Prevalence and Correlates of Trichomonas vaginalis Infection Among Men and Women in the United States
Prevalence and Correlates of Trichomonas vaginalis Infection Among Men and Women in the United States
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DOI：
10.1093/cid/ciy079
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发表时间：
2018-07-15
影响因子：
11.8
通讯作者：
Tobian, Aaron A. R.
中科院分区：
文献类型：
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作者：
Patel, Eshan U.;Gaydos, Charlotte A.;Tobian, Aaron A. R.
背景。美国阴道毛滴虫 (TV) 感染的流行病学定义不明确。方法。对参加2013-2014年全国健康与营养检查调查并提供尿液样本的18-59岁男性和女性进行TV感染检测（n=4057）。参与者还接受了沙眼衣原体 (CT) 感染、生殖器人乳头瘤病毒 (HPV) 感染和 2 型单纯疱疹病毒血清状态检查。通过多变量泊松回归估计加权调整患病率（aPR）。结果。男性和女性电视感染率分别为 0.5% 和 1.8%。黑人男性电视感染率为 4.2%，黑人女性为 8.9%，其他种族/民族的男性和女性电视感染率分别为 0.03% 和 0.8%。电视感染率（aPR [95% 置信区间]）与女性（6.1 [3.3-11.3]）、黑人种族（相对于其他种族/民族；7.9 [3.9-16.1]）、老年（相对于 18-24 岁；25 至 39 岁为 3.0 [1.2-7.1]，3.5）呈正相关。 [1.3-9.4]（对于 40 至 59 岁的人）、高中以下学历（相对于完成高中或以上；2.0 [1.0-4.1]）、低于贫困线（相对于贫困线或以上；4.0 [2.1-7.7]）、以及在过去一年有 = 2 个性伴侣（相对于 0-1 个性伴侣；3.6） [2.0-6.6]）。没有电视和CT双重感染。生殖器 HPV 检测与 TV 感染并不独立相关。在18-39岁的人群中，所有检查的性传播感染都存在显着的种族差异，其中电视感染的差异最大。结论。在美国，成年平民、非机构化黑人人口中，尿路电视感染的负担很高且不成比例，需要进行干预。
Background. The epidemiology of Trichomonas vaginalis (TV) infection in the United States is poorly defined.Methods. Males and females aged 18-59 years who participated in the 2013-2014 National Health and Nutrition Examination Survey and provided a urine specimen were tested for TV infection (n=4057). Participants were also examined for Chlamydia trachomatis (CT) infection, genital human papillomavirus (HPV) infection, and herpes simplex virus type 2 serostatus. Weighted adjusted prevalence ratios (aPRs) were estimated by multivariable Poisson regression.Results. TV infection prevalence was 0.5% and 1.8% among males and females, respectively. TV infection prevalence was 4.2% among black males, 8.9% among black females, and 0.03% and 0.8%, respectively, among males and females of other races/ethnicities. TV infection prevalence (aPR [95% confidence interval]) was positively associated with female sex (6.1 [3.3-11.3]), black race (vs other races/ethnicities; 7.9 [3.9-16.1]), older age (vs 18-24 years; 3.0 [1.2-7.1] for 25-to 39-year-olds and 3.5 [1.3-9.4] for 40-to 59-year-olds), having less than a high school education (vs completing high school or more; 2.0 [1.0-4.1]), being below the poverty level (vs at or above the poverty level; 4.0 [2.1-7.7]), and having=2 sexual partners in the past year (vs 0-1 sexual partners; 3.6 [2.0-6.6]). There were no TV and CT coinfections. Genital HPV detection was not independently associated with TV infection. Among persons aged 18-39 years, there was a significant racial disparity in all sexually transmitted infections examined, and this disparity was greatest for TV infection.Conclusions. There is a high and disproportionate burden of urinary TV infection in the adult civilian, noninstitutionalized black population in the United States that warrants intervention.