Prevalence and correlates of Trichomonas vaginalis infection among female US federal prison inmates.

Sutcliffe, Siobhan; Newman, Sara B.; Hardick, Andrew; Gaydos, Charlotte A.

doi:10.1097/olq.0b013e3181de4113

Cited by 31Reproductive tract infections researchSex work and related issuesHIV/AIDS Research and Interventions

Prevalence and correlates of Trichomonas vaginalis infection among female US federal prison inmates.

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Sutcliffe, Siobhan, Newman, Sara B., Hardick, Andrew, Gaydos, Charlotte A.·2010·Sexually Transmitted Diseases

DOI 10.1097/olq.0b013e3181de4113PMC PMC4800006

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Abstract

BACKGROUND: Previous studies have observed high prevalences of Trichomonas vaginalis infection among women entering US jails and state prisons (22%-47%). We sought to determine the prevalence among women incarcerated in 2 US female-only federal prisons. METHODS: Female inmates were recruited at 2 prisons (n = 624). Participants completed a self-administered questionnaire and provided self-collected first-catch urine and vaginal swab specimens. Specimens were tested for T. vaginalis DNA. RESULTS: Approximately 8.5% of participants at the first prison, and 8.3% at the second prison had a positive urine result, vaginal swab result or both, for a combined prevalence of 8.5%. Using positivity in either specimen as the reference standard, urine polymerase chain reaction had a sensitivity of 66.7% and vaginal swab polymerase chain reaction had a sensitivity of 84.4%. The only significant positive correlate of T. vaginalis infection was lower household income before arrest. Other variables nonsignificantly positively correlated with T. vaginalis were being employed at the time of arrest, having experienced sexual, physical, or emotional abuse by a family member, having a parent who had not had a drug or alcohol addiction, never exchanging sex for money or drugs, ever being pregnant, having abnormal vaginal bleeding/spotting, and having concurrent chlamydia or gonorrhea. CONCLUSIONS: Although not as high as in other studies of women entering US jails and state prisons, our observed T. vaginalis prevalence of 8.5% was much higher than in the general US population. Therefore, screening for T. vaginalis infection may be warranted at federal prison entry, as well as sexual health education during prison stay.

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Studies have demonstrated high prevalence of trichomoniasis among incarcerated females.
“Studies have demonstrated high prevalence of trichomoniasis among incarcerated females (386–392).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [386]

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Authors: Sutcliffe, S., Newman, S. B., Hardick, A., & Gaydos, C. A.
Affiliations: Washington University in St. Louis (US)
National Park Service (US)
Johns Hopkins University (US)
Corresponding author: Sutcliffe, Siobhan
ORCID: Sutcliffe, Siobhan
Gaydos, Charlotte A.
Venue: Sexually Transmitted Diseases
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2010-09
Volume: 37
Issue: 9
Pages: 585-590
ISSN: 0148-5717 (ISSN-L)
DOI: 10.1097/olq.0b013e3181de4113
PMC: PMC4800006
OpenAlex: W2057575906
Cited by: 31
References: 31
Citations by year: 2026: 1 · 2025: 3 · 2023: 3 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 1
FWCI: 1.76
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Sexually Transmitted Diseases (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
Funders: U.S. Public Health Service (U01-A1-068613)
National Institute of Allergy and Infectious Diseases (U01AI047636)
National Institute of Biomedical Imaging and Bioengineering (U54EB007958)
Topics: Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
Social Sciences › Sociology and Political Science › Sex work and related issues
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords: Trichomonas vaginalis, trichomoniasis, prevalence, risk factors, household income, urine PCR, screening, sexual abuse, chlamydia, gonorrhea, women prisoners
MeSH terms: Adult, Female, Humans, Prisoners, Prisons, Surveys and Questionnaires, Risk Factors, Sensitivity and Specificity, Trichomonas Infections, Trichomonas vaginalis, Trichomonas Vaginitis, United States, Urine, Vagina, Prevalence, DNA, Protozoan, Polymerase Chain Reaction

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Prevalence and correlates of Trichomonas vaginalis infection among female US federal prison inmates.

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