Abstract:
INTRODUCTION:Bacterial vaginosis (BV) is a common vaginal condition in women of reproductive age, which has been associated with Chlamydia trachomatis and Neisseria gonorrhoeae among commercial sex workers and women attending sexually transmitted infection clinics. Pathogen-specific associations between BV and other sexually transmitted infections among U.S. military women have not been investigated. METHODS:A population-based, nested case-control study was conducted of all incident chlamydia and gonorrhea cases reported to the Defense Medical Surveillance System during 2006-2012. Using a density sampling approach, for each chlamydia or gonorrhea case, 10 age-matched (±1 year) controls were randomly selected from those women who were never diagnosed with these infections. Incidence rate ratios were estimated using conditional logistic regression. Statistical analysis was carried out in December 2015. RESULTS:A total of 37,149 chlamydia cases and 4,987 gonorrhea cases were identified during the study period. Antecedent BV was associated with an increased risk of subsequent chlamydia (adjusted incidence rate ratio=1.51; 95% CI=1.47, 1.55) and gonorrhea (adjusted incidence rate ratio=2.42; 95% CI=2.27, 2.57) infections. For every one additional episode of BV, the risk of acquiring chlamydia and gonorrhea infections increased by 13% and 26%, respectively. A monotonic dose-response relationship was also noted between antecedent BV and subsequent chlamydia and gonorrhea infection. In addition, an effect modification on the additive scale was found between BV and African-American race for gonorrhea, but not for chlamydia. CONCLUSIONS:Among U.S. Army women, antecedent BV is associated with an increased risk of subsequent chlamydia and gonorrhea infection.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Bautista CT,Wurapa EK,Sateren WB,Morris SM,Hollingsworth BP,Sanchez JLdoi
10.1016/j.amepre.2016.09.016subject
Has Abstractpub_date
2017-05-01 00:00:00pages
632-639issue
5eissn
0749-3797issn
1873-2607pii
S0749-3797(16)30448-2journal_volume
52pub_type
杂志文章abstract:BACKGROUND:While the U.S. elderly population uses a disproportionate amount of healthcare resources, there is limited knowledge from prospective studies regarding the impact of lifestyle-related factors on costs in this group. The association was examined between smoking, drinking, exercise, body mass index (BMI), and ...
journal_title:American journal of preventive medicine
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abstract::Public screening for elevated blood cholesterol has become a common practice, supported by national recommendations. However, little is known about the response to referral for medical follow-up of those found to have high cholesterol levels. During a one-year period, 424 adults from a population-based screening and e...
journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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pub_type: 历史文章,信件
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更新日期:2005-06-01 00:00:00
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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