PEDIATRICS Vol. 73 No. 6 June 1984, pp. 836-840
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Chiamydia trachomatis Infection in Sexually Active Adolescents: Prevalence and Risk Factors

Mariam R. Chacko MD1 and Judith C. Lovchik PhD1

1 From the Divisions of Adolescent Medicine and Pediatric Research, Department of Pediatrics, University of Maryland School of Medicine, Baltimore

The prevalence of Chlamydia trachomatisgenital infection was studied in a sexually active urban Baltimore adolescent population. Possible risk factors such as age, past history of sexually transmitted disease, number of sexual partners, contact with sexually transmitted disease, oral contraceptive use, and concomitant gonococcal infection were also evaluated. The prevalence of chlamydial infection in the 280 adolescents studied was 26%: 35% in male adolescents, 27% in pregnant female adolescents, and 23% in nonpregnant female adolescents. Chiamydia was almost three times as prevalent as gonorrhea in the same population. Age, past history of sexually transmitted disease, oral contraceptive use, and concomitant gonorrhea were not significantly associated with chlamydial infection. However, multiple current sexual partners, contact with sexually transmitted disease, genitourinary symptoms, and cervical ectopy were significantly associated with chlamydial infection. Testing for chlamydial infection in sexually active urban teenagers is recommended for those with genitourinary symptoms, those with cervical ectopy, or those who are contacts of persons with sexually transmitted disease. Considering the reservoir of infection in the asymptomatic female adolescents, screening for chlamydial infections in family planning clinics warrants consideration.

Key Words: Chlamydia trachomatis • adolescents • sexually transmitted diseases

Submitted on February 23, 1983
Accepted on August 30, 1983




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