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RESEARCH ARTICLE

Syphilis among adolescents and young adults in Cincinnati, Ohio: testing, infection and characteristics of youth with syphilis infection

Sherine Patterson-Rose A B , Tanya L. Kowalczyk Mullins A , Elizabeth A. Hesse A , Corinne Lehmann A and Lea E. Widdice A
+ Author Affiliations
- Author Affiliations

A Cincinnati Children’s Hospital Medical Center, Division of Adolescent and Transition Medicine, 3333 Burnet Avenue, MLC 4000, Cincinnati, OH 45229, USA.

B Corresponding author. Email: Sherine.Patterson-Rose@cchmc.org

Sexual Health 12(2) 179-180 https://doi.org/10.1071/SH15008
Submitted: 19 July 2014  Accepted: 15 February 2015   Published: 7 April 2015

Abstract

Little is known about the epidemiology of syphilis among adolescents and young adults. This study examined, among more than 17 000 young people aged 13–22 years old, trends in rates of syphilis testing and infection; characteristics of infected adolescents; and agreement about syphilis staging and treatment between provider and chart reviewer. Rates of syphilis testing increased but rates of syphilis infection did not increase significantly over a 5-year period. A majority of infected men reported only opposite-sex sexual contact. High agreement between providers and chart reviewers was found. These findings demonstrate the need for complete assessment of risk factors and use of local epidemiology in screening practices.


References

[1]  Workowski KA, Berman S. Sexually transmitted diseases treatment guidelines, 2010. MMWR Recomm Rep 2010; 59 1–110.
| 21160459PubMed |

[2]  Centers for Disease Control and Prevention. Sexually transmitted diseases. Syphilis – CDC fact sheet. 2012. [updated 16 December 2014]. Available online at: www.cdc.gov/std/syphilis/STDFact-Syphilis-detailed.htm [verified 8 January 2015].

[3]  Mullins TL, Kollar LM, Lehmann C, Kahn JA. Changes in human immunodeficiency virus testing rates among urban adolescents after introduction of routine and rapid testing. Arch Pediatr Adolesc Med 2010; 164 870–4.
Changes in human immunodeficiency virus testing rates among urban adolescents after introduction of routine and rapid testing.Crossref | GoogleScholarGoogle Scholar | 20819970PubMed |

[4]  Branson BM, Handsfield HH, Lampe MA, Janssen RS, Taylor AW, Lyss SB, Clark JE. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recomm Rep 2006; 55 1–17.
| 16988643PubMed |

[5]  Centers for Disease Control and Prevention. Sexually transmitted disease surveillance 2012. [updated January 2014]. Available online at: http://www.cdc.gov/std/stats12/Surv2012.pdf [verified 10 January 2015].

[6]  Ohio Department of Health. 2008–2012 Ohio infectious disease status report: total syphilis.2013. [updated December 2014]. Available online at: http://www.odh.ohio.gov/healthstats/disease/std/std1.aspx [verified 1 January 2015].

[7]  Cox JM, D’Angelo LJ, Silber TJ. Substance abuse and syphilis in urban adolescents: a new risk factor for an old disease. J Adolesc Health 1992; 13 483–6.
Substance abuse and syphilis in urban adolescents: a new risk factor for an old disease.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3s%2FgtlaitA%3D%3D&md5=e606ec7124cc6fbaca79b2c0b157d7baCAS | 1390814PubMed |

[8]  Brewer TH, Schillinger J, Lewis FM, Blank S, Pathela P, Jordahl L, Schmitt K, Peterman TA. Infectious syphilis among adolescent and young adult men: implications for human immunodeficiency virus transmission and public health interventions. Sex Transm Dis 2011; 38 367–71.
Infectious syphilis among adolescent and young adult men: implications for human immunodeficiency virus transmission and public health interventions.Crossref | GoogleScholarGoogle Scholar | 21150816PubMed |

[9]  Skinner JM, Distefano J, Warrington J, Bailey SR, Winscott M, Taylor MM. Trends in reported syphilis and gonorrhea among HIV-infected people in Arizona: implications for prevention and control. Public Health Rep 2014; 129 85–94.
| 24385654PubMed |