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Gonorrhea prevalence and coinfection with chlamydia in women in
the United States, 2000.
Sexually Transmitted Diseases 2003;30(5):472-476.
Dicker LW, Mosure DJ, Berman SM, Levine WC, Regional Infertility Program.
Abstract
BACKGROUND: No recent national data address the prevalence of gonorrhea. GOAL:
The goal was to describe gonorrhea prevalence and chlamydial coinfection
among women aged 15 to 24 years. STUDY DESIGN: Data were analyzed from tests
for chlamydia and gonorrhea at family planning, STD, and prenatal clinics
in 2000. Gonorrhea positivity, chlamydia positivity among women with gonorrhea,
and the median and interquartile ranges (IQRs) were calculated. RESULTS:
The median state-specific gonorrhea positivity among women aged 15 to 24
years was 0.9% (IQR, 0.7%-1.7%) in family planning clinics, 7.0% (IQR, 4.1%-10.4%)
in STD clinics, and 1.0% (IQR, 0.8%-1.6%) in prenatal clinics. Gonorrhea
positivity was higher among females aged 15 to 19 years than among those
aged 20 to 24 years. Median chlamydia positivity for females infected with
gonorrhea was highest among those aged 15 to 19 years (46%). CONCLUSIONS:
Gonorrhea positivity was consistently highest among women aged 15 to 19 years;
almost half of women aged 15 to 19 years with gonorrhea also had chlamydia.