Recently arrested adolescents are at high risk for sexually transmitted diseases
Recently arrested adolescents are at high risk for sexually transmitted diseases
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DOI：
10.1097/olq.0b013e31816d1f94
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发表时间：
2008-08-01
影响因子：
3.1
通讯作者：
Childs, Kristina
中科院分区：
文献类型：
--
作者：
Belenko, Steven;Dembo, Richard;Childs, Kristina
背景：青少年罪犯可能是性传播疾病(STDS)的高危人群。由于之前的研究和干预主要针对在押青少年，因此需要向社区公布新逮捕的青少年中性病患病率和危险因素的数据，这是一个更大的子组。方法：参与者是从2006年下半年在佛罗里达州希尔斯堡青少年评估中心处理的所有被捕青少年中招募的(男性506人，女性442人)。作为标准方案的一部分，自愿提供尿样进行药物检测的参与者也同意将他们的尿样拆分，并使用FDA批准的核酸扩增测试进行衣原体和淋病检测。结果：STD在被监禁青少年中的患病率与以前报道的相似：衣原体检测阳性率为11.5%，淋病检测阳性率为4.2%，其中一种或两种感染均为13.2%。女性的感染率明显更高：19.2%的女性患有其中一种或两种感染，而男性的这一比例为10.5%。17至18岁(男性15.2%，女性25.5%)、黑人、被拘留的青少年、吸毒者和从事性行为危险行为的人患病率较高。既往STD检测经验有限。结论：本研究表明，对于进入少年司法系统的被捕青少年，自愿进行STD筛查是可行的，这些罪犯是STD的高危人群。由于大多数被逮捕的青少年被释放回社区，对最近被逮捕的青少年进行常规检测和治疗，以及扩大获得减少风险和预防方案的机会，可以产生巨大的公共卫生效益。
Background: Adolescent offenders may be at high risk for sexually transmitted diseases (STDs). With previous research and interventions focused on incarcerated adolescents, data are needed on STD prevalence and risk factors among newly arrested youth released to the community, a far larger subgroup.Methods: Participants were recruited from all arrested youth processed at the Hillsborough County, Florida Juvenile Assessment Center during the last half of 2006 (506 males, 442 females). Participants voluntarily providing urine samples for drug testing as part of standard protocol were also consented to having their specimens split and tested for chlamydia and gonorrhea, using an FDA-approved nucleic acid amplification test.Results: STD prevalence was similar to those previously reported among incarcerated adolescents: 11.5% tested positive for chlamydia, 4.2% for gonorrhea, and 13.2% for either or both infections. Prevalence was significantly higher among females: 19.2% of females had either or both infections compared with 10.5% of males. Prevalence was higher for 17 to 18 year olds (15.2% of males, 25.5% of females), blacks, detained youths, drug users, and those engaged in sexual risk behaviors. Previous STD testing experience was limited.Conclusions: The study indicated that a voluntary STD screening protocol is feasible for arrested youth entering the juvenile justice system, and these offenders are at high risk for STDs. Because most arrested youths are released back to the community, routine testing and treatment of recently arrested youths, and expanded access to risk reduction and prevention programs, can yield substantial public health benefits.