Mental Health Screening and STI Among Detained Youth

Mental Health Screening and STI Among Detained Youth
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DOI:
10.1007/s10900-010-9311-0
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发表时间:
2011-04-01
影响因子:
5.9
通讯作者:
Rosenman, Marc B.
Rosenman, Marc B.
中科院分区:
医学4区
文献类型:
--
作者:
Aalsma, Matthew C.;Wiehe, Sarah E.;Rosenman, Marc B.

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我们的目的是了解被拘留青少年的心理健康筛查结果、健康差距和性传播感染风险之间的关系。在这项对1181名在押人员(年龄13-18岁)进行的为期24个月的横断面研究中,我们研究了种族、性别、精神健康筛查结果(由马萨诸塞州青年筛查仪器第二版测量)与性传播感染(性传播感染;衣原体、淋病和滴虫)之间的关系。与之前的研究一致,女性和黑人青年受到性传播感染的影响不成比例。在心理健康筛查中也注意到了种族和性别差异。女性的酒精/药物分量表得分每增加一个单位,患性病的几率就增加23%(OR=1.23,95%CI=1.06,1.37)。有必要对被拘留的青少年进行针对性别的性传播感染干预。对于有药物滥用的年轻女性来说,有必要采取具体的干预措施,这可能有助于缩小这一弱势群体的健康差距。
Our objective was to understand the relationship between mental health screening results, health disparity, and STI risk among detained adolescents. In this 24-month cross-sectional study of 1,181 detainees (age 13-18 years), we examined associations between race, gender, mental health screening results (as measured by the Massachusetts Youth Screening Instrument-2nd Edition) and sexually transmitted infection rates (STI; chlamydia, gonorrhea, and trichomonas). Consistent with previous research, females and black youth were disproportionately affected by STI. Race and gender differences were also noted in mental health screening. The odds of having an STI increased by 23% (OR = 1.23, 95% CI = 1.06, 1.37) with each one-unit increase in the alcohol/drug subscale score for females. Gender-specific STI interventions for detained youth are warranted. For young women with substance abuse, specific interventions are necessary and may help reduce health disparity in this vulnerable population.