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

Author:

Yavorsky Risa L.1,Hollman Dominic1,Steever John1,Soghomonian Christine1,Diaz Angela1,Strickler Howard2,Schlecht Nicolas2,Burk Robert D.2,Ochner Christopher N.1

Affiliation:

1. Icahn School of Medicine at Mount Sinai, New York, NY, USA

2. Albert Einstein College of Medicine, New York, NY, USA

Abstract

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.

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology and Child Health

Reference19 articles.

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