Paired Testing of Sexually Transmitted Infections With Urine Pregnancy Tests in Incarcerated Women.

Sexually Transmitted Diseases
Christine M DangAnk E Nijhawan

Abstract

In correctional facilities, sexually transmitted infections (STIs) are common, are often asymptomatic, and may lead to adverse outcomes such as infertility and increased HIV acquisition. In January 2020, testing for Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (CT) was paired with routine urine pregnancy tests among women entering a large county jail to increase testing and detection of STIs. The results of all GC/CT urine tests in the Dallas County Jail were collected from October 2019 to February 2020. Medical records were reviewed to collect demographic factors and to determine the positivity of GC/CT infections, time to results, and time to treatment. With paired testing, monthly testing rates increased 4.7-fold among incarcerated females from 125 to 589 tests without substantial change for males (174 to 163). The number of infections detected in females increased from 25 (7%) of 359 to 62 (5.3%) of 1171 for GC and 42 (11.2%) of 374 to 129 (11%) of 1177 for CT without a significant difference in GC (P = 0.23) or CT positivity (P = 0.66). Younger women (≤25 years) had the highest rates of CT (18.8% [66/350]), whereas GC was highest among women aged 31 to 35 years (9.9% [32/321]). Average time to results and treatment...Continue Reading

References

Oct 31, 2002·American Journal of Public Health·Theodore M HammettWilliam Rhodes
Jun 18, 2009·Current Opinion in Infectious Diseases·Theodore M Hammett
Nov 18, 2009·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Sean D YoungDouglas Owens
Feb 4, 2010·Journal of Community Health·Sonali P KulkarniAllison L Diamant
Mar 16, 2012·Journal of Correctional Health Care : the Official Journal of the National Commission on Correctional Health Care·Woodman B FranklinFarah M Parvez
Feb 15, 2013·Sexually Transmitted Diseases·Elizabeth A TorroneHillard S Weinstock
Jan 23, 2020·American Journal of Public Health·Kathryn M NowotnyJoshua Kleinman

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