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Objective:  The purpose of this study was to determine the incidence of four sexually-transmitted infection (STI) agents among university students.  Participants : A total of 1744 Milwaukee, Wisconsin metropolitan area student encounters at two university health clinics.  Methods:  Following consent, participants completed an eight-item demographic and behavioral questionnaire and provided a specimen for  Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis,  and  Mycoplasma genitalium  RNA testing.  Results:C. trachomatis  (7.2%) and  M. genitalium  (6.7%) detection rates were highest, with  C. trachomatis  more likely to result in symptomatic infection in males and females. Female  M. genitalium  detection rates did not differ as a function of symptomatic status. Students identifying as African American were more likely to test positive for  M. genitalium  than other races/ethnicities.  M. genitalium  detection in both genders was a function of reported condom usage.  Conclusions:  Students would benefit from familiarity with emerging STI agents, as well as behaviors associated with increased risk of STI.

Incidence and laboratory diagnosis of sexually-transmitted infections among university students in a high-prevalence community