Predictors of repeat chlamydia trachomatis and/or neisseria gonorrhoeae infections among african-american adolescent women

Andrea Swartzendruber, Jessica M. Sales, Jennifer L. Brown, Teaniese Latham Davis, Ralph DiClemente, Eve Rose

Research output: Contribution to journalArticle

Abstract

Background Young African-American women have the highest rates of Chlamydia trachomatis and Neisseria gonorrhoeae in the USA. The objective was to identify baseline predictors of repeat chlamydia and/or gonorrhoea infections among African-American adolescent women. Methods Sociodemographic, psychosocial and behavioural data were collected at baseline and every 6 months for 2 years from 701 African-American women (14-20 years) enrolled in an HIV prevention trial. Vaginal swabs were self-collected at each visit and assayed for chlamydia and gonorrhoea using DNA amplification. Among participants testing positive for chlamydia and/or gonorrhoea at baseline, logistic regression analyses assessed baseline predictors of repeat infection. Results Of 618 (88%) participants with ≥1 follow-up assessment, 123 (20%) had a positive chlamydia and/or gonorrhoea test result at baseline; 49 (40%) had a repeat infection during the study period. Of those with a repeat infection, 30 (61%) were positive at one follow-up visit, 18 (37%) at two visits and 1 (2%) at three follow-up visits. Controlling for age and intervention condition, impulsivity (AOR: 1.71, p=0.018) was associated with an increased likelihood, and having a boyfriend (AOR: 0.21, p=0.006) was associated with a decreased likelihood of repeat infection. Conclusions Repeat chlamydia and/or gonorrhoea infections are common among African-American adolescent women. Among young African-American women who test positive for chlamydia and/or gonorrhoea, tailored interventions for more impulsive adolescents and those not in a relationship may reduce risk of repeat infections. Given the high numbers of repeat infections after receipt of an evidence-based intervention, enhanced screening and treatment services for young men may be warranted. Clinical Trials Registration http://www.clinicaltrials. gov (NCT00279799).

Original languageEnglish (US)
Pages (from-to)76-82
Number of pages7
JournalSexually Transmitted Infections
Volume89
Issue number1
DOIs
StatePublished - Feb 1 2013

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Neisseria gonorrhoeae
Chlamydia trachomatis
African Americans
Chlamydia
Gonorrhea
Infection
Impulsive Behavior
Logistic Models
Regression Analysis
Clinical Trials
HIV
DNA

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases

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Predictors of repeat chlamydia trachomatis and/or neisseria gonorrhoeae infections among african-american adolescent women. / Swartzendruber, Andrea; Sales, Jessica M.; Brown, Jennifer L.; Davis, Teaniese Latham; DiClemente, Ralph; Rose, Eve.

In: Sexually Transmitted Infections, Vol. 89, No. 1, 01.02.2013, p. 76-82.

Research output: Contribution to journalArticle

Swartzendruber, Andrea ; Sales, Jessica M. ; Brown, Jennifer L. ; Davis, Teaniese Latham ; DiClemente, Ralph ; Rose, Eve. / Predictors of repeat chlamydia trachomatis and/or neisseria gonorrhoeae infections among african-american adolescent women. In: Sexually Transmitted Infections. 2013 ; Vol. 89, No. 1. pp. 76-82.
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AB - Background Young African-American women have the highest rates of Chlamydia trachomatis and Neisseria gonorrhoeae in the USA. The objective was to identify baseline predictors of repeat chlamydia and/or gonorrhoea infections among African-American adolescent women. Methods Sociodemographic, psychosocial and behavioural data were collected at baseline and every 6 months for 2 years from 701 African-American women (14-20 years) enrolled in an HIV prevention trial. Vaginal swabs were self-collected at each visit and assayed for chlamydia and gonorrhoea using DNA amplification. Among participants testing positive for chlamydia and/or gonorrhoea at baseline, logistic regression analyses assessed baseline predictors of repeat infection. Results Of 618 (88%) participants with ≥1 follow-up assessment, 123 (20%) had a positive chlamydia and/or gonorrhoea test result at baseline; 49 (40%) had a repeat infection during the study period. Of those with a repeat infection, 30 (61%) were positive at one follow-up visit, 18 (37%) at two visits and 1 (2%) at three follow-up visits. Controlling for age and intervention condition, impulsivity (AOR: 1.71, p=0.018) was associated with an increased likelihood, and having a boyfriend (AOR: 0.21, p=0.006) was associated with a decreased likelihood of repeat infection. Conclusions Repeat chlamydia and/or gonorrhoea infections are common among African-American adolescent women. Among young African-American women who test positive for chlamydia and/or gonorrhoea, tailored interventions for more impulsive adolescents and those not in a relationship may reduce risk of repeat infections. Given the high numbers of repeat infections after receipt of an evidence-based intervention, enhanced screening and treatment services for young men may be warranted. Clinical Trials Registration http://www.clinicaltrials. gov (NCT00279799).

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