June 23, 2005
The authors conducted the current study to determine the relation between knowledge of partner treatment for a past sexually transmitted infection (STI) and current infection in the index patient. In a cross-sectional analysis, 97 adolescent females sampled from community-based clinics reported a past diagnosis of chlamydia or gonorrhea in structured, face-to-face interviews. At the time of the interview, participants were tested for chlamydia and gonorrhea using urine-based ligase chain reaction testing.
Investigators found that 66 percent of the adolescents knew their partner had been treated for the past infection. Those who knew were less likely to have a current infection, compared to those who did not know (11 percent v. 30 percent, adjusted odds ratio and 95 percent confidence interval 4.46 (1.41 to 14.29), p<0.05). Younger age and being in a new sex partnership were correlates of not knowing the sex partner was treated.
"Efforts to encourage young women to follow up directly with their partners regarding treatment may help to reduce repeat infections and further spread. Furthermore, alternative strategies such as patient delivered therapy may help with partner treatment in this vulnerable population," the researchers concluded.