Screening asymptomatic adolescent men for Chlamydia trachomatis in school-based health centers using urine-based nucleic acid amplification tests

Sexually Transmitted Diseases
Alain JoffeCharlotte A Gaydos

Abstract

Urine-based screening for Chlamydia trachomatis using highly sensitive and specific nucleic acid amplification tests offers a unique opportunity to screen men attending school-based health centers. As part of a large multicenter chlamydia screening project in men, 1434 students were enrolled; 1090 in high schools in Baltimore and 344 middle and high-school students in Denver. Students were screened for chlamydia using urine-based nucleic acid amplification tests at well adolescent visits, acute care visits, or visits for other reasons, such as sports physicals. A self-administered survey to ascertain sexual risk behaviors was used. Data were analyzed separately for Baltimore and Denver, with univariate and multivariate logistic regression analysis. The overall prevalence in asymptomatic adolescent men was 6.8% (7.5% in Baltimore and 4.7% in Denver, P = n.s.). Students in Denver were older, more racially diverse, and more likely to have had intercourse in the previous 2 months than students in Baltimore. Students in Baltimore were more likely than those in Denver to have used a condom at last intercourse with casual and main partners. Among men in Denver but not Baltimore, condom use at last intercourse with both casual (OR 0.15...Continue Reading

References

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May 6, 2003·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Malanda NsuamiDeborah A Cohen
Jan 27, 2004·Sexually Transmitted Diseases·Diane R BlakeThomas C Quinn
May 13, 2004·JAMA : the Journal of the American Medical Association·William C MillerJ Richard Udry
Jul 10, 2004·Journal of Clinical Microbiology·Charlotte A GaydosThomas C Quinn
Jan 26, 2005·Sexually Transmitted Diseases·Julia Ann SchillingerLauri Ellen Markowitz
Jun 9, 2005·Archives of Pediatrics & Adolescent Medicine·Gabriela Paz-BaileyLauri E Markowitz

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Citations

Jul 17, 2010·American Journal of Public Health·Rebecca A Braun, Jackie M Provost
Jul 30, 2014·International Journal of Dermatology·Ana Filipa PedrosaCarmen Lisboa
May 7, 2010·Perspectives on Sexual and Reproductive Health·Shayna D CunninghamJonathan M Ellen
Apr 10, 2010·International Journal of STD & AIDS·Y-H HsiehC A Gaydos
Jul 22, 2008·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·A Hadgu, M Sternberg

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