Health-Seeking Behaviors and Sexually Transmitted Diseases Among Adolescents Attending An Urban Pediatric Emergency Department

Monroe, Kathy; Jones, Marga; Desmond, Reneé A.; Hook, Edward W.

doi:10.1007/s12019-007-0011-3

Cited by 11 publications

(9 citation statements)

References 19 publications

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“…In general, there is little recent data characterizing the overall prevalence of STIs in the adolescent ED population, 40,62 given limitations in surveillance and variations in which types of STIs are queried. However, we found that among adolescents in the ED who had ever been sexually active, 10% self-reported a prior STI and over half engaged in high risk sexual behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…35 For example, studies involving point-of-care testing have shown that about 11% of youth in EDs tested positive for chlamydia or gonorrhea. 39,40 …”

Section: Introductionmentioning

confidence: 99%

“…In order to inform such efforts, research is needed to identify characteristics of those youth presenting to the ED setting who may be at highest risk for STIs to focus limited resources for point of care testing as universal testing may not be feasible in every setting. Although youth with prior STI may have different characteristics than youth with current STI 39,40 , given the relationship between past STI and future risk for STI and HIV infection and the concerning recurrence rates, 16–19 information on the prevalence of and characteristics of youth in the ED with prior STI is needed to identify those at risk in order to inform screening, prevention and treatment efforts to provide an alternative to universal biologic testing The aims of this study are to determine the prevalence of prior STI among sexually active males and females between 14–20 years of age in the ED and then to determine correlates of prior STI among this cohort.…”

Section: Introductionmentioning

confidence: 99%

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Sexually Transmitted Infection History among Adolescents Presenting to the Emergency Department

Bonar

Walton

Caldwell

et al. 2015

The Journal of Emergency Medicine

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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.

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Section: Discussionmentioning

confidence: 99%

“…35 For example, studies involving point-of-care testing have shown that about 11% of youth in EDs tested positive for chlamydia or gonorrhea. 39,40 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sexually Transmitted Infection History among Adolescents Presenting to the Emergency Department

Bonar

Walton

Caldwell

et al. 2015

The Journal of Emergency Medicine

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“…9 Among male and female adolescents seeking care in urban EDs, rates of chlamydial and/or gonorrheal infection of 8-25% have been reported. 10-12 …”

Section: Introductionmentioning

confidence: 99%

Sexual Health Behaviors, Preferences for Care, and Use of Health Services Among Adolescents in Pediatric Emergency Departments

Miller

Pickett

Leisner

et al. 2013

Pediatric Emergency Care

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Objectives To describe sexual health behaviors, as well as prior use of and preferences for sexual health services among adolescents in the pediatric Emergency Department (ED). Methods In this cross-sectional study, subjects aged 14-19 years who presented to an urban or suburban ED from a single Midwestern area completed a written survey. The survey included questions on previous sexual activity (PSA), high-risk behaviors (1st sex before age 15, no condom at last sex, substance use at last sex, >3 partners in past 3 months, and >4 lifetime partners) and sexual health service use and preferences. Comparisons of responses between subgroups were analyzed using Chi-square test. Multiple logistic regression was used to identify factors associated with high-risk behaviors. Care preferences were scored using a four-point Likert scale; mean scores were ranked. Results Subjects included 306 adolescents (85% of approached). The mean age was 15.5 years. Almost half (45%) reported PSA and, of those, 63% reported ≥1 high-risk behavior (most commonly 1st sex before age 15 [43%] and no condom at last sex [29%]). Almost all wanted to prevent pregnancy, but only one-third received birth control counseling before sexual debut and 14% reported no contraception at last sex. Younger age was associated with ≥1 high-risk behavior (odds ratio = 3.7; confidence interval = 1.39-9.84). Preferences for care included caring, knowledgeable providers and low/no cost. Conclusions Due to high prevalence of high-risk behaviors among adolescents presenting in the ED, strategies should be developed to link these patients to comprehensive sexual health care.

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“…Chlamydia is one of the most common sexually transmitted infections (STIs) in sexually active women, has a high prevalence in the ED setting, [7][8][9] and is frequently asymptomatic. 6,7,10 The objective of this study was to evaluate the feasibility of chlamydia screening using a model in which the ED is responsible for collection of urine samples, and the PHD completes the testing, follow-up, and treatment.…”

mentioning

confidence: 99%

Emergency Department Chlamydia Screening Through Partnership with the Public Health Department

Irvin

Nowak

Moore

et al. 2009

Academic Emergency Medicine

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Health-Seeking Behaviors and Sexually Transmitted Diseases Among Adolescents Attending An Urban Pediatric Emergency Department

Abstract: This study confirms a high prevalence of treatable STDs among adolescents in an urban ED setting and provides information on frequency of ED usage and health-seeking behaviors among adolescents.

Cited by 11 publications

References 19 publications

Sexually Transmitted Infection History among Adolescents Presenting to the Emergency Department

Sexually Transmitted Infection History among Adolescents Presenting to the Emergency Department

Sexual Health Behaviors, Preferences for Care, and Use of Health Services Among Adolescents in Pediatric Emergency Departments

Emergency Department Chlamydia Screening Through Partnership with the Public Health Department

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