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Prevalence of Chlamydial and Gonococcal Infections Among Young Adults—Reply
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In Reply: We appreciate the comments of Dr Gaydos and colleagues highlighting their important work in military populations. Although we observed an overall prevalence of chlamydia infection of 4.19%, the prevalence in military recruits was higher. This difference is not surprising given the differences in the study populations. However, we believe that the direct comparison of their prevalence estimates and our recent estimates from Add Health is not appropriate.
They report prevalences for a specialized population. In these and similar studies, an implicit assumption is that the study sample is a simple random sample of a larger target population. For their studies, the most reasonable target population is military recruits. The military population is self-selected and is unlikely to represent a general US young adult target population.
In contrast, Add Health provides the first nationally representative estimates of chlamydial and gonococcal infections in both men and women. From a sampling . . . [Full Text of this Article]
William C. Miller, MD, PhD, MPH
bill_miller@unc.edu
Carol A. Ford, MD;
Marcia M. Hobbs, PhD;
Myron S. Cohen, MD
Department of Medicine
John L. Schmitz, PhD
Department of Pathology and Laboratory Medicine
Kathleen Mullan Harris, PhD
Department of Sociology
University of North Carolina at Chapel Hill
Mark S. Handcock, PhD;
Martina Morris, PhD
Departments of Sociology and Statistics
University of Washington
Seattle
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RELATED ARTICLE
Prevalence of Chlamydial and Gonococcal Infections Among Young Adults
Charlotte A. Gaydos, Kelly T. McKee, Jr, Thomas C. Quinn, and Joel C. Gaydos
JAMA. 2004;292(7):801.
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