From the ∗Department of Pediatrics, Johns Hopkins School of Medicine

†Department of International Health, Johns Hopkins School of Public Health

‡Department of Obstetrics and Gynecology, Johns Hopkins School of Medicine, Baltimore, MD

§Massachusetts General Hospital, Boston, MA

¶Department of Medicine, Johns Hopkins School of Medicine

∥Department of Population, Family, and Reproductive Health, Johns Hopkins School of Public Health, Baltimore, MD

Conflict of Interest and Sources of Funding: This work was generously supported by an unrestricted grant from Hologic, Inc., to Johns Hopkins University and the Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD052459; principal investigator: M. Trent; funded: J. Ronda). Investigators M. Trent, J. Perin, and C.A. Gaydos were also supported by the National Institute of Nursing Research (5R01NR013507). Aside from this grant, Dr. Trent also receives research support through a material transfer agreement with SpeeDx, LLC, through Johns Hopkins University and serves on the Trojan Sexual Health Advisory Council (Church & Dwight, Inc.). Dr. Gaydos reports receiving research funding grants from Hologic and receiving speaker funding for educational lectures. The other coauthors declare that they have no competing interests.

Contributions: M.T., J.S.C., and C.A.G. conceptualized and designed the study. J.P. conducted the statistical analysis. J.R., J.S.C., and M.T. reviewed and interpreted preliminary results. E.N. conducted a literature review. J.P. composed the initial draft. All authors reviewed and edited the final manuscript.

Correspondence: Jamie Perin, PhD, Department of International Health, Johns Hopkins University, 615 N Wolfe St, Baltimore, MD 21205. E-mail: [email protected].

Received for publication February 9, 2021, and accepted May 17, 2021.

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