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M94A0027.TXT
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1994-10-01
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Document 0027
DOCN M94A0027
TI Sexual behavior and sexually transmitted diseases among male adolescents
in detention [see comments]
DT 9412
AU Oh MK; Cloud GA; Wallace LS; Reynolds J; Sturdevant M; Feinstein RA;
Department of Pediatrics, University of Alabama School of; Medicine,
Birmingham.
SO Sex Transm Dis. 1994 May-Jun;21(3):127-32. Unique Identifier : AIDSLINE
MED/94353297
CM Comment in: Sex Transm Dis 1994 May-Jun;21(3):181-2
AB BACKGROUND: Youth in detention represent a medically underserved
population at risk for a variety of medical and emotional disorders.
GOAL OF THE STUDY: To determine prevalence of STDs and high-risk sexual
behaviors for HIV/STD among adolescent males admitted to a juvenile
detention facility. STUDY DESIGN: Cross-sectional study of behavioral
risk factors and STD prevalence among detained males, 11 to 18 years of
age. Study subjects were interviewed for behavioral history and screened
for STD. RESULTS: The median number of lifetime partners of the
population was 8 (range 1-100), the number of partners in the preceding
4 months was 2 in median (range 0-30), 59% used a condom with their last
sex, and consistent condom use in the past 4 months was reported by 37%.
A history of sexual intercourse within the last one week was reported by
43%. Chlamydia trachomatis infection rate was 6.9% (66/957), Neisseria
gonorrhoeae 4.5% (42/940) and syphilis 0.9% (8/930) including one who
seroconverted while in detention. Overall, 12% (109/908) of subjects
tested for all three infections were positive for at least one STD.
Stepwise logistic regression analysis showed that greater than one
partner in the previous 4 months (OR 1.53, 95% confidence interval [95%
CI] 1.18-1.98), inconsistent or no condom use in the preceding 4 months
(OR 1.77, 95%CI 1.37-2.28), a history of recent STD (OR 1.80, 95%CI
1.33-2.42) and greater than five lifetime partners (OR 2.03, 95% CI
1.41-2.92) were independent predictors of these STDs in this population.
CONCLUSION: Detained juvenile males in our study were at a high-risk for
STD/HIV infections and probably form a core group of STD transmitters.
Vigorous attempt to reduce STD reservoir and change behavior of
juveniles in detention, such as our study subjects, is urgently needed
for the control of the STD/HIV infections.
DE Adolescence Child Chlamydia Infections/EPIDEMIOLOGY/THERAPY
Cross-Sectional Studies Gonorrhea/EPIDEMIOLOGY/THERAPY Human Male
*Prisoners *Sex Behavior/STATISTICS & NUMER DATA Sexually Transmitted
Diseases/*EPIDEMIOLOGY/THERAPY Support, U.S. Gov't, P.H.S.
Syphilis/EPIDEMIOLOGY/THERAPY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).