Additional predictors among whites were having a new partner, having multiple partners and having pelvic inflammatory disease no other factors were significant for blacks. In both racial groups, chlamydia infection was associated with younger age, contact with a symptomatic partner, cervicitis, cervical friability and gonorrhea positivity.
Being aged 15–21 was associated with an elevated risk of gonorrhea for blacks only. Predictors specific to whites were visiting the clinic for STD care and having a new partner or multiple partners in the past year. Independent predictors of gonorrhea in both races were symptoms, recent sexual contact with a partner who had STD symptoms, and chlamydia infection. The gonorrhea rate was 4% for blacks and 0.4% for whites the chlamydia rate, 9% and 4%, respectively.
Overall, 0.7% of women had gonorrhea, and 4% had chlamydia. Logistic regression analysis was used to assess factors associated with the risk of infection.
METHODSĭata from 31,762 women aged 15–24 who were tested for gonorrhea and chlamydia at Missouri family planning clinics in 2001 were used to calculate the prevalence of each infection by selected variables. Because of the potential impact of these infections on women's reproductive health, it is important to determine whether different factors are predictive of infection in women of different races. Black women are disproportionately infected with gonorrhea and chlamydia.
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