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Am J Public Health. 2007 Jun;97(6):1118-25. Epub 2007 Apr 26.

Mycoplasma genitalium among young adults in the United States: an emerging sexually transmitted infection.

Author information

1
Department of Epidemiology, School of Public Health and Community Medicine, University of Washington, Seattle, WA 98104-2499, USA. lmanhart@u.washington.edu

Abstract

OBJECTIVES:

We sought to determine the prevalence of and risk factors associated with Mycoplasma genitalium infection in a nationally representative sample of young adults in the United States.

METHODS:

Urine specimens from 1714 women and 1218 men who participated in Wave III of the National Longitudinal Study of Adolescent Health (N=14322) were tested for M genitalium. Poststratification sampling weights were used to generate nationally representative estimates.

RESULTS:

The prevalence of M genitalium was 1.0% compared with 0.4%, 4.2%, and 2.3% for gonococcal, chlamydial, and trichomonal infections, respectively. No M genitalium-positive individuals reported symptoms of discharge. M genitalium prevalence among those who reported vaginal intercourse was 1.1% compared with 0.05% among those who did not. In multivariate analyses, M genitalium prevalence was 11 times higher among respondents who reported living with a sexual partner, 7 times higher among Blacks, and 4 times higher among those who used condoms during their last vaginal intercourse. Prevalence of M genitalium increased by 10% for each additional sexual partner.

CONCLUSIONS:

M genitalium was more prevalent than Neisseria gonorrhoeae but less prevalent than Chlamydia trachomatis, and it was strongly associated with sexual activity.

PMID:
17463380
PMCID:
PMC1874220
DOI:
10.2105/AJPH.2005.074062
[Indexed for MEDLINE]
Free PMC Article

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