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Forward Genetic Approaches in Chlamydia trachomatis
Published on: October 23, 2013
Socioeconomic factors associated with chlamydia and gonorrhea positivity in the United States, 2022-2024
Larry He1, Chirag G Patel2, Yamir Salabarría-Peña2
1Oak Ridge Institute for Science and Education, Division of STD Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Background:
Socioeconomic factors (SEF) can be associated with health outcomes. Understanding the relationships among SEF, demographics, and sexually transmitted infection (STI) positivity can help identify areas to improve STI prevention and care with greatest impact.
Methods:
We identified chlamydia and gonorrhea tests from January 2022 to April 2024 for patients aged 15-44 years in the Truveta electronic health record dataset. We estimated the positivity of chlamydia and gonorrhea and stratified by patient demographics (age, sex, race and ethnicity) and SEF measures (recent eviction and educational achievement).
Results:
Among 1,799,427 urogenital chlamydia and 1,795,115 urogenital gonorrhea tests conducted on patients aged 15-44 years from January 2022 to April 2024, the overall chlamydia and gonorrhea positivity were 5.43% and 1.86%, respectively. Patients with no college education on record had higher urogenital chlamydia and gonorrhea positivity than those with 4-year college (5.47% vs. 2.90% for chlamydia and 2.05% vs. 0.66% for gonorrhea). Patients with recent eviction had higher urogenital chlamydia and gonorrhea positivity than those without (7.31% vs. 4.83% for chlamydia and 3.51% vs. 1.67% for gonorrhea).
Conclusion:
The association between housing insecurity, lower educational attainment, and higher positivity for chlamydia and gonorrhea underscores the need for intersectoral targeted efforts to address challenges contributing to suboptimal STI infections.
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