OBJECTIVE: To identify whether school enrolment is protective against laboratory-confirmed diagnosis of sexually transmitted diseases (STDs) and against a spectrum of sexual risk factors. METHODS: A cross-sectional study of 715 African-American adolescent females (15-21 years old) was conducted. Data collection included an audio-computer-assisted self-interview lasting about 60 min and a self-collected vaginal swab for nucleic acid amplification testing of Trichomonas vaginalis, Chlamydia trachomatis and Neisseria gonorrhoeae. RESULTS: In total, 65% were enrolled in school. After adjusting for age and whether adolescents resided with a family member, those not enrolled were twice as likely to test positive for one of the three STDs compared with those enrolled (adjusted OR2; 95% CI 1.38 to 2.91). Similarly, school enrolment was protective against risk factors contributing to STD acquisition. The measures of sexual risk behaviour of 8 of 10, retained significance after adjusting for the covariates, and 2 of the 3 psychosocial mediators retained significance. CONCLUSION: This study provides initial evidence suggesting that keeping high-risk African-American adolescent females in school (including forms of school that occur after high-school graduation) may be important from a public health standpoint.
OBJECTIVE: To identify whether school enrolment is protective against laboratory-confirmed diagnosis of sexually transmitted diseases (STDs) and against a spectrum of sexual risk factors. METHODS: A cross-sectional study of 715 African-American adolescent females (15-21 years old) was conducted. Data collection included an audio-computer-assisted self-interview lasting about 60 min and a self-collected vaginal swab for nucleic acid amplification testing of Trichomonas vaginalis, Chlamydia trachomatis and Neisseria gonorrhoeae. RESULTS: In total, 65% were enrolled in school. After adjusting for age and whether adolescents resided with a family member, those not enrolled were twice as likely to test positive for one of the three STDs compared with those enrolled (adjusted OR2; 95% CI 1.38 to 2.91). Similarly, school enrolment was protective against risk factors contributing to STD acquisition. The measures of sexual risk behaviour of 8 of 10, retained significance after adjusting for the covariates, and 2 of the 3 psychosocial mediators retained significance. CONCLUSION: This study provides initial evidence suggesting that keeping high-risk African-American adolescent females in school (including forms of school that occur after high-school graduation) may be important from a public health standpoint.
Authors: Ralph J DiClemente; Gina M Wingood; Richard A Crosby; Catlainn Sionean; Brenda K Cobb; Kathy Harrington; Susan L Davies; Edward W Hook; M Kim Oh Journal: Sex Transm Dis Date: 2002-01 Impact factor: 2.830
Authors: Richard A Crosby; Ralph J DiClemente; Gina M Wingood; Kathy Harrington; Suzy Davies; Robert Malow Journal: Ethn Dis Date: 2002 Impact factor: 1.847
Authors: Richard A Crosby; Ralph J DiClemente; Gina M Wingood; Brenda K Cobb; Kathy Harrington; Susan L Davies; Edward W Hook; M Kim Oh Journal: Health Educ Behav Date: 2002-04
Authors: R A Crosby; R J DiClemente; G M Wingood; K Harrington; S Davies; M K Oh Journal: J Epidemiol Community Health Date: 2002-07 Impact factor: 3.710
Authors: Pamina M Gorbach; Bradley P Stoner; Sevgi O Aral; Willian L H Whittington; King K Holmes Journal: Sex Transm Dis Date: 2002-08 Impact factor: 2.830
Authors: H H Lee; M A Chernesky; J Schachter; J D Burczak; W W Andrews; S Muldoon; G Leckie; W E Stamm Journal: Lancet Date: 1995-01-28 Impact factor: 79.321
Authors: Julia E Painter; Gina M Wingood; Ralph J DiClemente; Lara M Depadilla; Lashun Simpson-Robinson Journal: Womens Health Issues Date: 2012 May-Jun
Authors: Joan Marie Kraft; Maura K Whiteman; Marion W Carter; M Christine Snead; Ralph J DiClemente; Collen Crittenden Murray; Kendra Hatfield-Timajchy; Melissa Kottke Journal: Sex Transm Dis Date: 2015-04 Impact factor: 2.830
Authors: Joy D Scheidell; Valery Madsen Beau De Rochars; Marie Nancy Séraphin; Marcia M Hobbs; John Glenn Morris; Joseph Pierre Célestin; Linda B Cottler; Maria R Khan Journal: Sex Transm Dis Date: 2018-09 Impact factor: 2.830
Authors: Ly Thi-Hai Tran; Thanh Cong Bui; Christine M Markham; Michael D Swartz; Quan Minh Tran; Alan G Nyitray; Thuy Thi-Thu Huynh; Lu-Yu Hwang Journal: BMC Public Health Date: 2016-01-13 Impact factor: 3.295
Authors: Souradet Y Shaw; Colleen Metge; Carole Taylor; Mariette Chartier; Catherine Charette; Lisa Lix; Rob Santos; Joykrishna Sarkar; Nathan C Nickel; Elaine Burland; Dan Chateau; Alan Katz; Marni Brownell; Patricia J Martens Journal: Int J Equity Health Date: 2016-06-21
Authors: Suneeta Krishnan; Megan S Dunbar; Alexandra M Minnis; Carol A Medlin; Caitlin E Gerdts; Nancy S Padian Journal: Ann N Y Acad Sci Date: 2007-10-22 Impact factor: 6.499
Authors: Cynthia Prather; Taleria R Fuller; William L Jeffries; Khiya J Marshall; A Vyann Howell; Angela Belyue-Umole; Winifred King Journal: Health Equity Date: 2018-09-24