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CDC HIV/AIDS/Viral Hepatitis/STD/TB Prevention News Update

UNITED STATES: Prevalence of Neisseria Gonorrhoeae Infections Among Men and Women Entering the National Job Training Program - United States, 2004-2009


Sexually Transmitted Diseases Vol. 39; No. 1: P. 49-54

In 2009 there were 99 cases of gonorrhea for every 100,000 persons in the United States, according to national notifiable disease data - the lowest recorded rate in US history.

"However, the extent to which declining case reports signify a reduction in prevalence is unknown," wrote the authors, who estimated prevalence of the STD among men and women, ages 16- 24, entering the National Job Training Program (NJTP) between 2004 and 2009. The probability of testing positive for gonorrhea over time was assessed using multivariate logistic regression.

A total of 95,184 men and 91,697 women were screened for gonorrhea upon entering NJTP during the study period. Among women, gonorrhea prevalence increased from 2.6 percent in 2004 to 2.9 percent in 2006, then declined steadily to 1.8 percent through 2009. Among men, prevalence increased from 1.3 percent in 2004 to 1.6 percent in 2005, then decreased to 0.9 percent through 2009.

Among black women, gonorrhea prevalence decreased from 3.6 percent in 2004 to 2.5 percent in 2009; prevalence was two to four times higher than among white women. Among black men, prevalence decreased from 2.0 percent to 1.5 percent; prevalence was eight to 22 times higher than among white men.

"After adjusting for gonorrhea risk factors, the odds of women and men testing positive for gonorrhea decreased by 50 percent and 40 percent, respectively, from 2004 to 2009," the authors wrote. "Declining trends in gonorrhea infection among NJTP entrants are similar to those observed in gonorrhea case report data, suggesting that the decrease in case reports is due to a decrease in prevalence. However, targeted interventions are needed to reduce gonorrhea infections in populations with disproportionate risk."


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