Identifying psychosocial and social correlates of sexually transmitted diseases among black female teenagers

Sexually Transmitted Diseases
Joan Marie KraftMelissa J Kottke

Abstract

Black teenagers have relatively high rates of sexually transmitted diseases (STDs), and recent research suggests the role of contextual factors, as well as risk behaviors. We explore the role of 4 categories of risk and protective factors on having a biologically confirmed STD among black, female teenagers. Black teenage girls (14-19 years old) accessing services at a publicly funded family planning clinic provided a urine specimen for STD testing and completed an audio computer-assisted self-interview that assessed the following: risk behaviors, relationship characteristics, social factors, and psychosocial factors. We examined bivariate associations between each risk and protective factor and having gonorrhea and/or chlamydia, as well as multivariate logistic regression among 339 black female teenagers. More than one-fourth (26.5%) of participants had either gonorrhea and/or chlamydia. In multivariate analyses, having initiated sex before age 15 (adjusted odds ratio [aOR], 1.87) and having concurrent sex partners in the past 6 months (aOR, 1.55) were positively associated with having an STD. Living with her father (aOR, 0.44), believing that an STD is the worst thing that could happen (aOR, 0.50), and believing she would feel...Continue Reading

References

Feb 24, 2001·Behavioral Medicine·J G Grzywacz, J Fuqua
Apr 2, 2003·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Stephanie S KelleyKevin J Keen
Oct 14, 2004·Sexually Transmitted Diseases·Elizabeth Claire NewbernJay S Kaufman
Jun 1, 2005·Sexually Transmitted Infections·L M NiccolaiK A Ethier
Dec 2, 2006·American Journal of Public Health·Denise Dion HallforsDaniel J Bauer
Aug 17, 2011·Sexually Transmitted Diseases·Elizabeth EgglestonLaxminarayana Ganapathi
Feb 22, 2012·Sexual Health·Jenny A Higgins, Anne D Cooper
Jan 17, 2013·Sexually Transmitted Diseases·Ralph J DiClementeJennifer L Brown
Mar 16, 2013·American Journal of Public Health·Jacqueline C PfliegerChristian M Connell
Apr 17, 2013·Sexually Transmitted Diseases·Andrea SwartzendruberJessica M Sales

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