Factors Associated With Pharyngeal Gonorrhea in Young People: Implications for Prevention

Sexually Transmitted Diseases
Marjan JavanbakhtPamina M Gorbach

Abstract

The objective of this study was to examine the proportion of missed infections and correlates of pharyngeal gonorrhea among young people attending public sexually transmitted disease (STD) clinics. We conducted a case-control study of 245 young men and women between April 2012 and May 2014. Participants were eligible for inclusion if they (1) were 15 to 29 years of age, (2) reported giving oral sex to a partner of the opposite sex in the past 90 days, and (3) attended 1 of 12 public STD clinics in Los Angeles County. Computer-assisted self-interviews were used to collect information on sexual behaviors and tests were conducted for pharyngeal and urogenital gonorrhea. Most participants were younger than 25 years (69%) and more than half were female (56%). We identified a total of 64 cases (27%) of gonorrhea, of which 29 (45%) were a urogenital only infection, 18 (28%) were a pharyngeal only, and 17 (27%) were dually infected at both sites. Pharyngeal testing increased case finding by 39% from 46 to 64 cases. After adjusting for age, sex, and number of sex partners, those who reported consistent pharyngeal exposure to ejaculate/vaginal fluids were 3 times as likely to have pharyngeal gonorrhea as compared with those without this ...Continue Reading

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Citations

May 3, 2019·International Journal of STD & AIDS·Valeria GaspariMaria Carla Re
Feb 26, 2020·JAAPA : Official Journal of the American Academy of Physician Assistants·Kimberly DonnerGopi Shah
May 1, 2021·Vestnik otorinolaringologii·N A GerasimovaN V Zilberberg
Sep 15, 2021·JAMA : the Journal of the American Medical Association·UNKNOWN US Preventive Services Task ForceJohn B Wong

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