Document Type

Article

Publication Date

12-12-2012

Department

Department of Psychology

Abstract

Background

Young African-American women have the highest rates of Chlamydia trachomatis and Neisseria gonorrhoeae in the United States. The objective was to identify baseline predictors of repeat Chlamydia and/or gonorrhoea infections among African-American adolescent females.

Methods

Sociodemographic, psychosocial and behavioural data were collected at baseline and every 6 months for 2 years from 701 African-American females (14–20 years) enrolled in an HIV prevention trial. Vaginal swabs were self-collected at each visit and assayed for Chlamydia and gonorrhoea using DNA amplification. Among participants testing positive for Chlamydia and/or gonorrhoea at baseline, logistic regression analyses assessed baseline predictors of repeat infection.

Results

Of 618 (88%) participants with ≥1 follow-up assessment, 123 (20%) had a positive Chlamydia and/or gonorrhoea test result at baseline; 49 (40%) had a repeat infection during the study period. Of those with a repeat infection, 30 (61%) were positive at one follow-up visit, 18 (37%) at two and 1 (2%) at three follow-up visits. Controlling for age and intervention condition, impulsivity (AOR: 1.71, p=.018) was associated with an increased likelihood and having a boyfriend (AOR: 0.21, p=.006) a decreased likelihood of repeat infection.

Conclusions

Repeat Chlamydia and/or gonorrhoea infections are common among African-American adolescent females. Among young African-American women who test positive for Chlamydia and/or gonorrhoea, tailored interventions for more impulsive adolescents and those not in a relationship may reduce risk of repeat infections. Given high numbers of repeat infections after receipt of an evidence-based intervention, enhanced screening and treatment services for young men may be warranted.

DOI

10.1136/sextrans-2012-050530

Source

Sexually Transmitted Infections

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