Subsequent sexually transmitted infections among adolescent women with genital infection due to Chlamydia trachomatis, Neisseria gonorrhoeae, or Trichomonas vaginalis

J. Fortenberry, Edward J. Brizendine, Barry Katz, Kara Wools-Kaloustian, Margaret J. Blythe, Donald P. Orr

Research output: Contribution to journalArticle

144 Citations (Scopus)

Abstract

Objective: To identify factors associated with subsequent sexually transmitted infection (STI) (within 1 year of initial infection) due to Chlamydia trachomatis, Neisseria gonorrhoeae or Trichomonas vaginalis. Design: Prospective cohort study. Setting: A sexually transmitted diseases clinic and four community-based primary care clinics for adolescents. Participants: Female patients (ages 15 to 19 years) with initial diagnosis of chlamydia, gonorrhea, or trichomonas. Main Outcome Measures: Subsequent infection by chlamydia, gonorrhea, or trichomonas. Results: More than 40% of subjects were subsequently infected by at least one STI. Reinfection was common, but infections with sexually transmitted organisms other than the initial infecting organism were also common. Predictors of subsequent infection were black race, gonorrhea as the initial infection, two or more sex partners in the previous 3 months, and inconsistent condom use. Conclusions: Subsequent STI frequently follow an initial STI, but there is substantial variation in the causal organism. These data suggest the importance of comprehensive STI prevention programs for adolescents rather than organism-specific interventions.

Original languageEnglish
Pages (from-to)26-32
Number of pages7
JournalSexually Transmitted Diseases
Volume26
Issue number1
DOIs
StatePublished - Jan 1999

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Trichomonas vaginalis
Neisseria gonorrhoeae
Chlamydia trachomatis
Sexually Transmitted Diseases
Infection
Gonorrhea
Trichomonas Infections
Trichomonas
Chlamydia Infections
Chlamydia
Condoms
Primary Health Care
Cohort Studies
Outcome Assessment (Health Care)
Prospective Studies

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)

Cite this

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title = "Subsequent sexually transmitted infections among adolescent women with genital infection due to Chlamydia trachomatis, Neisseria gonorrhoeae, or Trichomonas vaginalis",
abstract = "Objective: To identify factors associated with subsequent sexually transmitted infection (STI) (within 1 year of initial infection) due to Chlamydia trachomatis, Neisseria gonorrhoeae or Trichomonas vaginalis. Design: Prospective cohort study. Setting: A sexually transmitted diseases clinic and four community-based primary care clinics for adolescents. Participants: Female patients (ages 15 to 19 years) with initial diagnosis of chlamydia, gonorrhea, or trichomonas. Main Outcome Measures: Subsequent infection by chlamydia, gonorrhea, or trichomonas. Results: More than 40{\%} of subjects were subsequently infected by at least one STI. Reinfection was common, but infections with sexually transmitted organisms other than the initial infecting organism were also common. Predictors of subsequent infection were black race, gonorrhea as the initial infection, two or more sex partners in the previous 3 months, and inconsistent condom use. Conclusions: Subsequent STI frequently follow an initial STI, but there is substantial variation in the causal organism. These data suggest the importance of comprehensive STI prevention programs for adolescents rather than organism-specific interventions.",
author = "J. Fortenberry and Brizendine, {Edward J.} and Barry Katz and Kara Wools-Kaloustian and Blythe, {Margaret J.} and Orr, {Donald P.}",
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TY - JOUR

T1 - Subsequent sexually transmitted infections among adolescent women with genital infection due to Chlamydia trachomatis, Neisseria gonorrhoeae, or Trichomonas vaginalis

AU - Fortenberry, J.

AU - Brizendine, Edward J.

AU - Katz, Barry

AU - Wools-Kaloustian, Kara

AU - Blythe, Margaret J.

AU - Orr, Donald P.

PY - 1999/1

Y1 - 1999/1

N2 - Objective: To identify factors associated with subsequent sexually transmitted infection (STI) (within 1 year of initial infection) due to Chlamydia trachomatis, Neisseria gonorrhoeae or Trichomonas vaginalis. Design: Prospective cohort study. Setting: A sexually transmitted diseases clinic and four community-based primary care clinics for adolescents. Participants: Female patients (ages 15 to 19 years) with initial diagnosis of chlamydia, gonorrhea, or trichomonas. Main Outcome Measures: Subsequent infection by chlamydia, gonorrhea, or trichomonas. Results: More than 40% of subjects were subsequently infected by at least one STI. Reinfection was common, but infections with sexually transmitted organisms other than the initial infecting organism were also common. Predictors of subsequent infection were black race, gonorrhea as the initial infection, two or more sex partners in the previous 3 months, and inconsistent condom use. Conclusions: Subsequent STI frequently follow an initial STI, but there is substantial variation in the causal organism. These data suggest the importance of comprehensive STI prevention programs for adolescents rather than organism-specific interventions.

AB - Objective: To identify factors associated with subsequent sexually transmitted infection (STI) (within 1 year of initial infection) due to Chlamydia trachomatis, Neisseria gonorrhoeae or Trichomonas vaginalis. Design: Prospective cohort study. Setting: A sexually transmitted diseases clinic and four community-based primary care clinics for adolescents. Participants: Female patients (ages 15 to 19 years) with initial diagnosis of chlamydia, gonorrhea, or trichomonas. Main Outcome Measures: Subsequent infection by chlamydia, gonorrhea, or trichomonas. Results: More than 40% of subjects were subsequently infected by at least one STI. Reinfection was common, but infections with sexually transmitted organisms other than the initial infecting organism were also common. Predictors of subsequent infection were black race, gonorrhea as the initial infection, two or more sex partners in the previous 3 months, and inconsistent condom use. Conclusions: Subsequent STI frequently follow an initial STI, but there is substantial variation in the causal organism. These data suggest the importance of comprehensive STI prevention programs for adolescents rather than organism-specific interventions.

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