Chlamydia trachomatis Infection Among Women Reporting Sexual Activity With Women Screened in Family Planning Clinics in the Pacific Northwest, 1997 to 2005
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OBJECTIVES: We sought to define Chlamydia trachomatis positivity among women who report sexual activity with women, a population for which sparse data on this infection are available and for whom health disparities including challenged access to comprehensive sexual and reproductive health services, have been reported. METHODS: We analyzed data from 9358 family planning clinic visits with C trachomatis tests among women aged 15 to 24 years who reported sexual activity within the past year exclusively with women (WSW) or with men and women (WSMW), in the Region X Infertility Prevention Project. Characteristics were compared with women who reported sexual activity exclusively with men (WSM). Results. C trachomatis positivity among both WSW and WSMW was 7.1%, compared with 5.3% among WSM. Behavioral risks were more commonly reported by WSW and WSMW, compared with reports by WSM. Risks for C trachomatis positivity were comparable across groups and included younger age, non-White race, behavioral risks, and clinical signs. CONCLUSIONS: Higher C trachomatis positivity among women reporting same-sex sexual behavior supports investigation into potential explanatory factors, including sexual behaviors, biological susceptibility, routine C trachomatis screening disparities, sexual identity disclosure, and sexual network assessment.
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Data indicate that C. trachomatis infection among WSW can occur.
“Data indicate that C. trachomatis infection among WSW can occur (275,286,308,309).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [308]
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- Authors
- Singh, D., Fine, D. N., & Marrazzo, J. M.
- Affiliations
- University of Washington (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2011-07
- Volume
- 101
- Issue
- 7
- Pages
- 1284-1290
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC3110221
- OpenAlex
- W2140705016
- Cited by
- 69
- References
- 46
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 9 · 2019: 4 · 2018: 1 · 2017: 6 · 2016: 6 · 2015: 5 · 2014: 7 · 2013: 11 · 2012: 3
- FWCI
- 5.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- Chlamydia trachomatis, women who have sex with women, same-sex sexual behavior, sexually transmitted infections, family planning clinics, screening disparities, sexual risk behavior, coming out, young women, Pacific Northwest
- MeSH terms
- Adolescent, Ambulatory Care Facilities, Chlamydia Infections, Chlamydia trachomatis, Female, Humans, Male, Risk Factors, Sexual Behavior, Northwestern United States, Confidence Intervals, Chi-Square Distribution, Logistic Models, Odds Ratio, Homosexuality, Female, Young Adult
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