Correlates of incident Trichomonas vaginalis infections among African American female adolescents.
Correlates of incident Trichomonas vaginalis infections among African American female adolescents.
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DOI：
10.1097/olq.0000000000000094
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发表时间：
2014-04
影响因子：
3.1
通讯作者：
Rose ES
中科院分区：
文献类型：
--
作者：
Swartzendruber A;Sales JM;Brown JL;Diclemente RJ;Rose ES
Trichomonas vaginalis is the most common curable sexually transmitted infection (STI), associated with adverse reproductive health and pregnancy outcomes and may amplify HIV transmission. The objective was to identify correlates of incident Trichomonas vaginalis infections among African American adolescent females. Data were collected via audio computer-assisted self-interviews at baseline and every 6 months for 18 months from 701 African American females (14–20 years) in an HIV prevention trial. At each assessment, self-collected vaginal swabs were assayed for T. vaginalis, Chlamydia trachomatis and Neisseria gonorrhoeae. Generalized estimating equations assessed associations between incident T. vaginalis infection and sociodemographic characteristics, substance use, partner-level factors, sexual risk behaviors, douching and other STIs. Of 605 (86.3%) participants who completed ≥1 follow-up assessment, an incident T. vaginalis infection was detected among 20.0% (n=121). Factors associated with incident infection in adjusted analysis included: cigarette smoking (AOR: 1.66, 95% CI: 1.04, 2.64), using alcohol on an increasing number of days in the past 3 months (AOR: 1.02, 95% CI: 1.00, 1.04), acquisition of C. trachomatis (AOR: 2.27, 95% CI: 1.40, 3.69) or N. gonorrhoeae (AOR: 5.71, 95% CI: 2.97, 11.02) and T. vaginalis infection at the previous assessment (AOR: 3.16, 95% CI: 1.96, 5.07). Incident T. vaginalis infections were common. Strategies to reduce infection rates among this population may include improving partner notification and treatment services. The benefits of re-screening, screening adolescents screened for or infected with C. trachomatis or N. gonorrhoeae and associations between substance use and T. vaginalis acquisition warrant further investigation.
