Pediatrics · 2010
Laboratory-diagnosed sexually transmitted infections in former foster youth compared with peers.
Сравнительное исследованиеСтатьяПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
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Ahrens Kym R, Richardson Laura P, Courtney Mark E, McCarty Carolyn, Simoni Jane, Katon Wayne
Аннотация
OBJECTIVES: The objective of this study was to evaluate the association between having resided in foster care and risk for sexually transmitted infection (STI) during young adulthood.
METHODS: Multiple regression analyses were performed by using Waves I to III of the National Longitudinal Study of Adolescent Health (1994-2002) to evaluate the association between foster care status and STI biomarkers and risk behaviors. Female (N = 7563) and male participants (N = 6759) were evaluated separately. Covariates in all models included baseline age, race, ethnicity, parental education level, parental income level, and average neighborhood household income level.
RESULTS: Female participants who had been in foster care were more likely to have Trichomonas (odds ratio [OR]: 3.23 [95% confidence interval (CI): 1.45-7.23) but not gonorrhea or chlamydia and reported increased sexual risk behaviors compared with nonfostered peers. Male participants who had been in foster care were more likely to have both gonorrhea (OR: 14.28 [95% CI: 2.07-98.28]) and chlamydia (OR: 3.07 [95% CI: 1.36-6.96]) but not Trichomonas and did not report a higher risk for most sexual risk behaviors than nonfostered peers.
CONCLUSIONS: Results suggest that individuals who have been in foster care are at increased risk for STIs during young adulthood. The pattern of exposure may differ between male and female individuals. If findings are confirmed, they suggest that health care providers who work with these youth should adjust their STI screening practices. Child welfare agencies should also consider targeted interventions to reduce STI risk in this population.
METHODS: Multiple regression analyses were performed by using Waves I to III of the National Longitudinal Study of Adolescent Health (1994-2002) to evaluate the association between foster care status and STI biomarkers and risk behaviors. Female (N = 7563) and male participants (N = 6759) were evaluated separately. Covariates in all models included baseline age, race, ethnicity, parental education level, parental income level, and average neighborhood household income level.
RESULTS: Female participants who had been in foster care were more likely to have Trichomonas (odds ratio [OR]: 3.23 [95% confidence interval (CI): 1.45-7.23) but not gonorrhea or chlamydia and reported increased sexual risk behaviors compared with nonfostered peers. Male participants who had been in foster care were more likely to have both gonorrhea (OR: 14.28 [95% CI: 2.07-98.28]) and chlamydia (OR: 3.07 [95% CI: 1.36-6.96]) but not Trichomonas and did not report a higher risk for most sexual risk behaviors than nonfostered peers.
CONCLUSIONS: Results suggest that individuals who have been in foster care are at increased risk for STIs during young adulthood. The pattern of exposure may differ between male and female individuals. If findings are confirmed, they suggest that health care providers who work with these youth should adjust their STI screening practices. Child welfare agencies should also consider targeted interventions to reduce STI risk in this population.
Предметные рубрики MeSH
AdolescentAttitude to HealthChildClinical Laboratory TechniquesFemaleFoster Home CareHumansIncidenceLongitudinal StudiesMaleMultivariate AnalysisPeer GroupRegression AnalysisRisk AssessmentRisk-TakingSex DistributionSexual BehaviorSexual PartnersSexually Transmitted DiseasesSocioeconomic FactorsUnited StatesUnsafe SexYoung Adult