Term of Award

Spring 2021

Degree Name

Doctor of Public Health (Dr.P.H.)

Document Type and Release Option

Dissertation (open access)

Copyright Statement / License for Reuse

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


College of Public Health

Committee Chair

Gulzar Shah

Committee Member 1

Stacy Smallwood

Committee Member 2

Jingjing Yin


Antimicrobial resistant Neisseria gonorrhoeae (N. gonorrhoeae) has become a major global public health concern in the 21st century. Surveillance activities are essential in identifying risk factors in priority populations. The purpose of this study was to identify risk factors associated with and trends in antimicrobial susceptibility patterns in N. gonorrhoeae strains identified through the Gonococcal Isolate Surveillance Project (GISP). A study sample of 37,157 men was evaluated to measure adherence to changes in CDC’s STD treatment guidelines in 2012 and 2015. Data were analyzed to measure associations between independent and dependent variables by conducting bivariate and logistic regression analyses. Overall, treatment of gonorrhea was prescribed as recommended. Risk factors that were statistically significant included both demographic and behavioral characteristics. Information on treatment regimens following implementation of STD treatment guidelines can be useful in assessing prescribing practices and adherence to guidelines in treating gonorrhea, particularly in populations at risk of antimicrobial resistant gonorrhea.

OCLC Number


Research Data and Supplementary Material