Prevalence of Sexually Transmitted Infections Among Female Adolescents Aged 14 to 19 in the United States
Prevalence of Sexually Transmitted Infections Among Female Adolescents Aged 14 to 19 in the United States
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DOI：
10.1542/peds.2009-0674
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发表时间：
2009-12-01
期刊：
影响因子：
8
通讯作者：
Markowitz, Lauri E.
中科院分区：
文献类型：
--
作者：
Forhan, Sara E.;Gottlieb, Sami L.;Markowitz, Lauri E.
目的：大多数年轻女性在青春期开始性活动，性传播感染（STIs）的风险伴随着这一开始。在这项研究中，我们估计最常见的性传播感染的患病率之间的一个有代表性的样本的女性青少年在美国。方法：数据进行了分析，从838名女性谁是14至19岁，参加了全国代表性的国家健康和营养检查调查2003-2004年。经过面谈和检查后，调查参与者提供了生物样本供实验室检测。主要结果是5种性传播感染中至少有1种的加权患病率：淋病奈瑟氏菌、沙眼衣原体、阴道毛滴虫、单纯疱疹病毒2型和人乳头瘤病毒（HPV）（23种高危型或6型或11型中的任何一种）。结果：5种性传播感染中任何一种的患病率为24.1%，有性经历的女性青少年为37.7%。HPV（23种高危型或6型或11型）是所有女性青少年中最常见的STI（患病率：18.3%），其次是沙眼衣原体感染（患病率：3.9%）。任何性传播感染的患病率为25.6%，在那些年龄相同或1年以上，他们的年龄在性启动和19.7%，在那些谁报告只有1个终身性伴侣。结论：性传播感染的患病率在女性青少年是相当大的，性传播感染开始后不久获得性启动和几个性伴侣。这些发现支持早期和全面的性教育，11至12岁的常规HPV疫苗接种，以及性活跃女性青少年的沙眼衣原体筛查。儿科2009;124：1505-1512
OBJECTIVE: Most young women initiate sexual activity during adolescence; risk for sexually transmitted infections (STIs) accompanies this initiation. In this study we estimated the prevalence of the most common STIs among a representative sample of female adolescents in the United States.METHODS: Data were analyzed from 838 females who were aged 14 to 19 and participating in the nationally representative National Health and Nutrition Examination Survey 2003-2004. After interview and examination, survey participants provided biological specimens for laboratory testing. The main outcome was weighted prevalence of at least 1 of 5 STIs: Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, herpes simplex virus type 2, and human papillomavirus (HPV) (any of 23 high-risk types or type 6 or 11).RESULTS: Prevalence of any of the 5 STIs was 24.1% among all and 37.7% among sexually experienced female adolescents. HPV (23 high-risk types or type 6 or 11) was the most common STI among all female adolescents (prevalence: 18.3%), followed by C trachomatis infection (prevalence: 3.9%). Prevalence of any of the STIs was 25.6% among those whose age was the same or 1 year greater than their age at sexual initiation and 19.7% among those who reported only 1 lifetime sex partner.CONCLUSIONS: The prevalence of STIs among female adolescents is substantial, and STIs begin to be acquired soon after sexual initiation and with few sex partners. These findings support early and comprehensive sex education, routine HPV vaccination at the age of 11 to 12 years, and C trachomatis screening of sexually active female adolescents. Pediatrics 2009;124:1505-1512