Incidence and laboratory diagnosis of sexually-transmitted infections among university students in a high-prevalence community

J Am Coll Health. 2023 Feb-Mar;71(2):571-577. doi: 10.1080/07448481.2021.1899185. Epub 2021 Apr 8.

Abstract

Objective: The purpose of this study was to determine the incidence of four sexually-transmitted infection (STI) agents among university students. Participants: A total of 1744 Milwaukee, Wisconsin metropolitan area student encounters at two university health clinics. Methods: Following consent, participants completed an eight-item demographic and behavioral questionnaire and provided a specimen for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, and Mycoplasma genitalium RNA testing. Results: C. trachomatis (7.2%) and M. genitalium (6.7%) detection rates were highest, with C. trachomatis more likely to result in symptomatic infection in males and females. Female M. genitalium detection rates did not differ as a function of symptomatic status. Students identifying as African American were more likely to test positive for M. genitalium than other races/ethnicities. M. genitalium detection in both genders was a function of reported condom usage. Conclusions: Students would benefit from familiarity with emerging STI agents, as well as behaviors associated with increased risk of STI.

Keywords: Chlamydia trachomatis; Mycoplasma genitalium; college/university students; sexually-transmitted infection; transcription-mediated amplification.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chlamydia Infections* / diagnosis
  • Chlamydia Infections* / epidemiology
  • Chlamydia trachomatis / genetics
  • Clinical Laboratory Techniques
  • Female
  • Humans
  • Incidence
  • Male
  • Prevalence
  • Sexually Transmitted Diseases* / diagnosis
  • Sexually Transmitted Diseases* / epidemiology
  • Students
  • Universities