Partner Age Not Associated with Recurrent Chlamydia trachomatis Infection, Condom Use, or Partner Treatment and Referral among Adolescent Women

Manya Magnus, Julia A. Schillinger, J. Fortenberry, Stuart M. Berman, Patricia Kissinger

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Purpose: Among adolescent women, having older sexual partners has been associated with initial Chlamydia trachomatis (Ct) infection and high-risk behaviors. This study evaluates the role of older partners in the risk of three outcomes: recurrent Ct, lack of condom use, and nonadherence with partner management (PM) strategies. Methods: Female participants aged 14 to 18 years enrolled in a randomized clinical trial of patient-delivered partner treatment (PDPT) with at least one follow-up visit were included in this secondary analysis. Patient- and partner-level data were collected at baseline, one, and four months follow-up. Generalized estimating equations (GEE) and logistic regression were used to examine unadjusted and adjusted associations. Results: The majority of the 496 women were African-American (63.3%), aged 16 to 18 years (62.3%), and asymptomatic for Ct (66.7%). At baseline, all of the women had laboratory-demonstrated Ct and were treated; they had 622 partners during the last 60 days, 21.4% reported having more than one partner with a mean (SD) of 1.5 (.78) partners per woman, and 46.3% of the partners were at least three years older than the woman. Over follow-up, 16.1% of the women experienced Ct recurrence, in 41.9% of the partnerships a condom was not used at last sex, and 80.6% of women reported giving PM. After adjusting for confounders, having a partner at least three years older was not associated with increased risk of Ct recurrence, lack of condom use, or nonadherence to PM strategies. Conclusions: Risk of Ct recurrence, lack of condom use, and nonadherence to PM strategies was not higher among adolescent women with older partners.

Original languageEnglish
Pages (from-to)396-403
Number of pages8
JournalJournal of Adolescent Health
Volume39
Issue number3
DOIs
StatePublished - Sep 2006

Fingerprint

Chlamydia Infections
Chlamydia trachomatis
Condoms
Referral and Consultation
Therapeutics
Recurrence
Sexual Partners
Risk-Taking
African Americans
Randomized Controlled Trials
Logistic Models

Keywords

  • Adolescent behavior
  • Chlamydia infections
  • Prevention and control
  • Recurrence
  • Sexually transmitted diseases

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Partner Age Not Associated with Recurrent Chlamydia trachomatis Infection, Condom Use, or Partner Treatment and Referral among Adolescent Women. / Magnus, Manya; Schillinger, Julia A.; Fortenberry, J.; Berman, Stuart M.; Kissinger, Patricia.

In: Journal of Adolescent Health, Vol. 39, No. 3, 09.2006, p. 396-403.

Research output: Contribution to journalArticle

Magnus, Manya ; Schillinger, Julia A. ; Fortenberry, J. ; Berman, Stuart M. ; Kissinger, Patricia. / Partner Age Not Associated with Recurrent Chlamydia trachomatis Infection, Condom Use, or Partner Treatment and Referral among Adolescent Women. In: Journal of Adolescent Health. 2006 ; Vol. 39, No. 3. pp. 396-403.
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abstract = "Purpose: Among adolescent women, having older sexual partners has been associated with initial Chlamydia trachomatis (Ct) infection and high-risk behaviors. This study evaluates the role of older partners in the risk of three outcomes: recurrent Ct, lack of condom use, and nonadherence with partner management (PM) strategies. Methods: Female participants aged 14 to 18 years enrolled in a randomized clinical trial of patient-delivered partner treatment (PDPT) with at least one follow-up visit were included in this secondary analysis. Patient- and partner-level data were collected at baseline, one, and four months follow-up. Generalized estimating equations (GEE) and logistic regression were used to examine unadjusted and adjusted associations. Results: The majority of the 496 women were African-American (63.3{\%}), aged 16 to 18 years (62.3{\%}), and asymptomatic for Ct (66.7{\%}). At baseline, all of the women had laboratory-demonstrated Ct and were treated; they had 622 partners during the last 60 days, 21.4{\%} reported having more than one partner with a mean (SD) of 1.5 (.78) partners per woman, and 46.3{\%} of the partners were at least three years older than the woman. Over follow-up, 16.1{\%} of the women experienced Ct recurrence, in 41.9{\%} of the partnerships a condom was not used at last sex, and 80.6{\%} of women reported giving PM. After adjusting for confounders, having a partner at least three years older was not associated with increased risk of Ct recurrence, lack of condom use, or nonadherence to PM strategies. Conclusions: Risk of Ct recurrence, lack of condom use, and nonadherence to PM strategies was not higher among adolescent women with older partners.",
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T1 - Partner Age Not Associated with Recurrent Chlamydia trachomatis Infection, Condom Use, or Partner Treatment and Referral among Adolescent Women

