title: Incidence of Chlamydia trachomatis infections and screening compliance, U.S. Army active duty females under 25 years of age, 2011-2014.
abstract: Reported chlamydia infection rates among active duty U.S. Army females less than 25 years old declined by 20% from 2011 to 2014 (11,028 infections per 100,000 person-years [p-yrs] to 8,793 infections per 100,000 p-yrs, respectively). An overall decline in the proportions of high-risk female soldiers tested for chlamydia occurred during the same period, declining from a high of 85% in 2011 to a low of 71% in 2012, with an increase to 80% in 2014. Chlamydia laboratory testing volume also decreased from 2011 to 2013 but the test positivity rate remained stable at 6.0%-6.4%. By using projected incidence rates based on 100% of at-risk women being screened with a stable laboratory positivity rate, there was an estimated 15% decline in chlamydia incidence from 2011 to 2014 (12,794 to 10,991 infections per 100,000 p-yrs, respectively). Surveillance for chlamydia infections must include consideration of screening program performance in addition to passive reporting.
authors.forename: Laura E
authors.initials: LE
authors.lastname: Tourdot
authors.forename: Nikki N
authors.initials: NN
authors.lastname: Jordan
authors.forename: Nicole K
authors.initials: NK
authors.lastname: Leamer
authors.forename: Gosia
authors.initials: G
authors.lastname: Nowak
authors.forename: Joel C
authors.initials: JC
authors.lastname: Gaydos
mesh_terms: D000293:Adolescent; D002690:Chlamydia Infections / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008889:Military Personnel; D010349:Patient Compliance; D014481:United States / Q000453:epidemiology; D055815:Young Adult