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The Need for Change: An Examination of the Centers for Disease Control and Prevention's Chlamydia Screening Recommendations

Rosenfeld, Elian Aviraz (2011) The Need for Change: An Examination of the Centers for Disease Control and Prevention's Chlamydia Screening Recommendations. Master's Thesis, University of Pittsburgh. (Unpublished)

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Chlamydia trachomatis is a bacterial infection spread through sexual contact, including oral, anal and vaginal sex. This largely asymptomatic infection is highly prevalent in the United States and has been for the past 40 years: indeed, chlamydia is the most common sexually transmitted disease (STD) in the United States. Left untreated, chlamydia can cause Pelvic Inflammatory Disease (PID), ectopic pregnancy, and infertility in women; complications are rare in men. Screening for this infection is necessary for its control and prevention and is a matter of great importance to public health. Currently, the Centers for Disease Control and Prevention (CDC) recommend annual chlamydia screening for all sexually active women aged 25 years and younger, older women with risk factors (new sex partners or multiple sex partners), and all sexually active men who have sex with men (MSM). This thesis examines the history of the CDC's chlamydia screening recommendations, the implications of the CDC's recommendation that all sexually active young women be screened for the infection, and the barriers to following current chlamydia screening recommendations. Through a close analysis of available evidence, this thesis asserts that the CDC's chlamydia screening recommendations are inconsistent, have not been updated to align with current diagnostic testing developments, place the burden of the disease upon women, further stigmatize people who are marginalized, and most importantly, fail to include sexually active heterosexual young men, a population that transmits the infection to women. New chlamydia screening recommendations are necessary based on the lack of control over disease prevalence, the unequal burden of the disease on women, and the increased feasibility of diagnostic measures for men. Consequently, the CDC's guidelines should be updated. The guidelines should continue to recommend the annual screening of all sexually active women aged 25 and under and also recommend the annual screening of all sexually active young men aged 25 and under, as well as men and women over the age of 25 with risk factors.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Rosenfeld, Elian
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairMarx, Johnjmarx@pitt.eduJMARX
Committee MemberTrauth, Jeanettetrauth@pitt.eduTRAUTH
Committee MemberTerry, Martha Annmaterry@pitt.eduMATERRY
Date: 29 June 2011
Date Type: Completion
Defense Date: 28 March 2011
Approval Date: 29 June 2011
Submission Date: 21 April 2011
Access Restriction: 5 year -- Restrict access to University of Pittsburgh for a period of 5 years.
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: chlamydia
Other ID:, etd-04212011-164643
Date Deposited: 10 Nov 2011 19:40
Last Modified: 15 Nov 2016 13:41


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