美国年轻成年人中滴虫病的患病率。

The prevalence of trichomoniasis in young adults in the United States.

作者信息

Miller William C, Swygard Heidi, Hobbs Marcia M, Ford Carol A, Handcock Mark S, Morris Martina, Schmitz John L, Cohen Myron S, Harris Kathleen Mullan, Udry J Richard

机构信息

Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27516, USA.

出版信息

Sex Transm Dis. 2005 Oct;32(10):593-8. doi: 10.1097/01.olq.0000179874.76360.ad.

DOI:10.1097/01.olq.0000179874.76360.ad

PMID:16205299

Abstract

BACKGROUND AND OBJECTIVES

The prevalence of trichomoniasis in the general population of the United States is unknown. This study provides the first population-based prevalence estimates of trichomoniasis among young adults in the United States.

METHODS

The National Longitudinal Study of Adolescent Health (Add Health) is an ongoing prospective cohort study. In a cross-sectional analysis of Wave III of Add Health (N = 12,449), we determined the prevalence of trichomoniasis using a polymerase chain reaction assay.

RESULTS

The estimated overall prevalence of trichomoniasis in U.S. young adults was 2.3% (95% confidence interval [CI], 1.8-2.7%). The prevalence was slightly higher among women (2.8%; 95% CI, 2.2-3.6%) than men (1.7%; 95% CI, 1.3-2.2%). The prevalence increased with age and varied by region, with the south having the highest prevalence (2.8%; 95% CI, 2.2-3.5%). The prevalence was highest among black women (10.5%; 95% CI, 8.3-13.3%) and lowest among white women (1.1%; 95% CI, 0.8-1.6%). Among men, the prevalence was highest among Native Americans (4.1%; 95% CI, 0.4-29.3%) and blacks (3.3%; 95% CI, 2.2-4.9%), and lowest among white men (1.3%; 95% CI, 0.9-1.8%).

CONCLUSIONS

Trichomoniasis is moderately prevalent among the general U.S. population of young adults and disturbingly high among certain racial/ethnic groups.

摘要

背景与目的

美国普通人群中滴虫病的患病率尚不清楚。本研究首次提供了美国年轻人群中滴虫病基于人群的患病率估计。

方法

青少年健康全国纵向研究（Add Health）是一项正在进行的前瞻性队列研究。在对Add Health第三波（N = 12449）的横断面分析中，我们使用聚合酶链反应测定法确定滴虫病的患病率。

结果

美国年轻成年人中滴虫病的估计总体患病率为2.3%（95%置信区间[CI]，1.8 - 2.7%）。女性患病率（2.8%；95%CI，2.2 - 3.6%）略高于男性（1.7%；95%CI，1.3 - 2.2%）。患病率随年龄增长而增加，且因地区而异，南部患病率最高（2.8%；95%CI，2.2 - 3.5%）。黑人女性患病率最高（10.5%；95%CI，8.3 - 13.3%），白人女性患病率最低（1.1%；95%CI，0.8 - 1.6%）。在男性中，美洲原住民患病率最高（4.1%；95%CI，0.4 - 29.3%），黑人次之（3.3%；95%CI，2.2 - 4.9%），白人男性患病率最低（1.3%；95%CI，0.9 - 1.8%）。