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Kristen J. Mertz, MD, Raymond L. Ransom, MPH, Michael E. St. Louis, MD, Samuel L. Groseclose, DVM, Alula Hadgu, PhD, William C. Levine, MD and Charles Hayman, MD

Kristen J. Mertz, Raymond L. Ransom, Michael E. St. Louis, Samuel L. Groseclose, Alula Hadgu, and William C. Levine are with the Division of STD Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Ga. Charles Hayman is with the Employment and Training Administration, Department of Labor, Washington, DC.

Correspondence: Requests for reprints should be sent to William C. Levine, MD, Centers for Disease Control and Prevention, Mail Stop E-02, 1600 Clifton Rd NE, Atlanta, GA 30333.

Objectives. This analysis describes trends in the prevalence of genital chlamydial infection in economically disadvantaged young women entering a national job training program.

Methods. We examined chlamydia test data for May 1990 through June 1997 for women aged 16 to 24 years who enrolled in the program. The significance of trends was evaluated with the ² test for trend.

Results. Prevalence of chlamydial infection declined 32.9%, from 14.9% in 1990 to 10.0% in 1997 (P < .001). Prevalence decreased significantly in all age groups, racial/ethnic groups, and geographic regions.

Conclusions. The decrease in prevalence of chlamydial infection suggests that prevention activities have reached disadvantaged women across the United States; however, prevalence of chlamydial infection remains high, and enhanced prevention efforts in disadvantaged communities are urgently needed.

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