Risk behaviors, medical care, and chlamydial infection among young men in the United States.
OBJECTIVE
This study assessed factors related to chlamydial infection among young men in the United States.


METHODS
Data were from interviews of nationally representative samples of 470 men aged 18 to 19 years (teenagers) and 995 men aged 22 to 26 years (young adults) and from urine specimens tested by means of polymerase chain reaction.


RESULTS
Although a majority of the men reported occasional unprotected intercourse, only a minority perceived themselves to be at risk for contracting a sexually transmitted disease (STD). Chlamydial infection was detected in 3.1% of the teenagers and 4.5% of the young adults. A minority of those infected had symptoms or had been tested for STDs; very few had been diagnosed with STDs.


CONCLUSIONS
Chlamydial infection is common but usually asymptomatic and undiagnosed. Primary and secondary prevention efforts should be increased, particularly among young adult men.
Ku
Leighton
L
Urban Institute, Washington, DC, USA. ku@cbpp.org
St  Louis
Michael
M
Farshy
Carol
C
Aral
Sevgi
S
Turner
Charles F
CF
Lindberg
Laura D
LD
Sonenstein
Freya
F
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D001294:Attitude to Health / Q000208:ethnology; D002690:Chlamydia Infections / Q000453:epidemiology* / Q000208:ethnology / Q000652:urine; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D016133:Polymerase Chain Reaction; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000208:ethnology; D014481:United States / Q000453:epidemiology