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Contraceptive Method Use and Chlamydia Positivity Among California Family Planning Clients: The Case for New Multipurpose Prevention Technologies

2018 | Journal of Women's Health

There is unmet need for sexually transmitted infection (STI) prevention among young California women using available contraceptive methods, including condoms, according to a new article published in the Journal of Women's Health by the California Department of Public Health and Bethany Young Holt, PhD, director of PHI's CAMI Health. The study looked specifically at chlamydia, which is one of the most common STIs. The rate of chlamydia among women in California has significantly increased over the past decade, and adolescent girls and young women experience the greatest burden of infection. 

The authors examined chlamydia positivity among nearly 75,000 California adolescents and young women (aged 15-29) who had free access to contraceptives and condoms via free family planning services. The study found high chlamydia positivity among its cohort (5.1%), with young black women demonstrating the highest positivity.

While both male and female condoms provide protection against pregnancy and STIs, less than 25% of U.S. women who use contraception report concurrently using condoms. The authors conclude that the development and provision of additional multipurpose prevention technologies (MPTs)—an innovative class of products that prevent both pregnancy and STIs—may be an important step toward addressing unmet need for protection against STIs.

Read the full study in the Journal of Women's Health.