Sexually Transmitted Infection History among Adolescents Presenting to the Emergency Department

Details

• Alternative Title:
  J Emerg Med
• Personal Author:
  Bonar, Erin E. ; Walton, Maureen A. ; Caldwell, Martina T. ; Whiteside, Lauren K. ; Barry, Kristen L. ; Cunningham, Rebecca M.
• Description:
  Background
  
  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.
  
  Objective
  
  To evaluate the prevalence and correlates of self-reported STI history among adolescents presenting to an ED.
  
  Methods
  
  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.
  
  Results
  
  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.
  
  Conclusion
  
  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.
  
  
• Subjects:
  Adolescent Age Factors Coitus Condoms Educational Status Emergency Service, Hospital Female Health Surveys Humans Male Prevalence Risk-Taking Sex Factors Sexually Transmitted Diseases United States Unsafe Sex Young Adult

  More +
• Keywords:
  Adolescents Emergency Department Risk Behaviors Sexually Transmitted Infections
• Source:
  J Emerg Med. 49(5):613-622
• Pubmed ID:
  25952707
• Pubmed Central ID:
  PMC4633367
• Document Type:
  Journal Article
• Funding:
  L30 DA034368/DA/NIDA NIH HHSUnited States/ ; T32 AA007477/AA/NIAAA NIH HHSUnited States/ ; R49CE002099/ACL/ACL HHSUnited States/ ; K23 DA036008/DA/NIDA NIH HHSUnited States/ ; K23DA036008/DA/NIDA NIH HHSUnited States/ ; T32AA007477/AA/NIAAA NIH HHSUnited States/ ; R49 CE002099/CE/NCIPC CDC HHSUnited States/ ; R49CE002099/CE/NCIPC CDC HHSUnited States/ ; R01 AA018122/AA/NIAAA NIH HHSUnited States/ ; R01AA018122/AA/NIAAA NIH HHSUnited States/
• Volume:
  49
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:d80181600968f12d072eaf9d051f41c8cfc56f3e7d38d451546d6f6905a61d4c
• Download URL:
  https://stacks.cdc.gov/view/cdc/36413/cdc_36413_DS1.pdf
• File Type:
  [PDF - 206.31 KB ]