TY - JOUR
T1 - It takes at least two
T2 - Male partner factors, racial/ethnic disparity, and chlamydia trachomatis among pregnant women
AU - Weisz, Jessica
AU - Lozyniak, Sara
AU - Lane, Sandra D.
AU - Silverman, Robert
AU - de Mott, Kathy
AU - Wojtowycz, Martha A.
AU - Aubry, Richard H.
AU - Koumans, Emilia H.
PY - 2011/8
Y1 - 2011/8
N2 - Chlamydia trachomatis (CT), the most prevalent sexually transmitted infection in the United States, disproportionately infects women and people of color. This study aimed to identify risk factors for racial and ethnic disparities for CT infection, re-infection, and persistent infection among pregnant women. We present a secondary analysis of births from a retrospective cohort study in Syracuse, NY from January 2000 through March 2002. African American women [OR 3.35 CI (2.29, 4.92)], Latin American women [OR 4.35 CI (2.52, 7.48)], unmarried women [OR 7.57 CI (4.38, 13.10)], and teen mothers [OR 3.87 CI (2.91, 5.16)] demonstrated statistically significant increased risk for infection. In multivariate analyses that included male partner variables, father's race/ethnicity but not the mother's race/ethnicity remained statistically associated with CT. Despite near universal rates of screening pregnant women, challenges to CT control remain and reflect barriers to testing and treatment of male partners.
AB - Chlamydia trachomatis (CT), the most prevalent sexually transmitted infection in the United States, disproportionately infects women and people of color. This study aimed to identify risk factors for racial and ethnic disparities for CT infection, re-infection, and persistent infection among pregnant women. We present a secondary analysis of births from a retrospective cohort study in Syracuse, NY from January 2000 through March 2002. African American women [OR 3.35 CI (2.29, 4.92)], Latin American women [OR 4.35 CI (2.52, 7.48)], unmarried women [OR 7.57 CI (4.38, 13.10)], and teen mothers [OR 3.87 CI (2.91, 5.16)] demonstrated statistically significant increased risk for infection. In multivariate analyses that included male partner variables, father's race/ethnicity but not the mother's race/ethnicity remained statistically associated with CT. Despite near universal rates of screening pregnant women, challenges to CT control remain and reflect barriers to testing and treatment of male partners.
KW - Chlamydia trachomatis
KW - Male partner factors
KW - Pregnancy
KW - Racial/ethnic disparity
KW - Social determinants
UR - http://www.scopus.com/inward/record.url?scp=80051899997&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80051899997&partnerID=8YFLogxK
U2 - 10.1353/hpu.2011.0086
DO - 10.1353/hpu.2011.0086
M3 - Article
C2 - 21841284
AN - SCOPUS:80051899997
SN - 1049-2089
VL - 22
SP - 871
EP - 885
JO - Journal of Health Care for the Poor and Underserved
JF - Journal of Health Care for the Poor and Underserved
IS - 3
ER -