Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

New UNC research finds high rate of chlamydia in U.S. young adults

12.05.2004


More than one in 25 young adults in the United States is infected with the organism that causes the sexually transmitted disease known as chlamydia, according to the latest results from the National Longitudinal Study of Adolescent Health, a continuing University of North Carolina at Chapel Hill investigation.



If not detected and treated, chlamydia, which usually has no symptoms, can cause pelvic inflammatory disease, ectopic pregnancy and infertility.

The prevalence of chlamydial infection was higher than expected, especially among men. The infection was present in all races but six times greater in young black adults than in young whites, researchers found. Almost 14 percent of young black women and more than 11 percent of black men of comparable ages carried the bug.


Analysis of urine specimens of 12,548 study participants from across the country showed U.S. Asian men to have the lowest infection rates, scientists said. The highest infection rate occurred in the South (5.4 percent); the lowest was in the Northeast (2.4 percent).

Overall, the prevalence of gonorrhea was far lower -- 0.43 percent, the scientists discovered. Among black men and women, however, the prevalence was 2.13 percent.

"Asymptomatic young adult men clearly account for a large reservoir of infection in the general population, but screening recommendations have largely excluded men," said lead author Dr. William C. Miller, assistant professor of medicine and epidemiology.

"The marked differences in these sexually transmitted infections across racial and ethnic groups are disturbing," Miler said. "Our results provide compelling evidence that nationwide disparities in chlamydial and gonococcal infections are real rather than the result of biased estimates."

The differences may be partially responsible for considerable variations in reproductive health among whites, blacks and other racial and ethnic groups, he said. For example, black women have a 33 percent higher incidence of ectopic pregnancy compared with whites, and in many areas, including New York City, black women and infants face a greater risk of childbirth-related death, he said.

A report on the research, based on data collected during the third wave of Add Health, appears in the May 12 issue of the Journal of the American Medical Association. The new work is the most comprehensive assessment ever of the prevalence of chlamydial and gonococcal infections in the general population of young U.S. adults.

Besides Miller, UNC schools of medicine and public health authors are Drs. Carol A. Ford, associate professor of pediatrics; John L. Schmitz, assistant professor of pathology and laboratory medicine; Marcia M. Hobbs, research assistant professor of medicine; Myron S. Cohen, J. Herbert Bate professor of medicine and chief of the infectious diseases division; Kathleen Mullan Harris, professor of sociology; and J. Richard Udry, professor of maternal and child health and of sociology.

Drs. Martina Morris and Mark S. Handcock, both sociologists and statisticians at the University of Washington at Seattle, also participated in the study.

"We found the prevalence of untreated asymptomatic chlamydial infection to be high in young adults in the United States," Miller and colleagues wrote. "The high prevalence of chlamydial infection in both men and women suggests that current screening approaches that focus primarily on clinic-based testing of young women are inadequate. The reduction of disparities in the prevalence of both chlamydial and gonococcal infections across racial and ethnic groups must also be a priority."

Other findings were that:
  • Men and women of the same race did not differ markedly in infections.

  • Native Americans and Latinos also carried the Chlamydia trachomatis bacterium at high rates.

  • By comparison with chlamydia, gonococcal infections, also known as gonorrhea, were low as expected because that illness usually causes painful or unsightly symptoms for which most patients seek treatment.

Of people in the study population, who were age 22 on average, 54.2 percent were white, 21.3 percent black, 16.3 percent Latino, 7.2 percent Asian American and 1 percent Native American. toward home, school and religion that could affect health.


Support for the infection study came from the UNC Sexually Transmitted Diseases Cooperative Research Center, the National Institutes of Health and the Robert Wood Johnson Foundation.

The National Institute of Child Health and Human Development and 17 other agencies have supported Add Health, a program project designed by Udry, Harris and Dr. Peter S. Bearman, now of Columbia University. It has carefully followed close to 20,000 U.S. adolescents into adulthood to uncover behaviors that promote or damage young people’s health such as smoking, drug use and sexual activity and attitudes

David Williamson | EurekAlert!
Further information:
http://www.unc.edu/

More articles from Health and Medicine:

nachricht NIST scientists discover how to switch liver cancer cell growth from 2-D to 3-D structures
17.11.2017 | National Institute of Standards and Technology (NIST)

nachricht High speed video recording precisely measures blood cell velocity
15.11.2017 | ITMO University

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: A “cosmic snake” reveals the structure of remote galaxies

The formation of stars in distant galaxies is still largely unexplored. For the first time, astron-omers at the University of Geneva have now been able to closely observe a star system six billion light-years away. In doing so, they are confirming earlier simulations made by the University of Zurich. One special effect is made possible by the multiple reflections of images that run through the cosmos like a snake.

Today, astronomers have a pretty accurate idea of how stars were formed in the recent cosmic past. But do these laws also apply to older galaxies? For around a...

Im Focus: Visual intelligence is not the same as IQ

Just because someone is smart and well-motivated doesn't mean he or she can learn the visual skills needed to excel at tasks like matching fingerprints, interpreting medical X-rays, keeping track of aircraft on radar displays or forensic face matching.

That is the implication of a new study which shows for the first time that there is a broad range of differences in people's visual ability and that these...

Im Focus: Novel Nano-CT device creates high-resolution 3D-X-rays of tiny velvet worm legs

Computer Tomography (CT) is a standard procedure in hospitals, but so far, the technology has not been suitable for imaging extremely small objects. In PNAS, a team from the Technical University of Munich (TUM) describes a Nano-CT device that creates three-dimensional x-ray images at resolutions up to 100 nanometers. The first test application: Together with colleagues from the University of Kassel and Helmholtz-Zentrum Geesthacht the researchers analyzed the locomotory system of a velvet worm.

During a CT analysis, the object under investigation is x-rayed and a detector measures the respective amount of radiation absorbed from various angles....

Im Focus: Researchers Develop Data Bus for Quantum Computer

The quantum world is fragile; error correction codes are needed to protect the information stored in a quantum object from the deteriorating effects of noise. Quantum physicists in Innsbruck have developed a protocol to pass quantum information between differently encoded building blocks of a future quantum computer, such as processors and memories. Scientists may use this protocol in the future to build a data bus for quantum computers. The researchers have published their work in the journal Nature Communications.

Future quantum computers will be able to solve problems where conventional computers fail today. We are still far away from any large-scale implementation,...

Im Focus: Wrinkles give heat a jolt in pillared graphene

Rice University researchers test 3-D carbon nanostructures' thermal transport abilities

Pillared graphene would transfer heat better if the theoretical material had a few asymmetric junctions that caused wrinkles, according to Rice University...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Ecology Across Borders: International conference brings together 1,500 ecologists

15.11.2017 | Event News

Road into laboratory: Users discuss biaxial fatigue-testing for car and truck wheel

15.11.2017 | Event News

#Berlin5GWeek: The right network for Industry 4.0

30.10.2017 | Event News

 
Latest News

Water world

20.11.2017 | Life Sciences

Less is more to produce top-notch 2D materials

20.11.2017 | Materials Sciences

Carefully crafted light pulses control neuron activity

20.11.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>