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Cited by 40Reproductive tract infections researchCriminal Justice and Corrections AnalysisAdolescent Sexual and Reproductive Health

Sex and age correlates of chlamydia prevalence in adolescents and adults entering correctional facilities, 2005: implications for screening policy.

Joesoef, M Riduan, Weinstock, Hillard S., Kent, Charlotte K., Chow, Joan M., Boudov, Melina R., Parvez, Farah M., Cox, Tamara, Lincoln, Thomas +2 more·2009·Sexually Transmitted Diseases
DOI 10.1097/olq.0b013e31815d6de8
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Abstract

OBJECTIVES: To evaluate sex and age correlates of chlamydia prevalence in incarcerated populations. METHODS: Cross-sectional analysis of chlamydia prevalence by demographic characteristics from incarcerated females and males entering selected juvenile and adult correctional facilities (jails) in the United States in 2005. RESULTS: A total of 97,681 and 52,485 incarcerated persons aged >/=12 years were screened for chlamydia in 141 juvenile and 22 adult correctional facilities, respectively. Overall, chlamydia prevalence was high in females (14.3% and 7.5%) in both juvenile and adult facilities when compared with that in males (6.0% and 4.6%). The chlamydia prevalence was higher in incarcerated females than in incarcerated males for persons </=35 years, and prevalence was highest among females aged </=25 years (range, 11.3%-15.6%). In juvenile facilities, prevalence did not steadily increase with age in females (12.8% in 12-14 years, 15.1% in 15-17 years, and 14.3% in 18-20 years) whereas in males prevalence steadily increased with age (2.4% in 12-14 years to 8.7% in 18-20 years). In females and males the highest prevalence in juvenile facilities was in incarcerated blacks (18.4% and 9.6%, respectively). In adult facilities, the prevalence was consistently highest in younger detainees: in females it was 15.6% in 18- to 20-year olds compared with 1.5% in those >40 years; in males it was 8.8% in 18- to 20-year olds compared with 1.4% in those >40 years. CONCLUSIONS: The consistently high chlamydia prevalence among females in juvenile facilities and females (</=25 years) in adult facilities supports a screening policy in correctional settings consistent with Centers for Disease Control and Prevention and US Preventive Services Task Force guidelines. Although the prevalence of chlamydia in males is substantial, chlamydia prevalence in females exceeds that of males </=35 years, and thus screening females for chlamydia in these facilities should take priority over screening males.

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Crossref · 10.1097/olq.0b013e31815d6de8

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  • Both males and females aged ≤35 years in juvenile and adult detention facilities have been reported to have higher rates of chlamydia and gonorrhea than nonincarcerated persons in the community.

    “Both males and females aged ≤35 years in juvenile and adult detention facilities have been reported to have higher rates of chlamydia and gonorrhea than nonincarcerated persons in the community (141,374,376).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [376]

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Authors
Joesoef, M. R., Weinstock, H. S., Kent, C. K., Chow, J. M., Boudov, M. R., Parvez, F. M., Cox, T., Lincoln, T., Miller, J. L., & Sternberg, M.
Affiliations
  • Centers for Disease Control and Prevention (US)
  • Los Angeles County Department of Health Services (US)
  • Baystate Medical Center (US)
Corresponding author
  • Joesoef, M Riduan
  • Weinstock, Hillard S.
  • Kent, Charlotte K.
  • Cox, Tamara
  • Miller, Jamie L.
  • Sternberg, Maya
ORCID
Venue
Sexually Transmitted Diseases
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2009-02
Volume
36
Issue
2
Pages
S67-S71
ISSN
0148-5717 (ISSN-L)
DOI
10.1097/olq.0b013e31815d6de8
OpenAlex
W2027759744
Cited by
40
References
38
Citations by year
2026: 1 · 2025: 1 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 3 · 2016: 1 · 2015: 5 · 2014: 5 · 2013: 2 · 2012: 5
FWCI
4.15
Type
journal article
Language
en
Open access
closed
Locations
  • Sexually Transmitted Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
  • Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
Keywords
chlamydia, chlamydia prevalence, prison population, prisons, juvenile detention, age differences, sex differences, screening policy, sexually transmitted infections, adolescents, adults, racial disparities, screening guidelines, jails, sexually transmitted disease control, STD prevention
MeSH terms
Adolescent, Adult, Child, Chlamydia Infections, Chlamydia trachomatis, Cross-Sectional Studies, Female, Health Policy, Humans, Juvenile Delinquency, Male, Mass Screening, Prisoners, Prisons, United States, Prevalence, Age Distribution, Sex Distribution, Young Adult

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