Knock-Knock: A Population-Based Survey of Risk Behavior, Health Care Access, and Chlamydia trachomatis Infection among Low-Income Women in the San Francisco Bay Area

To estimate the prevalence of urogenital chlamydial infection among young, low-income women in northern California and to describe correlates of infection, a population-based door-to-door household cluster survey was conducted from 1996 through 1998. The participants included 1439 women 18–29 years...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of infectious diseases 2001-04, Vol.183 (7), p.1087-1092
Main Authors: Klausner, Jeffrey D., McFarland, Willi, Bolan, Gail, Hernandez, Maria T., Molitor, Fred, Lemp, George F., Cahoon-Young, Barbara, Morrow, Scott
Format: Article
Language:English
Subjects:
Adolescent
Adult
African Americans
Age
Atherosclerosis (general aspects, experimental research)
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
Blood and lymphatic vessels
California - epidemiology
Cardiology. Vascular system
Chlamydia
Chlamydia Infections - epidemiology
Chlamydia trachomatis
Cohort Studies
Epidemiology
Female
Genital Diseases, Female - epidemiology
Government Programs - statistics & numerical data
Health surveys
Hispanic Americans
Human bacterial diseases
Humans
Infections
Infectious diseases
Insurance, Health
Major Articles
Medical sciences
Population Surveillance
Poverty
Prevalence
Preventive medicine
Public health
Risk Factors
Sexually transmitted diseases
Surveillance
Womens health services
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To estimate the prevalence of urogenital chlamydial infection among young, low-income women in northern California and to describe correlates of infection, a population-based door-to-door household cluster survey was conducted from 1996 through 1998. The participants included 1439 women 18–29 years of age, with a mean age of 24 years, most of whom were African American (43%) or Latina (23%) and had a median income of $500–$999 per month. Most (94%) had received health care in the past year, and ∼50% was covered by state insurance programs. Although more than half (62%) had had a recent pelvic examination, only 42% had recently used a condom with a new partner. The prevalence of urogenital chlamydial infection was 3.2% (95% confidence interval, 2.2%–4.2%). Women with chlamydia were more likely to be younger (18–21 years of age) and nonwhite and to have lower socioeconomic status. These data demonstrated an ∼2–3-fold greater burden of infection than routine surveillance data have suggested
ISSN:0022-1899
1537-6613
DOI:10.1086/319276