Chlamydia Prevalence Among College Students: Reproductive and Public Health Implications

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Background:Routine chlamydia screening is not readily available at all college campuses.Objectives:To assess the prevalence of Chlamydia trachomatis among asymptomatic college students and to compare chlamydia positivity by selected demographic variables.Methods:Analysis of demographical data collected on 789 students who volunteered for a urine screening of C. trachomatis and Neisseria gonorrheae infections at 10 colleges in Alabama, Georgia, and Mississippi.Results:The median age was 20 years. The chlamydia prevalence among all students was 9.7%. Students under the age of 20 years were 66% more likely to be infected than were older students (95% CI 1.01–2.73). Younger female students were 92% more likely to be infected than were older female students (95% CI 1.03–3.59).Conclusions:The chlamydia prevalence was higher in younger college students; more screening efforts and increased awareness are needed to reduce the prevalence of chlamydial infections among students.

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