Moving upstream: Ecosocial and psychosocial correlates of sexually transmitted infections among young adults in the United States

A.L. Buffardi, K.K. Thomas, K.K. Holmes and L.E. Manhart

American Journal of Public Health, 2008, vol. 98, issue 6, 1128-1136

Abstract: Objectives. We determined the associations of ecosocial factors and psychosocial factors with having a prevalent sexually transmitted infection (STI), recent STI diagnoses, and sexual risk behaviors. Methods. Young adults aged 18 to 27 years in the National Longitudinal Study of Adolescent Health (n = 14322) provided ecosocial, psychosocial, behavioral, and STI-history data. Urine was tested for Chlamydia trachomatis and Neisseria gonorrhoeae by ligase chain reaction and for Trichomonas vaginalis, human papillomavirus, and Mycoplasma genitalium by polymerase chain reaction. Results. Prevalent STI was associated with housing insecurity (adjusted odds ratio [AOR] = 1.3; 95% confidence interval [CI] = 1.00, 1.72), exposure to crime (AOR = 1.4; 95% CI = 1.02, 1.80), and having been arrested (AOR = 1.4; 95% CI = 1.07, 1.84). STI prevalence increased linearly from 4.9% for 0 factors to 14.6% for 4 or more (P

Date: 2008
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2007.120451_7

DOI: 10.2105/AJPH.2007.120451

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