile facilities approximately 97% did not report symptoms; of adolescent boys positive for gonorrhea 93% did not report symptoms. Conclusion: STD positivity among persons entering corrections facilities is high. Most chlamydial and gonococcal infections are asymptomatic and would not be detected without routine screening. Monitoring the prevalence of STDs in this population is useful for planning STD prevention activities in corrections facilities and elsewhere in the community. (author’s) |
| Databáze: | OpenAIRE |
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