Accession Number : ADA332457

Title :   Study of Chlamydia Trachomatis in Military Women; Prevalence, Risk Factors, and a Cost Benefits Analysis of Early Diagnosis and Treatment.

Descriptive Note : Annual rept. 31 Aug 96-30 Aug 97,

Corporate Author : JOHNS HOPKINS UNIV BALTIMORE MD

Personal Author(s) : Gaydos, Charlotte

PDF Url : ADA332457

Report Date : SEP 1997

Pagination or Media Count : 45

Abstract : This ongoing study used urine LCR to determine the prevalence of and risk factors for chlamydial infections among military females. Three different populations were screened: recruits who were beginning military service, symptomatic patients attending a Troop Medical Clinic (TMC), and asymptomatic women having a PAP test. Urine specimens and questionnaires were collected. Urines I were tested by LCR (Abbott Labs); PAP patients were also tested by cervical culture. In 10,361 women screened from 1-96 to 6-97, prevalence was 9.1%. The recruits, TMC, and PAP populations had prevalences of 9.0%, 11.9%, and 7.3%, respectively. The mean age was 22; 50.5% were Caucasian; 94% were sexually active, 25.3% had more than 1 sex partner in the last 90 days; and 29.2% had a new sex partner; 16.2% used condoms consistently; and 9.4% had a previous chlamydial infection. Compared to cervical culture, LCR sensitivity was 88.6% (asymptomatic group, N=434). Multivariate analysis of the recruit population (N 9,192) identified several significant risk factors useful for predicting chlamydia positivity: young age (OR 3.4), African-American race (OR 2.7), vaginal sex (OR 4.1), more than 1 sex partner (OR lA), and a new partner (OR 1.5). For the recruit population, a screening program based solely on young age L>25) could detect 95.8% of the positives while only screening 87.2% of the population. Preliminary analysis indicates mass therapy is potentially costeffective in preventing the disease.

Descriptors :   *MILITARY PERSONNEL, *DIAGNOSIS(GENERAL), *WOMEN, *CHLAMYDIA, *CHLAMYDIA TRACHOMATIS, RISK, COST ANALYSIS, HEALTH, POPULATION, THERAPY, RECRUITS, QUESTIONNAIRES, FEMALES, SEX, URINE.

Subject Categories : Economics and Cost Analysis
      Microbiology

Distribution Statement : APPROVED FOR PUBLIC RELEASE