Gonorrhea Prevalence Among Young Women and Men Entering the National Job Training Program, 2000–2017

Bibliographic Data

ID11036621
AuthorsEmily R Learner (0000-0003-3778-8631, The authors are with the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Emily R. Learner is also with the Oak Ridge Institute for Science and Education, Oak Ridge, TN.), Kristen Kreisel (0000-0001-5284-9960, The authors are with the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Emily R. Learner is also with the Oak Ridge Institute for Science and Education, Oak Ridge, TN.), Robert D Kirkcaldy (0000-0002-1749-4647, The authors are with the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Emily R. Learner is also with the Oak Ridge Institute for Science and Education, Oak Ridge, TN.), Karen Schlanger (The authors are with the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Emily R. Learner is also with the Oak Ridge Institute for Science and Education, Oak Ridge, TN.), Elizabeth A Torrone (The authors are with the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Emily R. Learner is also with the Oak Ridge Institute for Science and Education, Oak Ridge, TN.), Elizabeth Torrone (0000-0002-5154-6332, National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention)
Year2020
Volume110
Issue5
Pages710-717
Publication date2020-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2019.305559
PMID32191513
OpenAlexW3011312161
LanguageEN
Citations received1
References cited12

Objectives. To examine long-term gonorrhea prevalence trends from a sentinel surveillance population of young people at elevated risk for gonorrhea. Methods. We analyzed annual cross-sectional urogenital gonorrhea screening data from 191 991 women (2000–2017) and 224 348 men (2003–2017) 16 to 24 years of age entering the National Job Training Program, a US vocational training program. We estimated prevalence among women using an expectation-maximization algorithm incorporated into a logistic regression to account for increases in screening test sensitivity; log-binomial regression was used to estimate prevalence among men. Results. The adjusted gonorrhea prevalence among women followed a U-shaped curve, falling from 2.9% to 1.6% from 2000 through 2011 before rising to 2.7% in 2017. The prevalence among men declined from 1.4% to 0.8% from 2003 through 2017. In the case of both women and men, the prevalence was highest across all study years among those who were Black or American Indian/Alaska Native and those who resided in the South or Midwest. Conclusions. Trends among National Job Training Program enrollees suggest that gonorrhea prevalence is rising among young women while remaining low and steady among young men

Cross-sectional study · Environmental health · Family medicine · Gonorrhea · Logistic regression · Population · Adolescent Sexual and Reproductive Health · Demography · Medicine · Reproductive Health and Contraception · Reproductive tract infections research · Gerontology

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