{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T14:05:05Z","timestamp":1773324305054,"version":"3.50.1"},"reference-count":26,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2012,11,11]]},"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Young African-American women have the highest rates of<jats:italic>Chlamydia trachomatis<\/jats:italic>and<jats:italic>Neisseria gonorrhoeae<\/jats:italic>in the USA. The objective was to identify baseline predictors of repeat chlamydia and\/or gonorrhoea infections among African-American adolescent women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sociodemographic, psychosocial and behavioural data were collected at baseline and every 6\u2005months for 2\u2005years from 701 African-American women (14\u201320\u2005years) enrolled in an HIV prevention trial. Vaginal swabs were self-collected at each visit and assayed for chlamydia and gonorrhoea using DNA amplification. Among participants testing positive for chlamydia and\/or gonorrhoea at baseline, logistic regression analyses assessed baseline predictors of repeat infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 618 (88%) participants with \u22651 follow-up assessment, 123 (20%) had a positive chlamydia and\/or gonorrhoea test result at baseline; 49 (40%) had a repeat infection during the study period. Of those with a repeat infection, 30 (61%) were positive at one follow-up visit, 18 (37%) at two visits and 1 (2%) at three follow-up visits. Controlling for age and intervention condition, impulsivity (AOR: 1.71, p=0.018) was associated with an increased likelihood, and having a boyfriend (AOR: 0.21, p=0.006) was associated with a decreased likelihood of repeat infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Repeat chlamydia and\/or gonorrhoea infections are common among African-American adolescent women. Among young African-American women who test positive for chlamydia and\/or gonorrhoea, tailored interventions for more impulsive adolescents and those not in a relationship may reduce risk of repeat infections. Given the high numbers of repeat infections after receipt of an evidence-based intervention, enhanced screening and treatment services for young men may be warranted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Trials Registration<\/jats:title><jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.clinicaltrials.gov\" ext-link-type=\"uri\">http:\/\/www.clinicaltrials.gov<\/jats:ext-link>(<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT00279799\">NCT00279799<\/jats:ext-link>)<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2012-050530","type":"journal-article","created":{"date-parts":[[2012,12,13]],"date-time":"2012-12-13T02:07:41Z","timestamp":1355364461000},"page":"76-82","source":"Crossref","is-referenced-by-count":11,"title":["Predictors of repeat<i>Chlamydia trachomatis<\/i>and\/or<i>Neisseria gonorrhoeae<\/i>infections among African-American adolescent women"],"prefix":"10.1136","volume":"89","clinical-trial-number":[{"clinical-trial-number":"nct00279799","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Andrea","family":"Swartzendruber","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica M","family":"Sales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L","family":"Brown","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teaniese Latham","family":"Davis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph J","family":"DiClemente","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eve","family":"Rose","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,12,12]]},"reference":[{"key":"2024051321053522000_89.1.76.1","unstructured":"Centers for Disease Control and Prevention. 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