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Prevalence of Chlamydia in young men in the United States from newly
implemented universal screening in a national job training program.
Sexually Transmitted Diseases 2006; 33(10):636-639.
Joesoef MR, Mosure DJ.
Abstract
OBJECTIVE: The objective of this study was to examine chlamydia prevalence
and its risk factors from the first universal screening in socioeconomically
disadvantaged young men. GOAL: The goal of this study was to evaluate the
need for universal screening in young men. STUDY DESIGN: We calculated chlamydia
prevalence by demographic and geographic characteristics from 51,478 men
aged 16 to 24 years who were screened from July 2003 to December 2004. RESULTS:
Overall, chlamydia prevalence was 8.2%. Only 2.4% of the young men had sexually
transmitted disease symptoms. Blacks had the highest prevalence (13.0%),
whereas non-Hispanic whites had the lowest (3.1%). Men who smoked marijuana
had a significantly higher prevalence compared with those who did not (11.9%
vs. 6.4%). Men who used cocaine or PCP also had a significantly higher chlamydia
prevalence compared with those who did not. Men who lived in the southern
region of the United States had the highest prevalence. CONCLUSIONS: Chlamydial
infection is highly prevalent among socioeconomically disadvantaged young
men. Young men entering the National Job Training Program represent an important
population for screening.