Risk factors for Chlamydia among young women in a northern california juvenile detention facility: implications for community intervention

Sexually Transmitted Diseases
Diana D McDonnellTheresa J M Morton

Abstract

Chlamydia infections are increasing in California, with rates highest in young women aged 15 to 24. Juvenile detention facilities are important venues for screening high-risk youth who may not otherwise access care. We, therefore, sought to identify risk factors for urogenital chlamydia among young women in a county juvenile detention facility between 2002 and 2005. With the state Chlamydia Screening Project (ClaSP), young women booked into the county detention facility were offered urine-based screening for urogenital chlamydia. Demographics, sexual history, and behavioral risk factors were self-reported through questionnaires completed during specimen collection. Nine hundred and thirty-nine young women were screened for chlamydia. The 5% positivity rate remained steady over the 33-month study. Vaginal sex was reported by 82% of women, oral sex by 50%, and anal sex by 30%. Only 9% reporting anal sex always used condoms. In multivariate analysis, little distinguished those with urogenital chlamydia. Women from the southern region of the county (adjusted odds ratio, 3.5; 1.4-8.7) and surrounding urban centers (3.7; 1.2-11.4) had higher odds of infection, as did those with 2 to 3 lifetime partners (3.2; 1.2-8.2)-although there w...Continue Reading

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Citations

Mar 12, 2011·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Jane K SteinbergCarmel M Kadrnka
Jul 25, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Donna M DennoMajdi Osman
Feb 14, 2014·Sexually Transmitted Diseases·Preeti Pathela
Oct 1, 2010·Journal of Correctional Health Care : the Official Journal of the National Commission on Correctional Health Care·Roberto Hugh Potter

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