Sexually transmitted infections among HIV infected and HIV uninfected high-risk youth in the REACH study

Vermund, Sten H.; Wilson, Craig M.; Rogers, Audrey Smith; Partlow, Cynthia; Moscicki, Anna‐Barbara

doi:10.1016/s1054-139x(01)00296-8

Cited by 36 publications

(20 citation statements)

References 50 publications

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“…2,5,6 Our study sought to expand on the existing literature, which has largely studied cross-sectional STI rates and subsequent health outcomes, 9,13–17 by evaluating adolescent patients’ self-reported lifetime STI history and objectively documented EMR STI history.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Sexually Transmitted Infections in At-Risk Adolescent Females at a Comprehensive, Stand-Alone Adolescent Health Center in New York City

Yavorsky

Hollman

Steever

et al. 2014

Clin Pediatr (Phila)

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Background Sexually transmitted infections (STIs) are common among adolescents, and multiple STIs over one’s lifetime can increase health risks. Few studies have assessed lifetime STI prevalence. This study evaluates minority, underserved adolescents’ self-reported lifetime STI history and objective STI rates. Methods Lifetime STI rates of female patients at an urban adolescent health center were obtained from self-administered questionnaires. Additionally, STI test results were retrieved from electronic medical records. Results Patients reported a high lifetime prevalence of STIs. By comparing self-report and objective data, underreporting was identified for chlamydia, gonorrhea, and herpes. Conclusions STI rates in at-risk adolescent females are higher than in the general population and remain elevated over time. Lifetime STI reports could expand our understanding of sexual health and should be further studied. Underreporting, which may increase health risks and hinder health care delivery, requires further investigation. Improvements in STI screening and prevention targeting at-risk populations are warranted.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Sexually Transmitted Infections in At-Risk Adolescent Females at a Comprehensive, Stand-Alone Adolescent Health Center in New York City

Yavorsky

Hollman

Steever

et al. 2014

Clin Pediatr (Phila)

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“…Further description of STI-related methods has been published. 13 For the current analysis, data were available for 548 participants. Inclusion was limited to those who had at least one follow-up visit (17 excluded).…”

Section: Methodsmentioning

confidence: 99%

Incidence of sexually transmitted infections in HIV-infected and HIV-uninfected adolescents in the USA

et al. 2013

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Summary Little is known about the incidence of bacterial sexually transmitted infections (STIs) among HIV-infected vs. HIV-uninfected adolescents. This secondary analysis of a national, multisite study included adolescents aged 12–18 years who were behaviorally HIV-infected (n=346) or HIV-uninfected but at-risk (n=182). Incidence rates of bacterial STIs (gonorrhea, chlamydia [CT], and trichomonas [TV; females]) were calculated using Poisson modeling. Factors associated with incident STIs were explored using Cox proportional hazards modeling. HIV-infected vs. HIV-uninfected women had higher TV incidence (1.3 vs. 0.6/100 person-months; p=0.002). HIV-uninfected vs. HIV-infected women had higher CT incidence (1.6 vs. 1.1/100 person-months; p=0.04). Among women, demographic, behavioral, and HIV-related factors were associated with incident STIs. Among men, there were no differences in incident STIs. In this first analysis comparing STI incidence between HIV-infected and HIV-uninfected adolescents, bacterial STI incidence among women significantly differed by HIV status, and factors associated with incident STIs varied by STI and HIV status.

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“…HIV-oriented primary care requires the routine monitoring immune function and provision sexual health services such as secondary prevention, Sexually Transmitted Infection (STI) treatment, and reproductive planning (Bartlett, Cheever, Johnson, & Paauw, 2004). Yet, adolescents and young adults living with HIV (YLH) are at high risk for poor retention in care and poor reproductive health outcomes (Ashman, Conviser, & Pounds, 2002;Vermund, Wilson, Rogers, Partlow, & Moscicki, 2001). Thus, we sought to adapt MI to engage YLH in primary and reproductive health care.…”

mentioning

confidence: 99%

Motivational interviewing by peer outreach workers: a pilot randomized clinical trial to retain adolescents and young adults in HIV care

et al. 2009

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Youth living with HIV (YLH) are at particularly high risk for poor retention in HIV primary care. This study utilized Motivational Interviewing (MI) to improve youth retention in primary care and compared the fidelity and outcomes of peer outreach workers (POW) to masters level staff (MLS). Eighty-seven YLH were randomized to receive two MI sessions from POW or MLS. YLH were aged 16-29 and 92% were African American. Thirty-seven audiotaped sessions were coded with the Motivational Interviewing Treatment Integrity (MITI) coding system. Retention in care was assessed by review of medical records. POW had higher fidelity on two MITI scales, and did not differ from MLS on remaining three scales. While both groups improved the regularity of primary care appointments, the effect size for POW on retention in care and intervention dose was larger than that of MLS. The results suggest that POW can provide MI with quality comparable to MLS with adequate training and supervision. MI provided by POW to improve retention in health care services may increase the cost-effectiveness of evidence-based practices in urban settings.

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Sexually transmitted infections among HIV infected and HIV uninfected high-risk youth in the REACH study

Cited by 36 publications

References 50 publications

Prevalence of Sexually Transmitted Infections in At-Risk Adolescent Females at a Comprehensive, Stand-Alone Adolescent Health Center in New York City

Prevalence of Sexually Transmitted Infections in At-Risk Adolescent Females at a Comprehensive, Stand-Alone Adolescent Health Center in New York City

Incidence of sexually transmitted infections in HIV-infected and HIV-uninfected adolescents in the USA

Motivational interviewing by peer outreach workers: a pilot randomized clinical trial to retain adolescents and young adults in HIV care

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