{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:42:48Z","timestamp":1777927368265,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T00:00:00Z","timestamp":1632528000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Columbia University\u2019s Program for Education in Global and Population Health"},{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research of the National Institutes of Health","doi-asserted-by":"publisher","award":["K99NR017829"],"award-info":[{"award-number":["K99NR017829"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>To our knowledge, there are no studies estimating the prevalence of extragenital sexually transmitted infections (STIs) among pregnant adolescents in the Caribbean. This study sought to fill this gap by assessing the prevalence and correlates of oral, genital, and rectal chlamydia (CT) among a sample of pregnant adolescents in La Romana, Dominican Republic. Two hundred pregnant youths, aged 15\u201324\u00a0years, were recruited by systematic sampling during their first prenatal visit to a maternal care unit. A sociodemographic and behavioral questionnaire was administered and urine and oral\/anal swabs were collected and tested for CT. Descriptive analyses and Fisher\u2019s exact tests were performed. The prevalence of oral, genital, and rectal CT was 6%, 15%, and 23%, respectively, although less than 5% of participants reported ever engaging in receptive anal intercourse. This discrepancy could be explained by autoinoculation, concurrent transmission during sex, undertreatment of rectal CT, or underreporting of anal sex. Almost half of CT infections would have been missed if only genital samples were collected, as current protocol dictates. More research is needed to understand sexual behaviors and rectal STI risk factors among heterosexual adolescent women. STI screening procedures for pregnant and sexually active adolescents should include routine testing of extragenital sites.<\/jats:p>","DOI":"10.1177\/09564624211043082","type":"journal-article","created":{"date-parts":[[2021,9,26]],"date-time":"2021-09-26T01:01:48Z","timestamp":1632618108000},"page":"31-37","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["High prevalence of rectal chlamydia among pregnant adolescents in La Romana, Dominican Republic warrants extragenital STI testing"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2808-6550","authenticated-orcid":false,"given":"Pilar","family":"Bancalari","sequence":"first","affiliation":[{"name":"Columbia University Mailman School of Public Health, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Nicholas","sequence":"additional","affiliation":[{"name":"Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mina","family":"Halpern","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Familia La Romana, La Romana, Dominican Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Stonbraker","sequence":"additional","affiliation":[{"name":"University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Taylor","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center San Antonio, San Antonio, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leidy","family":"Soriano","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Familia La Romana, La Romana, Dominican Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana","family":"Ljubicic","sequence":"additional","affiliation":[{"name":"Columbia University School of General Studies, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Amesty","sequence":"additional","affiliation":[{"name":"Columbia University Mailman School of Public Health, New York, NY, USA"},{"name":"Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA"},{"name":"Columbia University Irving Medical Center, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,25]]},"reference":[{"key":"bibr1-09564624211043082","doi-asserted-by":"publisher","DOI":"10.1177\/1545109711419264"},{"key":"bibr2-09564624211043082","volume-title":"Report on global sexually transmitted infection surveillance, 2018","author":"World Health Organization","year":"2018"},{"key":"bibr3-09564624211043082","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.18.228486"},{"key":"bibr4-09564624211043082","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000460"},{"key":"bibr5-09564624211043082","volume-title":"Global Prevalence and Incidence of Selected Curable Sexually Transmitted Infections Overview and Estimates","author":"World Health Organization","year":"2001"},{"key":"bibr6-09564624211043082","volume-title":"Encuesta Demografica y de Salud 2013. Santo Domingo, Republica Dominicana","author":"Centro de Estudios Sociales y Demograficos (CESDEM). 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Dominican republic [internet]. 2019. Available from: http:\/\/aidsinfo.unaids.org\/."},{"key":"bibr15-09564624211043082","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-006-0142-y"},{"key":"bibr16-09564624211043082","doi-asserted-by":"publisher","DOI":"10.1177\/0956462416689755"},{"key":"bibr17-09564624211043082","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2011-050177"},{"key":"bibr18-09564624211043082","unstructured":"International Planned Parenthood Federation (IPPF). United Nations Population Fund (UNFPA). United Nations Program on AIDS (UNAIDS). Young Positives. HIV Prevention for Girls and Young Women: Dominican Republic, 2008."},{"key":"bibr19-09564624211043082","unstructured":"World Health Organization (WHO). Sexually Transmitted Infections (STIs): The importance of a renewed commitment to STI prevention and control in achieving global sexual and reproductive health, 2012."},{"key":"bibr20-09564624211043082","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2017-053161"},{"key":"bibr21-09564624211043082","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2016-052786"},{"key":"bibr22-09564624211043082","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181d444f6"},{"key":"bibr23-09564624211043082","doi-asserted-by":"publisher","DOI":"10.1177\/0956462416653510"},{"key":"bibr24-09564624211043082","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cix243"},{"key":"bibr25-09564624211043082","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-102-6-757"},{"key":"bibr26-09564624211043082","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3181a267e4"},{"issue":"362","key":"bibr27-09564624211043082","first-page":"1","author":"Mosher WD","year":"2005","journal-title":"Adv Data"},{"key":"bibr28-09564624211043082","unstructured":"World Health Organization. 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