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Sexually transmitted infections, active component, U.S. Armed Forces, 2007-2016.

Shauna Stahlman, Alexis A Oetting

    MSMR
    |September 28, 2017
    PubMed
    Summary

    This study tracked common sexually transmitted infections (STIs) in U.S. military members from 2007-2016. Chlamydia was most frequent, with higher rates in women and younger, non-Hispanic Black, enlisted personnel.

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    Area of Science:

    • Public Health
    • Epidemiology
    • Military Medicine

    Background:

    • Sexually transmitted infections (STIs) pose a significant health burden.
    • Understanding STI incidence trends in military populations is crucial for targeted interventions.
    • Previous surveillance data provides a baseline for current trends.

    Purpose of the Study:

    • To report and analyze incidence rates of the five most common STIs among active U.S. Armed Forces members.
    • To identify demographic and subgroup variations in STI diagnoses.
    • To compare current STI trends with historical data.

    Main Methods:

    • Analysis of diagnostic data for chlamydia, genital human papillomavirus (HPV), gonorrhea, herpes simplex virus (HSV), and syphilis.
    • Surveillance period: 2007-2016.

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  • Stratification by sex, age, race/ethnicity, service branch, and enlisted status.

    • Main Results:

    • Chlamydia was the most frequently diagnosed STI, followed by genital HPV, gonorrhea, HSV, and syphilis.
    • Women exhibited higher rates for all STIs except syphilis.
    • Younger, non-Hispanic Black, enlisted service members generally had higher STI incidence rates.
    • STI rates in men remained stable, except for an increase in syphilis.
    • Women's rates for HPV and gonorrhea decreased, while HSV, syphilis, and chlamydia remained stable.

    Conclusions:

    • STI incidence varies significantly across demographic groups within the U.S. military.
    • Specific STIs show distinct trends in men and women, highlighting the need for tailored prevention strategies.
    • Continued monitoring is essential to address the evolving landscape of STIs in military populations.