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首页> 外文期刊>Sexually Transmitted Infections >Oral contraceptive use may not preclude condom use: a study of non-pregnant African-American adolescent females.
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Oral contraceptive use may not preclude condom use: a study of non-pregnant African-American adolescent females.

机译：口服避孕药可能并不排除使用安全套：一项针对非怀孕的非裔美国青少年女性的研究。

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OBJECTIVE: To determine the association between oral contraceptive and condom use, and laboratory-confirmed sexually transmitted infection (STI) among African-American adolescent females at a high risk of STI acquisition. METHODS: A cross-sectional study of 715 African-American adolescent females (15-21 years old) was conducted. Data collection included (a) an audio-computer-assisted self-interview and a self-collected vaginal swab for nucleic acid amplification testing of Trichomonas vaginalis, Chlamydia trachomatis and Neisseria gonorrhoeae. RESULTS: The age-adjusted odds ratio (AOR) indicated a modest protective effect of oral contraceptive use against unprotected vaginal sex (UVS) using a 60-day recall period (AOR = 0.66; 95% CI 0.43 to 0.99). The age-adjusted difference in mean frequency of UVS in the past 60 days was non-significant (p = 0.23) as was condom use at last sex (p = 0.34). The age-AOR relative to STI prevalence also showed a protective effect (AOR = 0.60; 95% CI 0.36 to 0.98) for those using oral contraceptives. CONCLUSION: The findings suggest that the use of oral contraceptives may not preclude safer sex practices for the prevention of STIs among high-risk African-American adolescent females.
机译：目的：确定具有高STI感染风险的非洲裔美国青少年女性中口服避孕药和使用避孕套与实验室确认的性传播感染（STI）之间的关系。方法：进行了一项横断面研究，涉及715名15-21岁的非洲裔美国青少年女性。数据收集包括：（a）音频计算机辅助的自我访谈和自我收集的阴道拭子，用于阴道滴虫，沙眼衣原体和淋病奈瑟氏菌的核酸扩增测试。结果：年龄校正后的优势比（AOR）表明，在60天的召回期内，口服避孕药对无保护的阴道性交（UVS）有中等程度的保护作用（AOR = 0.66; 95％CI 0.43至0.99）。过去60天经年龄调整的UVS平均频率差异无统计学意义（p = 0.23），而最后一次使用安全套的差异（p = 0.34）。相对于STI患病率而言，年龄AOR对使用口服避孕药的人也显示出保护作用（AOR = 0.60; 95％CI 0.36至0.98）。结论：研究结果表明，口服避孕药可能并不排除在高风险的非洲裔美国青少年女性中预防性传播感染的安全性行为。

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