title: Risk and prevalence of treatable sexually transmitted diseases at a Birmingham substance abuse treatment facility.
abstract: OBJECTIVE
  We evaluated the prevalence of gonorrhea, chlamydia, trichomoniasis, and syphilis in patients entering residential drug treatment.
  
  
  METHODS
  Data on sexual and substance abuse histories were collected. Participants provided specimens for chlamydia and gonorrhea ligase chain reaction testing. Trichomonas vaginalis culture, and syphilis serologic testing.
  
  
  RESULTS
  Of 311 patients, crack cocaine use was reported by 67% and multisubstance use was reported by 71%. Sexually transmitted disease (STD) risk behaviors were common. The prevalence of infection was as follows: Chlamydia trachomatis, 2.3%; Neisseria gonorrhoeae, 1.6%; trichomoniasis, 43%; and syphilis, 6%.
  
  
  CONCLUSIONS
  STD counseling and screening may be a useful adjunct to inpatient drug treatment.
authors.affiliation: Department of Medicine, University of Alabama at Birmingham 35924-0007, USA. Laura.Bachmann@ccc.uab.edu
authors.forename: L H
authors.initials: LH
authors.lastname: Bachmann
authors.forename: I
authors.initials: I
authors.lastname: Lewis
authors.forename: R
authors.initials: R
authors.lastname: Allen
authors.forename: J R
authors.initials: JR
authors.lastname: Schwebke
authors.forename: L C
authors.initials: LC
authors.lastname: Leviton
authors.forename: H A
authors.initials: HA
authors.lastname: Siegal
authors.forename: E W
authors.initials: EW
authors.lastname: Hook
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000407:Alabama / Q000453:epidemiology; D002690:Chlamydia Infections / Q000453:epidemiology; D005260:Female; D006069:Gonorrhea / Q000453:epidemiology; D006801:Humans; D016013:Likelihood Functions; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012749:Sexually Transmitted Diseases / Q000453:epidemiology*; D019966:Substance-Related Disorders / Q000150:complications / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D013587:Syphilis / Q000453:epidemiology; D014245:Trichomonas Infections / Q000453:epidemiology