Chlamydia Prevalence Trends Among Women and Men Entering the National Job Training Program From 1990 Through 2012

Sexually Transmitted Diseases
Emily R LearnerWilliam C Miller

Abstract

Evaluating chlamydia prevalence trends from sentinel surveillance is important for understanding population disease burden over time. However, prevalence trend estimates from surveillance data may be misleading if they do not account for changes in risk profiles of individuals who are screened (case mix) and changing performance of the screening tests used. We analyzed chlamydia screening data from a sentinel surveillance population of 389,555 young women (1990-2012) and 303,699 young men (2003-2012) entering the US National Job Training Program. This period follows the introduction of national chlamydia screening programs designed to prevent transmission and reduce population disease burden. After ruling out bias due to case mix, we used an expectation-maximization-based maximum likelihood approach to account for measurement error from changing screening tests, and generated minimally biased long-term chlamydia prevalence trend estimates among youth and young adults in this sentinel surveillance population. Adjusted chlamydia prevalence among women was high throughout the study period, but fell from 20% in 1990 to 12% in 2003, and remained between 12% and 14% through 2012. Adjusted prevalence among men was steady throughout th...Continue Reading

References

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May 13, 2004·JAMA : the Journal of the American Medical Association·William C MillerJ Richard Udry
Feb 12, 2005·Lancet·William C Miller
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Mar 18, 2006·Sexually Transmitted Diseases·M Riduan Joesoef, Debra J Mosure
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Oct 6, 2009·Sexually Transmitted Diseases·Catherine Lindsey SatterwhiteHillard Weinstock
Feb 15, 2013·Sexually Transmitted Diseases·Elizabeth A TorroneHillard S Weinstock

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Citations

May 18, 2018·Sexually Transmitted Diseases·M Jacques Nsuami
Mar 20, 2020·American Journal of Public Health·Emily R LearnerElizabeth A Torrone
Sep 11, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Minttu M RönnJoshua A Salomon
Aug 28, 2018·Sexually Transmitted Diseases·Susan ChaThomas A Peterman
Sep 22, 2020·Sexually Transmitted Diseases·Gweneth B LazenbyThomas A Peterman
Jan 26, 2021·Sexually Transmitted Diseases·Kristen M KreiselIan H Spicknall
Jun 11, 2021·Sexually Transmitted Diseases·Kanupriya GuptaWilliam M Geisler
Aug 19, 2021·Sexually Transmitted Diseases·Charles StoeckerPatricia J Kissinger

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