Evidence map›Paper›PMID 40178135›Full record

ArticleSexually transmitted diseases2025

Prevalence of Chlamydia trachomatis Genital Infection Among Sexually Experienced Females Aged 14 to 24 Years by Race/Ethnicity, United States: 2011 to March 2020.

Casey E Copen, Ian H Spicknall, Patricia J Dittus, Kristen M Kreisel

Abstract read
In one paragraph

Article in Sexually transmitted diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Casey E CopenFrom the Division of STD Prevention, National Center for HIV, Hepatitis, Sexually Transmitted Disease, and Tuberculosis Prevention.ORCID 0000-0001-8354-0464
Ian H SpicknallFrom the Division of STD Prevention, National Center for HIV, Hepatitis, Sexually Transmitted Disease, and Tuberculosis Prevention.ORCID 0000-0001-5558-6350
Patricia J DittusDivision of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.ORCID 0000-0003-4554-3853
Kristen M KreiselFrom the Division of STD Prevention, National Center for HIV, Hepatitis, Sexually Transmitted Disease, and Tuberculosis Prevention.ORCID 0000-0001-5284-9960

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundSince 2013, national trends in behavioral factors that increase sexually transmitted infection risk among adolescent and young adult (A/YA) females have been mixed (e.g., fewer sex partners, lower condom use). We used data from a national sample of A/YA females to examine racial disparities in Chlamydia trachomatis (CT) prevalence considering these trends.

methodsUsing 2011-March 2020 National Health and Nutrition Examination Survey data, we estimated the prevalence, and unadjusted and adjusted prevalence ratios of a positive CT urine test result among sexually experienced non-Hispanic Black (Black), Hispanic, non-Hispanic Other race (NHO), and non-Hispanic White (White) A/YA females. Percentages were categorized by race/ethnicity, and each was compared with the average of the other race/ethnic groups (e.g., Black vs. Hispanic, NHO, and White). Covariates included age group, health insurance coverage, number of sex partners, and condom use (both past year).

resultsOverall, the prevalence of CT infection among A/YA females was 5.8% (95% confidence interval [CI], 4.5%-7.3%). The prevalence of CT was higher among Black females (vs. Hispanic, NHO, and White; 11.7%; 95% CI, 8.7%-15.2%) and lower among White females (vs. Black, Hispanic, and NHO; 3.2%; 95% CI, 1.7%-5.5%). Compared with the average CT prevalence for Hispanic, NHO, and White females, Black females had a higher adjusted CT prevalence (adjusted prevalence ratio, 2.48; 95% CI, 1.63-3.75).

conclusionsNationally, CT prevalence was 2.5 times as high among Black A/YA females than the average prevalence for Hispanic, NHO, and White females. Inclusion of behavioral sexually transmitted infection risk factors did not attenuate this association. Research incorporating sexual network-level factors associated with CT transmission may provide additional insights.

Indexed as

Chlamydia InfectionsChlamydia trachomatisEthnicityRacial GroupsAdolescentBlack or African AmericanCondomsFemaleHispanic or LatinoHumansNutrition SurveysPrevalenceRisk FactorsSexual BehaviorSexual PartnersUnited States

Identifiers

PMID40178135
PMCPMC12236090

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.