Association Between Sexually Transmitted Diseases and Young Adults' Self-reported Abstinence
Association Between Sexually Transmitted Diseases and Young Adults' Self-reported Abstinence
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DOI：
10.1542/peds.2009-0892
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发表时间：
2011-02-01
期刊：
影响因子：
8
通讯作者：
Crosby, Richard A.
中科院分区：
文献类型：
--
作者：
DiClemente, Ralph J.;Sales, Jessica McDermott;Crosby, Richard A.
目的：自我报告行为一直是性健康研究和临床实践的基石，但性传播疾病(STD)筛查的进展为研究人员提供了客观量化性危险行为的机会。然而，年轻成年人实验室确认的性病结果与自我报告的性行为在多大程度上是一致的，还没有在具有全国代表性的样本中进行评估。方法和方法：数据来自完成国家青少年健康纵向研究第三波的参与者。14 012名青壮年(N=14 012)完成有声计算机辅助自访调查，并提供尿样以检测沙眼衣原体和淋球菌的存在，用聚合酶链式反应检测阴道毛滴虫。结果：在实验室确认的STD阳性的青壮年中，超过10%的人报告在评估和STD检测前12个月禁欲。在控制了几个社会人口学因素后，自我报告的性行为(与报告禁欲的人相比)与前12个月的检测阳性显著相关，但检测阳性的几率仅略高于两倍(调整后的优势比：2.11[95%可信区间：2.097-2.122])。结论：研究结果表明，年轻人的性病阳性状态与自我报告的性行为之间存在差异。未发现与报告不一致有关的显著因素。从临床角度来看，在这个具有全国代表性的样本中观察到的STD阳性和自我报告的性行为之间的差异表明，常规的STD筛查可能是有益的，也是必要的，以减少年轻人中的STD发病率。儿科2011；127：208-213
OBJECTIVE: Self-reported behavior has been the cornerstone of sexual health research and clinical practice, yet advances in sexually transmitted disease (STD) screening provide researchers with the opportunity to objectively quantify sexual risk behaviors. However, the extent to which young adults' laboratory-confirmed STD results and self-reported sexual behaviors are consistent has not been assessed in a nationally representative sample.PATIENTS AND METHODS: Data are derived from participants who completed wave 3 in the National Longitudinal Study of Adolescent Health. Young adults (N = 14 012) completed an audio computer-assisted self-interviewing survey and provided a urine specimen to detect the presence of Chlamydia trachomatis and Neisseria gonorrhoeae, and a polymerase chain reaction assay to detect Trichomonas vaginalis.RESULTS: More than 10% of young adults with a laboratory-confirmed positive STD result reported abstaining from sexual intercourse in the 12 months before assessment and STD testing. After controlling for several sociodemographic factors, self-reported sex (versus those who reported abstinence) in the previous 12 months was significantly associated with testing positive, but the odds of testing positive were only slightly more than twofold (adjusted odds ratio: 2.11 [95% confidence interval: 2.097-2.122]).CONCLUSIONS: Findings indicate discrepancy between young adults' positive STD status and self-reported sexual behavior. No significant correlates of discrepant reporting were identified. From a clinical standpoint, the discrepancies between STD positivity and self-reported sexual behavior observed in this nationally representative sample suggest that routine STD screening may be beneficial and necessary to reduce STD morbidity among young adults. Pediatrics 2011; 127: 208-213