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Cited by 58Reproductive tract infections researchHIV/AIDS Research and InterventionsHIV, Drug Use, Sexual Risk

The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.

Gonorrhoea reinfection in heterosexual STD clinic attendees: longitudinal analysis of risks for first reinfection

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Mehta, S D·2003·Sexually Transmitted Infections
DOI 10.1136/sti.79.2.124PMC PMC1744639
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Abstract

OBJECTIVES: Gonorrhoea is associated with adverse reproductive health outcomes, including pelvic inflammatory disease and increased HIV transmission. Our objective was to determine the association of demographic factors, sexual risk behaviours, and drug use with incident gonorrhoea reinfection among public STD clinic clients. METHODS: A retrospective cohort study conducted from January 1994 through October 1998, of heterosexual public STD clinic attendees age >/=12 years having at least one gonorrhoea infection in Baltimore, MD. The outcome was first incident gonorrhoea reinfection over a maximum 4.8 years, compared in STD clinic clients with or without sexual risk behaviours and drug use at initial gonorrhoea infection. RESULTS: 910 reinfections occurred among 8327 individuals and 21 246 person years of observation, for an overall incidence of 4.28 reinfections per 100 person years (95% CI 4.03 to 4.53). Median time to reinfection was 1.00 year (95% CI 0.91 to 1.07 years). In multivariate Cox regression, increased reinfection risk was associated with male sex, younger age, greater number of recent sex partners, and having a sex partner who is a commercial sex worker. Injection drug use and coming to the clinic as an STD contact were protective. Among risk factors that differed significantly between men and women, injection drug use was protective of reinfection in men, and "any" condom use was a risk factor for reinfection in women CONCLUSIONS: Reinfection represents a significant proportion of STD clinic visits for gonorrhoea. Prevention counselling and routine screening for patients at high risk for reinfection should be considered to maximally reduce transmission and resource utilisation.

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Metadata

Authors
Mehta, S. D.
Affiliations
Johns Hopkins University (US)
Corresponding author
Mehta, S D
ORCID
Mehta, S D
Venue
Sexually Transmitted Infections
Publisher
BMJ
Published
2003-04-01
Volume
79
Issue
2
Pages
124-128
ISSN
  • 0007-134X (ISSN-L)
  • 1368-4973
DOI
10.1136/sti.79.2.124
PMC
PMC1744639
OpenAlex
W2007748150
Cited by
58
References
18
Citations by year
2025: 1 · 2024: 1 · 2022: 2 · 2021: 2 · 2019: 4 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 3 · 2012: 3
FWCI
3.12
Type
journal article
Language
en
Open access
Locations
  • Sexually Transmitted Infections (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
  • National Institutes of Health
  • U.S. Public Health Service (A145724)
  • National Institute of Allergy and Infectious Diseases (K24AI001633, U19AI038533)
Topics
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
gonorrhea, reinfection, sexual risk behavior, intravenous drug use, condom use, sex workers, number of sexual partners, STI screening
MeSH terms
Adult, Epidemiologic Methods, Female, Gonorrhea, Humans, Male, Patient Acceptance of Health Care, Sexual Partners, Baltimore, Condoms, Age of Onset, Heterosexuality, Secondary Prevention

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