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Leighton Ku, PhD, MPH, Michael St. Louis, MD, Carol Farshy, BS, Sevgi Aral, PhD, Charles F. Turner, PhD, Laura D. Lindberg, PhD and Freya Sonenstein, PhD

At the time of the study, Leighton Ku was with the Urban Institute, Washington, DC. Michael St. Louis is with the Centers for Disease Control and Prevention, Harare, Zimbabwe. Carol Farshy and Sevgi Aral are with the Centers for Disease Control and Prevention, Atlanta, Ga. Charles Turner is with Research Triangle Institute, Washington, DC, and City University of New York. At the time of the study, Laura Lindberg was with the Urban Institute, Washington, DC. Freya Sonenstein is with the Urban Institute, Washington, DC.

Correspondence: Requests for reprints should be sent to Leighton Ku, Center on Budget and Policy Priorities, 820 First St, NE, Suite 510, Washington, DC 20002 (e-mail: ku{at}cbpp.org).

Objectives. This study assessed factors related to chlamydial infection among young men in the United States.

Methods. Data were from interviews of nationally representative samples of 470 men aged 18 to 19 years (teenagers) and 995 men aged 22 to 26 years (young adults) and from urine specimens tested by means of polymerase chain reaction.

Results. Although a majority of the men reported occasional unprotected intercourse, only a minority perceived themselves to be at risk for contracting a sexually transmitted disease (STD). Chlamydial infection was detected in 3.1% of the teenagers and 4.5% of the young adults. A minority of those infected had symptoms or had been tested for STDs; very few had been diagnosed with STDs.

Conclusions. Chlamydial infection is common but usually asymptomatic and undiagnosed. Primary and secondary prevention efforts should be increased, particularly among young adult men. (Am J Public Health. 2002;92:1140–1143)

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