Trichomonas vaginalis infection among homeless and unstably housed adult women living in a resource-rich urban environment

Sexually Transmitted Infections
Elise D RileySusan S Philip

Abstract

The social context of poverty is consistently linked to Trichomonas vaginalis infection, yet few studies regarding T. vaginalis have been conducted exclusively among low-income individuals. We identified social determinants of health associated with prevalent T. vaginalis infection among homeless and unstably housed adult women. Between April and October of 2010, we conducted cross-sectional T. vaginalis screening and behavioural interviews in an existing cohort of San Francisco homeless and unstably housed women. Data were analysed using multivariable logistical regression. Among 245 study participants, the median age was 47 years and 72% were of non-Caucasian race/ethnicity. T. vaginalis prevalence was 12%, compared to 3% in the general population, and 33% of infected individuals reported no gynaecological symptoms. In adjusted analysis, the odds of T. vaginalis infection were lower among persons older than 47 years, the population median (OR=0.14, 95% CI 0.04 to 0.38), and higher among those reporting recent short-term homeless shelter stays (OR=5.36, 95% CI 1.57 to 18.26). Race and income did not reach levels of significance. Sensitivity analyses indicated that testing all women who report recent unprotected sex would ident...Continue Reading

References

Jul 31, 2001·Journal of Health Care for the Poor and Underserved·S L WenzelL Gelberg
Jan 18, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Prashini MoodleyA Willem Sturm
Jun 27, 2002·Sexually Transmitted Infections·S O Aral, J F Blanchard
Jan 31, 2007·The Journal of Infectious Diseases·R Scott McClellandJared M Baeten
Oct 31, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Madeline SuttonLauri Markowitz
Dec 7, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Laura H BachmannKimberly A Workowski

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