Sexually Transmitted Infection History among Adolescents Presenting to the Emergency Department
Published Date:May 4 2015
Source:J Emerg Med. 49(5):613-622.
Emergency Service, Hospital
Sexually Transmitted Diseases
Sexually Transmitted Infections
Pubmed Central ID:PMC4633367
Funding:L30 DA034368/DA/NIDA NIH HHS/United States
R49 CE002099/CE/NCIPC CDC HHS/United States
R49CE002099/CE/NCIPC CDC HHS/United States
T32 AA007477/AA/NIAAA NIH HHS/United States
K23 DA036008/DA/NIDA NIH HHS/United States
K23DA036008/DA/NIDA NIH HHS/United States
T32AA007477/AA/NIAAA NIH HHS/United States
R01 AA018122/AA/NIAAA NIH HHS/United States
R01AA018122/AA/NIAAA NIH HHS/United States
Adolescents and young adults account for about half of annual diagnoses of sexually transmitted infections (STI) in the United States. Screening and treatment for STIs, as well as prevention, is needed in healthcare settings to help offset the costs of untreated STIs.
To evaluate the prevalence and correlates of self-reported STI history among adolescents presenting to an ED.
Over two and a half years, 4389 youth (ages 14–20) presenting to the ED completed screening measures for a randomized controlled trial. About half (56%) reported lifetime sexual intercourse and were included in analyses examining sexual risk behaviors (e.g., inconsistent condom use), and relationships of STI history with demographics (gender, age, race, school enrollment), reason for ED presentation (i.e., medical or injury), and substance use.
Among sexually active youth, 10% reported that a medical professional had ever told them they had an STI (212 females, 35 males). Using logistic regression, female gender, older age, Non-Caucasian race, not being enrolled in school, medically-related ED chief complaint, and inconsistent condom use were associated with increased odds of self-reported STI history.
One in ten sexually active youth in the ED reported a prior diagnosed STI. Previous STI was significantly higher among females than males. ED Providers inquiring about inconsistent condom use and previous STI among male and female adolescents may be one strategy to focus biological testing resources and improve screening for current STI.
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