Journal of Community Health

, Volume 29, Issue 4, pp 265–269

Prevalence of Chlamydial and Gonorrheal Infections Among Females in a Juvenile Detention Facility, Honolulu, Hawaii

  • Alan R. Katz
  • Maria Veneranda C. Lee
  • Roy G. Ohye
  • Paul V. Effler
  • Elmer C. Johnson
  • Steven M. Nishi
Article

Abstract

Limited studies have shown high rates of gonorrheal and chlamydial infections among incarcerated adolescents, however, this population has not been routinely targeted for sexually transmitted disease (STD) screening. This study was done to ascertain the feasibility of screening females for STDs at a juvenile detention facility in Honolulu, Hawaii, and to determine the prevalence of chlamydial and gonorrheal infections in this population. Between January 2000 and December 2001, pelvic examination-based STD screening was offered to all female detainees, on selected dates. Specimens from multiple anatomical sites were cultured for Neisseria gonorrhoeae. Endocervical swabs were tested for Chlamydia trachomatis using a DNA probe (GenProbe®). One-hundred one of 204 (50%) eligible females were screened. Fourteen of 101 (13.9%) females were screen positive for chlamydial infection, while six of 101 (5.9%) were culture positive for infection with N. gonorrhoeae. Three females were co-infected with both organisms. The high STD rates justify the institution of a routine screening program for this high risk and previously underserved group.

chlamydia gonorrhea adolescents women's health 

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REFERENCES

  1. 1.
    Centers for Disease Control and Prevention. Sexually transmitted disease surveillance, 2001. Atlanta, GA: U.S. Department of Health and Human Services, September 2002.Google Scholar
  2. 2.
    Centers for Disease Control and Prevention. High prevalence of chlamydial and gonococcal infection in women entering jails and juvenile detention centers-Chicago, Birmingham, and San Francisco, 1998. MMWR Morb Mortal Wkly Rep 1999; 48: 793-796.Google Scholar
  3. 3.
    Kelly, PJ, Bair, RM, Baillargeon, J, German, V. Risk behaviors and the prevalence of Chlamydia in a juvenile detention facility. Clin Pediatr 2000; 39: 521-527.Google Scholar
  4. 4.
    Morris, RE, Harrison, EA, Knox, GW, Tromanhauser, E, Marquis, DK, Watts, LL. Health risk behavioral survey from 39 juvenile correctional facilities in the United States. J Adolesc Health 1995; 17: 334-344.Google Scholar
  5. 5.
    Rome, ES. Sexually transmitted diseases: testing and treating. Adolesc Med 1999; 10: 231-241.Google Scholar
  6. 6.
    Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2002. MMWR Morb Mortal Wkly Rep 2002; 51(RR-6).Google Scholar
  7. 7.
    Mertz, KJ, Voigt, RA, Hutchins, K, Levine, WC. Findings from STD screening of adolescents and adults entering corrections facilities: implications for STD control strategies. Sex Transm Dis 2002; 29: 834-839.Google Scholar
  8. 8.
    Centers for Disease Control and Prevention. Screening tests to detect Chlamydia trachomatis and Neisseria gonorrhoeae infections-2002. MMWR Morb Mortal Wkly Rep 2002; 51(RR-15).Google Scholar
  9. 9.
    Oh, MK, Smith, KR, O'Cain, M, Kilmer, D, Johnson, J, Hook, EW, III. Urine-based screening of adolescents in detention to guide treatment for gonococcal and chlamydial infections. Arch Pediatr Adolesc Med 1998; 152: 52-56.Google Scholar
  10. 10.
    Cohen, D, Scribner, R, Clark, J, Cory, D. The potential role of custody facilities in controlling sexually transmitted diseases. Am J Public Health 1992; 82: 552-556.Google Scholar

Copyright information

© Human Sciences Press, Inc. 2004

Authors and Affiliations

  • Alan R. Katz
    • 1
  • Maria Veneranda C. Lee
    • 2
  • Roy G. Ohye
    • 2
  • Paul V. Effler
    • 3
  • Elmer C. Johnson
    • 4
  • Steven M. Nishi
    • 4
  1. 1.Department of Public Health Sciences and Epidemiology, John A. Burns School of MedicineUniversity of HawaiiHonolulu
  2. 2.Communicable Disease Division, Hawaii State Department of HealthSTD/AIDS Prevention BranchUSA
  3. 3.Communicable Disease DivisionHawaii State Department of HealthUSA
  4. 4.STD/AIDS Prevention Branch, Communicable Disease Division, Hawaii State Department of HealthDiamond Head Health CenterUSA

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