BACKGROUND: Prevalence estimates from population-based surveys do not suffer from the same biases as case-report and clinic positivity data and may be better to monitor sexually transmitted disease morbidity over time. METHODS: We estimated the prevalence of Neisseria gonorrhoeae in a nationally representative sample of persons aged 14 to 39 years participating in the National Health and Nutrition Examination Survey. RESULTS: From 1999 to 2008, the overall prevalence of gonorrhea was 0.27% (95% confidence interval, 0.13%-0.47%). In the 2005 to 2006 and 2007 to 2008 cycles, prevalence approached 0% and was based on too few positive sample persons to obtain reliable estimates. In 2004, most infections were found in 1 survey location. DISCUSSION: Given the low prevalence and geographic clustering of disease, gonorrhea estimates from national probability surveys are often imprecise and unstable. In 2008, gonorrhea testing in National Health and Nutrition Examination Survey was discontinued. Continued surveillance of gonorrhea should include case reporting and prevalence estimates from local surveys and sentinel surveillance systems.
BACKGROUND: Prevalence estimates from population-based surveys do not suffer from the same biases as case-report and clinic positivity data and may be better to monitor sexually transmitted disease morbidity over time. METHODS: We estimated the prevalence of Neisseria gonorrhoeae in a nationally representative sample of persons aged 14 to 39 years participating in the National Health and Nutrition Examination Survey. RESULTS: From 1999 to 2008, the overall prevalence of gonorrhea was 0.27% (95% confidence interval, 0.13%-0.47%). In the 2005 to 2006 and 2007 to 2008 cycles, prevalence approached 0% and was based on too few positive sample persons to obtain reliable estimates. In 2004, most infections were found in 1 survey location. DISCUSSION: Given the low prevalence and geographic clustering of disease, gonorrhea estimates from national probability surveys are often imprecise and unstable. In 2008, gonorrhea testing in National Health and Nutrition Examination Survey was discontinued. Continued surveillance of gonorrhea should include case reporting and prevalence estimates from local surveys and sentinel surveillance systems.
Authors: Linda Gorgos; Lori Newman; Catherine Satterwhite; Stuart Berman; Hillard Weinstock Journal: Sex Transm Infect Date: 2011-02-09 Impact factor: 3.519
Authors: B Van Der Pol; D V Ferrero; L Buck-Barrington; E Hook; C Lenderman; T Quinn; C A Gaydos; J Lovchik; J Schachter; J Moncada; G Hall; M J Tuohy; R B Jones Journal: J Clin Microbiol Date: 2001-03 Impact factor: 5.948
Authors: Cornelis A Rietmeijer; Jennifer Donnelly; Kyle T Bernstein; Jennifer M Bissette; Summer Martins; Preeti Pathela; Julia A Schillinger; Mark R Stenger; Hillard Weinstock; Lori M Newman Journal: Public Health Rep Date: 2009 Impact factor: 2.792
Authors: S Deblina Datta; Elizabeth Torrone; Deanna Kruszon-Moran; Stuart Berman; Robert Johnson; Catherine L Satterwhite; John Papp; Hillard Weinstock Journal: Sex Transm Dis Date: 2012-02 Impact factor: 2.830
Authors: S Deblina Datta; Maya Sternberg; Robert E Johnson; Stuart Berman; John R Papp; Geraldine McQuillan; Hillard Weinstock Journal: Ann Intern Med Date: 2007-07-17 Impact factor: 25.391
Authors: Johan H Melendez; Tonya M Santaus; Gregory Brinsley; Daniel Kiang; Buddha Mali; Justin Hardick; Charlotte A Gaydos; Chris D Geddes Journal: Anal Biochem Date: 2016-06-17 Impact factor: 3.365
Authors: Emily R Learner; Elizabeth A Torrone; Jason P Fine; Brian W Pence; Kimberly A Powers; William C Miller Journal: Sex Transm Dis Date: 2018-08 Impact factor: 2.830
Authors: Thomas A Peterman; Kevin O'Connor; Heather M Bradley; Elizabeth A Torrone; Kyle T Bernstein Journal: Sex Transm Dis Date: 2016-12 Impact factor: 2.830
Authors: Ryan Cramer; Nina Martinez; Craig Roberts; Melissa A Habel; E Victor Leino; Jami S Leichliter Journal: Sex Transm Dis Date: 2015-10 Impact factor: 2.830
Authors: Emily R Learner; Kristen Kreisel; Robert D Kirkcaldy; Karen Schlanger; Elizabeth A Torrone Journal: Am J Public Health Date: 2020-03-19 Impact factor: 9.308