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To the Editor: The article by Dr Miller and colleagues¹ complements findings from our own previous studies of national samples, which indicate more than 23 000 women have chlamydia^2-3 and approximately 6000 men have both chlamydia and gonorrhea.^4-5 Our volunteers were primarily aged 17 to 25 years and represented young adults from all US states and territories who joined the US Army.

Our female participants consisted of approximately 80% of women entering the US Army at Fort Jackson, SC, during 1996-1999.² The women screened by Miller et al in 2001-2002 consisted of 14 322 participants, 66.3% of the original Wave I of The National Longitudinal Survey of Adolescent Health (Add Health) participants, of whom 12 548 (87.6%) had chlamydia tests. The women in our studies had a mean age of 21 years compared with 22 years in their article and were 50% white and 35% black. The authors studied a similar proportion of . . . [Full Text of this Article]

Charlotte A. Gaydos, DrPH
cgaydos@jhmi.edu
Johns Hopkins University
Baltimore, Md

Kelly T. McKee, Jr, MD
Camber Corp
US Army Medical Research Institute of Infectious Diseases
Fort Detrick, Md

Thomas C. Quinn, MD
National Institute of Allergy and Infectious Diseases
National Institutes of Health
Bethesda, Md

Joel C. Gaydos, MD
Department of Defense Global Emerging Infections Surveillance and Response System
Silver Spring, Md

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