AU - Magnus, Manya

AU - Schillinger, Julia A.

AU - Fortenberry, J.

AU - Berman, Stuart M.

AU - Kissinger, Patricia

PY - 2006/9

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N2 - Purpose: Among adolescent women, having older sexual partners has been associated with initial Chlamydia trachomatis (Ct) infection and high-risk behaviors. This study evaluates the role of older partners in the risk of three outcomes: recurrent Ct, lack of condom use, and nonadherence with partner management (PM) strategies. Methods: Female participants aged 14 to 18 years enrolled in a randomized clinical trial of patient-delivered partner treatment (PDPT) with at least one follow-up visit were included in this secondary analysis. Patient- and partner-level data were collected at baseline, one, and four months follow-up. Generalized estimating equations (GEE) and logistic regression were used to examine unadjusted and adjusted associations. Results: The majority of the 496 women were African-American (63.3%), aged 16 to 18 years (62.3%), and asymptomatic for Ct (66.7%). At baseline, all of the women had laboratory-demonstrated Ct and were treated; they had 622 partners during the last 60 days, 21.4% reported having more than one partner with a mean (SD) of 1.5 (.78) partners per woman, and 46.3% of the partners were at least three years older than the woman. Over follow-up, 16.1% of the women experienced Ct recurrence, in 41.9% of the partnerships a condom was not used at last sex, and 80.6% of women reported giving PM. After adjusting for confounders, having a partner at least three years older was not associated with increased risk of Ct recurrence, lack of condom use, or nonadherence to PM strategies. Conclusions: Risk of Ct recurrence, lack of condom use, and nonadherence to PM strategies was not higher among adolescent women with older partners.

AB - Purpose: Among adolescent women, having older sexual partners has been associated with initial Chlamydia trachomatis (Ct) infection and high-risk behaviors. This study evaluates the role of older partners in the risk of three outcomes: recurrent Ct, lack of condom use, and nonadherence with partner management (PM) strategies. Methods: Female participants aged 14 to 18 years enrolled in a randomized clinical trial of patient-delivered partner treatment (PDPT) with at least one follow-up visit were included in this secondary analysis. Patient- and partner-level data were collected at baseline, one, and four months follow-up. Generalized estimating equations (GEE) and logistic regression were used to examine unadjusted and adjusted associations. Results: The majority of the 496 women were African-American (63.3%), aged 16 to 18 years (62.3%), and asymptomatic for Ct (66.7%). At baseline, all of the women had laboratory-demonstrated Ct and were treated; they had 622 partners during the last 60 days, 21.4% reported having more than one partner with a mean (SD) of 1.5 (.78) partners per woman, and 46.3% of the partners were at least three years older than the woman. Over follow-up, 16.1% of the women experienced Ct recurrence, in 41.9% of the partnerships a condom was not used at last sex, and 80.6% of women reported giving PM. After adjusting for confounders, having a partner at least three years older was not associated with increased risk of Ct recurrence, lack of condom use, or nonadherence to PM strategies. Conclusions: Risk of Ct recurrence, lack of condom use, and nonadherence to PM strategies was not higher among adolescent women with older partners.

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KW - Chlamydia infections

KW - Prevention and control

KW - Recurrence

KW - Sexually transmitted diseases

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