Prevalence of Chlamydia Trachomatis, Neisseria Gonorrhoeae, and Trichomonas Vaginalis Infection in Chilean Adolescents and Young Adults

Andrea Huneeus, Andrea Schilling, Mario Fernandez

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Study Objective: To determine the prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis infection in sexually active Chilean adolescents and young adults. A comparative analysis was performed between genders to identify demographic, clinical, and sexual behavior characteristics to predict the occurrence of C trachomatis. Design: Analytical observational study. Setting: Santiago, Chile. Participants: Two hundred eighty-six sexually active volunteers aged 24 years or younger (171 female and 115 male); 82.9% (237/286) of them were classified as having high socioeconomic status. Interventions: Confidential survey and self-collected samples (urine for men and vaginal swabs for women). Main Outcome Measures: Prevalence, demographic characteristics, symptoms, and sexual behavior characteristics. Results: The prevalence rate of C trachomatis was 8.7% (10/115) in men and 8.8% (15/171) in women (P =.58). N gonorrhoeae was detected in 1 subject, whereas no T vaginalis cases were detected. In multivariate analysis, having some college education was protective (odds ratio [OR], 0.28; 95% confidence interval [CI], 0.09-0.89), whereas having a higher number of sexual partners was a risk factor (OR, 1.19; 95% CI, 1.1-1.3) for C trachomatis infection. The latter was also predicted by postcoital bleeding (OR, 4.6; 95% CI, 1.30-16.23) in the female model. Conclusion: C trachomatis infection rates were similar between both genders. Protective characteristics for the occurrence of this infection were having some college education, lower number of sexual partners, and if female, the absence of postcoital bleeding. This study highlights the importance of C trachomatis screening among the Chilean affluent population younger than 25 years. However, further studies are needed in a more diverse and representative sample to recommend universal screening in Chilean adolescents and young adults.

Original languageEnglish (US)
Pages (from-to)411-415
Number of pages5
JournalJournal of Pediatric and Adolescent Gynecology
Volume31
Issue number4
DOIs
StatePublished - Aug 1 2018

Fingerprint

Trichomonas Infections
Trichomonas vaginalis
Neisseria gonorrhoeae
Chlamydia trachomatis
Young Adult
Sexual Partners
Odds Ratio
Confidence Intervals
Sexual Behavior
Infection
Demography
Hemorrhage
Education
Gonorrhea
Chile
Social Class
Observational Studies
Volunteers
Multivariate Analysis
Outcome Assessment (Health Care)

Keywords

  • Adolescents
  • Chile
  • Chlamydia trachomatis
  • Neisseria gonorrhoeae
  • Trichomonas vaginalis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Prevalence of Chlamydia Trachomatis, Neisseria Gonorrhoeae, and Trichomonas Vaginalis Infection in Chilean Adolescents and Young Adults. / Huneeus, Andrea; Schilling, Andrea; Fernandez, Mario.

In: Journal of Pediatric and Adolescent Gynecology, Vol. 31, No. 4, 01.08.2018, p. 411-415.

Research output: Contribution to journalArticle

@article{fa90a36be0094b6099644d8c492ef00b,
title = "Prevalence of Chlamydia Trachomatis, Neisseria Gonorrhoeae, and Trichomonas Vaginalis Infection in Chilean Adolescents and Young Adults",
abstract = "Study Objective: To determine the prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis infection in sexually active Chilean adolescents and young adults. A comparative analysis was performed between genders to identify demographic, clinical, and sexual behavior characteristics to predict the occurrence of C trachomatis. Design: Analytical observational study. Setting: Santiago, Chile. Participants: Two hundred eighty-six sexually active volunteers aged 24 years or younger (171 female and 115 male); 82.9{\%} (237/286) of them were classified as having high socioeconomic status. Interventions: Confidential survey and self-collected samples (urine for men and vaginal swabs for women). Main Outcome Measures: Prevalence, demographic characteristics, symptoms, and sexual behavior characteristics. Results: The prevalence rate of C trachomatis was 8.7{\%} (10/115) in men and 8.8{\%} (15/171) in women (P =.58). N gonorrhoeae was detected in 1 subject, whereas no T vaginalis cases were detected. In multivariate analysis, having some college education was protective (odds ratio [OR], 0.28; 95{\%} confidence interval [CI], 0.09-0.89), whereas having a higher number of sexual partners was a risk factor (OR, 1.19; 95{\%} CI, 1.1-1.3) for C trachomatis infection. The latter was also predicted by postcoital bleeding (OR, 4.6; 95{\%} CI, 1.30-16.23) in the female model. Conclusion: C trachomatis infection rates were similar between both genders. Protective characteristics for the occurrence of this infection were having some college education, lower number of sexual partners, and if female, the absence of postcoital bleeding. This study highlights the importance of C trachomatis screening among the Chilean affluent population younger than 25 years. However, further studies are needed in a more diverse and representative sample to recommend universal screening in Chilean adolescents and young adults.",
keywords = "Adolescents, Chile, Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis",
author = "Andrea Huneeus and Andrea Schilling and Mario Fernandez",
year = "2018",
month = "8",
day = "1",
doi = "10.1016/j.jpag.2018.01.003",
language = "English (US)",
volume = "31",
pages = "411--415",
journal = "Journal of Pediatric and Adolescent Gynecology",
issn = "1083-3188",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Prevalence of Chlamydia Trachomatis, Neisseria Gonorrhoeae, and Trichomonas Vaginalis Infection in Chilean Adolescents and Young Adults

