Sexually Transmitted Diseases Among Pregnant Women: 5 States, United States, 2009-2011

Details

• Alternative Title:
  Matern Child Health J
• Personal Author:
  Williams, Charnetta L. ; Harrison, Leslie L. ; Llata, Eloisa ; Smith, Ruben A. ; Meites, Elissa
• Description:
  Introduction
  
  Screening for specific sexually transmitted diseases (STDs) during pregnancy has been a longstanding public health recommendation. Prior studies have described associations between these infections and socioeconomic factors such as race/ethnicity and education.
  
  Objectives
  
  We evaluated the prevalence of STDs and the correlation socioeconomic factors have with the presence of these infections among pregnant women in the United States.
  
  Methods
  
  We conducted an analysis using self-reported data from 12,948 recently pregnant women from the Pregnancy Risk Assessment Monitoring System (PRAMS) in 5 states during 2009-2011. Responses to questions about curable STDs (chlamydia, gonorrhea, syphilis, trichomoniasis) diagnosed during pregnancy were utilized to calculate weighted STD prevalence estimates and 95% confidence intervals (CI). A logistic regression was also conducted to identify maternal socioeconomic characteristics significantly associated with STDs; results are displayed as adjusted prevalence ratios (aPR). The PRAMS protocol was approved at PRAMS participating sites and by CDC's Institutional Review Board.
  
  Results
  
  Overall, 3.3% (CI 2.9-3.7) reported ≥ 1 curable STD during her most recent pregnancy. The adjusted STD prevalence was higher among women with younger age (aPR, 2.4; CI 1.8-3.4), non-Hispanic black race/ethnicity (aPR, 3.3; CI 2.4-4.1), unmarried status (aPR, 2.1; CI 1.4-3.0), no college education (aPR, 1.4; CI 1.0-1.9), annual income < $25,000 (aPR, 2.0; CI 1.3-3.2), and no pre-pregnancy health insurance (aPR, 1.4; CI 1.1-1.8).
  
  Conclusions for Practice
  
  This is the largest study of prevalence of self-reported curable STDs among U.S. pregnant women. Differences in STD prevalence highlight the association between certain socioeconomic factors and the presence of STDs.
• Subjects:
  • Adult
  • Cross-Sectional Studies
  • Female
  • Health Surveys
  • Humans
  • Mass Screening
  • Pregnancy
  • Pregnancy Complications, Infectious
  • Pregnant People
  • Prenatal Care
  More +
• Keywords:
  • Sexually transmitted diseases/sexually transmitted infections
  • Pregnant women
  • Socioeconomic factors
  • Pregnancy Risk Assessment Monitoring System (PRAMS)
• Source:
  Matern Child Health J. 22(4):538-545
• Pubmed ID:
  29417361
• Pubmed Central ID:
  PMC5857256
• Document Type:
  Text
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Volume:
  22
• Issue:
  4
• Download URL:
  https://stacks.cdc.gov/view/cdc/52628/cdc_52628_DS1.pdf
• File Type:
  [PDF - 82.17 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:1c4c42bfaa790dce9b3248f187fe84fb22cc84cf1ec7b98f5a0ba4efea61bc5d8005d7bad8e1ce2842049b5a0230debc5f4c6fa9d58f3621717886796891e1df