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