Prevalence and predictors of Trichomonas infection in newly incarcerated women.
Open accessAbstract
BACKGROUND: Trichomonas vaginalis is the most prevalent curable sexually transmitted infection in the United States and may lead to preterm delivery, infertility, and increased HIV transmission. Incarcerated women may be at especially high risk for infection, although few studies have examined routine screening for Trichomonas infection in this population. METHODS: Women older than 18 years entering the Rhode Island Department of Corrections between September 2009 and May 2011 were recruited to participate. All women submitted a self-collected vaginal swab for APTIMA transcription-mediated amplification testing. Each participant completed a survey addressing demographics, symptoms, sexual behavior, and substance use by audio computer-assisted self-interview. Data analysis was completed using multivariate logistic regression in SAS. RESULTS: Data for 387 women were analyzed. The mean age was 30 years, 60% were white, 18% were Hispanic, 10% were black, and 12% had other race/ethnicity. Forty-four percent reported vaginal symptoms, and 77% reported illicit drug and/or heavy alcohol use in the 30 days before incarceration. The prevalence of Trichomonas was 14% by APTIMA. The strongest predictors of infection included black race (odds ratio [OR], 5.1; 95% confidence interval [CI], 1.9-13.4; P < 0.01), more than 1 year since last Papanicolaou test (OR, 2.5; 95% CI, 1.3-4.8; P < 0.01) and presence of vaginal symptoms (OR, 2.3; 95% CI, 1.2-4.7; P = 0.02). CONCLUSIONS: Trichomonas infection is common in incarcerated women, especially among black women, women with vaginal symptoms, and those not receiving routine gynecologic care. Screening for Trichomonas infection in high-risk populations, particularly if using highly sensitive methods such as transcription-mediated amplification, may lead to increased detection and treatment.
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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 [390]
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Sexually Transmitted Infections Treatment Guidelines, 2021
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- Authors
- Nijhawan, A. E., Chapin, K. C., Salloway, R., Andrea, S., Champion, J., Roberts, M., & Clarke, J. G.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- Rhode Island Hospital (US)
- Memorial Hospital of Rhode Island (US)
- Brown University (US)
- Corresponding author
- Nijhawan, Ank E.
- Venue
- Sexually Transmitted Diseases
- Published
- 2012-12
- Volume
- 39
- Issue
- 12
- Pages
- 973-978
- ISSN
- 0148-5717 (ISSN-L)
- PMC
- PMC3878291
- OpenAlex
- W1980923082
- Cited by
- 28
- References
- 25
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 1
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Sexually Transmitted Diseases (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD054890)
- 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 › Epidemiology › Cervical Cancer and HPV Research
- Keywords
- Trichomonas vaginalis, trichomoniasis, women prisoners, prison population, sexually transmitted infections, infection prevalence, risk factors, racial disparities, Black women, vaginal symptoms, Pap smear, gynecological care, transcription-mediated amplification, screening, substance use, alcohol consumption, illicit drug use
- MeSH terms
- Adolescent, Adult, Female, Humans, Predictive Value of Tests, Prisoners, Reagent Kits, Diagnostic, Rhode Island, Risk Factors, Self Care, Sexual Behavior, Trichomonas Infections, Trichomonas vaginalis, Vagina, Vaginal Smears, Prevalence, Multivariate Analysis, Logistic Models, Odds Ratio, Women's Health, Self Report, Papanicolaou Test
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