The association between trichomonas infection and incarceration in HIV-seropositive and at-risk HIV-seronegative women

Ank E. Nijhawan, Alison K. Delong, David D. Celentano, Robert S. Klein, Jack D. Sobel, Denise J. Jamieson, Susan Cu-Uvin

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: The prevalence of Trichomonas vaginalis is higher among incarcerated women than in the general community. We sought to determine whether a history of incarceration itself was independently associated with trichomoniasis. Methods: The HIV Epidemiology Research Study is a prospective cohort study of 871 HIV-seropositive and 439 high-risk seronegative women in 4 urban centers (Bronx, NY; Detroit, MI; Providence, RI; Baltimore, MD). All participants enrolled between April 1993 and January 1995, with interviews and physical examinations conducted at baseline and at follow-up visits every 6 months up to 7 years. RESULTS:: Of 1310 subjects, 427 (33%) reported being incarcerated on at least one occasion. In addition, 724 (55%) were found to have a sexually transmitted infection on at least one occasion during the study; baseline rates were 21% for T. vaginalis, 4.3% for Chlamydia trachomatis, 0.6% for N. gonorrhea, and 8% for syphilis. Incarceration was associated with the detection of trichomonas infection (between-subject, odds ratio, 2.4; 95% confidence interval: 1.85-3.14; P < 0.01 and within-subject, odds ratio, 1.56; 95% confidence interval: 1.26-1.92; P < 0.01). The association with incarceration remained significant after adjusting for age, race, HIV status, enrollment risk group, number of sexual partners, marital status, education, bacterial vaginosis, vaginal candidiasis, drug use (crack, cocaine, heroin), alcohol use, health insurance, receipt of public assistance, employment status, visit number, and study site. Conclusions: A history of incarceration was independently associated with the detection of trichomonas infection in a cohort of high-risk women. These data have implications for increased sexually transmitted infection prevention, screening, and treatment upon entry to jail as well as in the communities most affected by incarceration.

Original languageEnglish (US)
Pages (from-to)1094-1100
Number of pages7
JournalSexually Transmitted Diseases
Volume38
Issue number12
DOIs
StatePublished - Dec 2011

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Trichomonas Infections
Trichomonas vaginalis
HIV
Sexually Transmitted Diseases
Public Assistance
Odds Ratio
Crack Cocaine
Confidence Intervals
Bacterial Vaginosis
Baltimore
Gonorrhea
Candidiasis
Sexual Partners
Chlamydia trachomatis
Heroin
Marital Status
Syphilis
Health Insurance
Physical Examination
Epidemiology

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases

Cite this

The association between trichomonas infection and incarceration in HIV-seropositive and at-risk HIV-seronegative women. / Nijhawan, Ank E.; Delong, Alison K.; Celentano, David D.; Klein, Robert S.; Sobel, Jack D.; Jamieson, Denise J.; Cu-Uvin, Susan.

In: Sexually Transmitted Diseases, Vol. 38, No. 12, 12.2011, p. 1094-1100.

Research output: Contribution to journalArticle

Nijhawan, Ank E. ; Delong, Alison K. ; Celentano, David D. ; Klein, Robert S. ; Sobel, Jack D. ; Jamieson, Denise J. ; Cu-Uvin, Susan. / The association between trichomonas infection and incarceration in HIV-seropositive and at-risk HIV-seronegative women. In: Sexually Transmitted Diseases. 2011 ; Vol. 38, No. 12. pp. 1094-1100.
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abstract = "Background: The prevalence of Trichomonas vaginalis is higher among incarcerated women than in the general community. We sought to determine whether a history of incarceration itself was independently associated with trichomoniasis. Methods: The HIV Epidemiology Research Study is a prospective cohort study of 871 HIV-seropositive and 439 high-risk seronegative women in 4 urban centers (Bronx, NY; Detroit, MI; Providence, RI; Baltimore, MD). All participants enrolled between April 1993 and January 1995, with interviews and physical examinations conducted at baseline and at follow-up visits every 6 months up to 7 years. RESULTS:: Of 1310 subjects, 427 (33{\%}) reported being incarcerated on at least one occasion. In addition, 724 (55{\%}) were found to have a sexually transmitted infection on at least one occasion during the study; baseline rates were 21{\%} for T. vaginalis, 4.3{\%} for Chlamydia trachomatis, 0.6{\%} for N. gonorrhea, and 8{\%} for syphilis. Incarceration was associated with the detection of trichomonas infection (between-subject, odds ratio, 2.4; 95{\%} confidence interval: 1.85-3.14; P < 0.01 and within-subject, odds ratio, 1.56; 95{\%} confidence interval: 1.26-1.92; P < 0.01). The association with incarceration remained significant after adjusting for age, race, HIV status, enrollment risk group, number of sexual partners, marital status, education, bacterial vaginosis, vaginal candidiasis, drug use (crack, cocaine, heroin), alcohol use, health insurance, receipt of public assistance, employment status, visit number, and study site. Conclusions: A history of incarceration was independently associated with the detection of trichomonas infection in a cohort of high-risk women. These data have implications for increased sexually transmitted infection prevention, screening, and treatment upon entry to jail as well as in the communities most affected by incarceration.",
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AU - Klein, Robert S.

AU - Sobel, Jack D.

AU - Jamieson, Denise J.

AU - Cu-Uvin, Susan

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AB - Background: The prevalence of Trichomonas vaginalis is higher among incarcerated women than in the general community. We sought to determine whether a history of incarceration itself was independently associated with trichomoniasis. Methods: The HIV Epidemiology Research Study is a prospective cohort study of 871 HIV-seropositive and 439 high-risk seronegative women in 4 urban centers (Bronx, NY; Detroit, MI; Providence, RI; Baltimore, MD). All participants enrolled between April 1993 and January 1995, with interviews and physical examinations conducted at baseline and at follow-up visits every 6 months up to 7 years. RESULTS:: Of 1310 subjects, 427 (33%) reported being incarcerated on at least one occasion. In addition, 724 (55%) were found to have a sexually transmitted infection on at least one occasion during the study; baseline rates were 21% for T. vaginalis, 4.3% for Chlamydia trachomatis, 0.6% for N. gonorrhea, and 8% for syphilis. Incarceration was associated with the detection of trichomonas infection (between-subject, odds ratio, 2.4; 95% confidence interval: 1.85-3.14; P < 0.01 and within-subject, odds ratio, 1.56; 95% confidence interval: 1.26-1.92; P < 0.01). The association with incarceration remained significant after adjusting for age, race, HIV status, enrollment risk group, number of sexual partners, marital status, education, bacterial vaginosis, vaginal candidiasis, drug use (crack, cocaine, heroin), alcohol use, health insurance, receipt of public assistance, employment status, visit number, and study site. Conclusions: A history of incarceration was independently associated with the detection of trichomonas infection in a cohort of high-risk women. These data have implications for increased sexually transmitted infection prevention, screening, and treatment upon entry to jail as well as in the communities most affected by incarceration.

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