Wednesday, March 10, 2010
Pre-Function Lobby & Grand Ballroom D2/E (M4) (Omni Hotel)
Wendy Nakatsukasa-Ono, MPH1, David Fine, PhD
1, David Herzstein Couch, AB
2 and Patricia A. Blackburn, MPH
3, 1Center for Health Training, Seattle, WA, 2Center for Health Training, Oakland, CA, 3Region IX Infertility Prevention Project, Center for Health Training, Oakland, CA
Background: At the 2008 NSTDP Conference, the Region X Infertility Prevention Project (IPP) presented findings on chlamydia positivity (CT+) among Asian and Native Hawaiian or Other Pacific Islander (NHOPI) female clients age 15-24 in Region X IPP family planning (FP) clinics, 2000-2006. Racial differences in CT+ were significant and confirmed the importance of expanding this type of assessment, particularly in regions such as IX in which Asian and NHOPI communities are most prevalent.
Objectives: Describe the epidemiology of and risk factors for CT among Asian and NHOPI female clients age 15-24 screened in Region IX and X FP clinics in 2008.
Methods: We analyzed CT + among non-Hispanic (NH) white, Asian and NHOPI female FP clients age 15-24 in Regions IX and X, 2008. Univariate and multivariate analyses were conducted.
Results: Of the 78,545 tests, 25% were Region IX. Overall, 87.9% were NH white, 7.6% Asian and 4.5% NHOPI. Nearly 60% were age 15-19. In Region IX, CT+ was 6.2% among NH white, 7.6% among Asian, and 12.0% among NHOPI. In Region X, CT+ was 5.9% among NH white, 6.1% among Asian and 10.2% among NHOPI. Age trends were similar for both Region IX and X, with the highest CT+ among clients age 15-19.
Conclusions: Asian and NHOPI women in FP clinics in Regions IX and X had consistently higher CT+ than NH whites. NHOPI clients had the highest levels of CT by age and region. Both Asian and NHOPI women had higher levels of CT+, even after adjusting for a range of demographic, behavioral and other factors.
Implications for Programs, Policy, and/or Research: Findings confirm the importance of assessing CT+ separately for Asian and NHOPI women. They also support the need for better assessment of individual and community-level factors among Asian and NHOPI women--including acculturation/generational issues--and support current interest in the role of sexual network dynamics.
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