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Chlamydia trachomatis Among Young Norwegian Men: Sexual Behavior and Genitourinary Symptoms

Bakken, Inger Johanne PhD*; Skjeldestad, Finn Egil MD, PhD*; Halvorsen, Tori Flaatten MD; Thomassen, Terje MD; Størvold, Gunnar MD§; Nordbø, Svein Arne MD

Sexually Transmitted Diseases: April 2007 - Volume 34 - Issue 4 - p 245-249
doi: 10.1097/01.olq.0000233737.48630.03

Objective: The study objective was to assess Chlamydia trachomatis (CT) prevalence, risk factors, and genitourinary symptoms among young men.

Methods: Sexually active men 18 to 30 years old were recruited during April through October 2005 at the student health services and through field work at university campuses in 2 Norwegian cities. A total of 1,032 participants completed a questionnaire on sexual behavior and provided first-void urine for CT testing.

Results: The overall CT prevalence was 7.8% (81 of 1,032). In multivariable analysis, ≥5 lifetime sexual partners (adjusted odds ratio [aOR]: 2.7, 95% confidence interval [CI]: 1.4–5.2), a burning sensation on urination (aOR: 5.7, 95% CI: 3.1–10.5), and penile discharge (aOR: 2.6, 95% CI: 1.1–6.3) were significant risk factors for a positive CT test, whereas condom use (last intercourse) was preventive (aOR: 0.4, 95% CI: 0.2–0.8).

Conclusions: A CT prevalence of 7.8% was found among male students. Promotion of increased testing among men is important to prevent CT transmission.

The Chlamydia trachomatis prevalence among male Norwegian students was 7.8%. A high number of lifetime sexual partners and self-reported genitourinary symptoms were risk factors for infection, whereas condom use was a preventive factor.

© Copyright 2007 American Sexually Transmitted Diseases Association