AU - Huneeus, Andrea

AU - Schilling, Andrea

AU - Fernandez, Mario

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Study Objective: To determine the prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis infection in sexually active Chilean adolescents and young adults. A comparative analysis was performed between genders to identify demographic, clinical, and sexual behavior characteristics to predict the occurrence of C trachomatis. Design: Analytical observational study. Setting: Santiago, Chile. Participants: Two hundred eighty-six sexually active volunteers aged 24 years or younger (171 female and 115 male); 82.9% (237/286) of them were classified as having high socioeconomic status. Interventions: Confidential survey and self-collected samples (urine for men and vaginal swabs for women). Main Outcome Measures: Prevalence, demographic characteristics, symptoms, and sexual behavior characteristics. Results: The prevalence rate of C trachomatis was 8.7% (10/115) in men and 8.8% (15/171) in women (P =.58). N gonorrhoeae was detected in 1 subject, whereas no T vaginalis cases were detected. In multivariate analysis, having some college education was protective (odds ratio [OR], 0.28; 95% confidence interval [CI], 0.09-0.89), whereas having a higher number of sexual partners was a risk factor (OR, 1.19; 95% CI, 1.1-1.3) for C trachomatis infection. The latter was also predicted by postcoital bleeding (OR, 4.6; 95% CI, 1.30-16.23) in the female model. Conclusion: C trachomatis infection rates were similar between both genders. Protective characteristics for the occurrence of this infection were having some college education, lower number of sexual partners, and if female, the absence of postcoital bleeding. This study highlights the importance of C trachomatis screening among the Chilean affluent population younger than 25 years. However, further studies are needed in a more diverse and representative sample to recommend universal screening in Chilean adolescents and young adults.

AB - Study Objective: To determine the prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis infection in sexually active Chilean adolescents and young adults. A comparative analysis was performed between genders to identify demographic, clinical, and sexual behavior characteristics to predict the occurrence of C trachomatis. Design: Analytical observational study. Setting: Santiago, Chile. Participants: Two hundred eighty-six sexually active volunteers aged 24 years or younger (171 female and 115 male); 82.9% (237/286) of them were classified as having high socioeconomic status. Interventions: Confidential survey and self-collected samples (urine for men and vaginal swabs for women). Main Outcome Measures: Prevalence, demographic characteristics, symptoms, and sexual behavior characteristics. Results: The prevalence rate of C trachomatis was 8.7% (10/115) in men and 8.8% (15/171) in women (P =.58). N gonorrhoeae was detected in 1 subject, whereas no T vaginalis cases were detected. In multivariate analysis, having some college education was protective (odds ratio [OR], 0.28; 95% confidence interval [CI], 0.09-0.89), whereas having a higher number of sexual partners was a risk factor (OR, 1.19; 95% CI, 1.1-1.3) for C trachomatis infection. The latter was also predicted by postcoital bleeding (OR, 4.6; 95% CI, 1.30-16.23) in the female model. Conclusion: C trachomatis infection rates were similar between both genders. Protective characteristics for the occurrence of this infection were having some college education, lower number of sexual partners, and if female, the absence of postcoital bleeding. This study highlights the importance of C trachomatis screening among the Chilean affluent population younger than 25 years. However, further studies are needed in a more diverse and representative sample to recommend universal screening in Chilean adolescents and young adults.

KW - Adolescents

KW - Chile

KW - Chlamydia trachomatis

KW - Neisseria gonorrhoeae

KW - Trichomonas vaginalis

UR - http://www.scopus.com/inward/record.url?scp=85048068878&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048068878&partnerID=8YFLogxK

U2 - 10.1016/j.jpag.2018.01.003

DO - 10.1016/j.jpag.2018.01.003

M3 - Article

C2 - 29409759

AN - SCOPUS:85048068878

VL - 31

SP - 411

EP - 415

JO - Journal of Pediatric and Adolescent Gynecology

JF - Journal of Pediatric and Adolescent Gynecology

SN - 1083-3188

IS - 4

ER -