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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Association between sexually transmitted diseases and young adults' self-reported abstinence.
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Association between sexually transmitted diseases and young adults' self-reported abstinence.

机译：性传播疾病与年轻人自我报告的禁欲之间的关联。

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OBJECTIVE: Self-reported behavior has been the cornerstone of sexual health research and clinical practice, yet advances in sexually transmitted disease (STD) screening provide researchers with the opportunity to objectively quantify sexual risk behaviors. However, the extent to which young adults' laboratory-confirmed STD results and self-reported sexual behaviors are consistent has not been assessed in a nationally representative sample. PATIENTS AND METHODS: Data are derived from participants who completed wave 3 in the National Longitudinal Study of Adolescent Health. Young adults (N = 14 012) completed an audio computer-assisted self-interviewing survey and provided a urine specimen to detect the presence of Chlamydia trachomatis and Neisseria gonorrhoeae, and a polymerase chain reaction assay to detect Trichomonas vaginalis. RESULTS: More than 10% of young adults with a laboratory-confirmed positive STD result reported abstaining from sexual intercourse in the 12 months before assessment and STD testing. After controlling for several sociodemographic factors, self-reported sex (versus those who reported abstinence) in the previous 12 months was significantly associated with testing positive, but the odds of testing positive were only slightly more than twofold (adjusted odds ratio: 2.11 [95% confidence interval: 2.097-2.122]). CONCLUSIONS: Findings indicate discrepancy between young adults' positive STD status and self-reported sexual behavior. No significant correlates of discrepant reporting were identified. From a clinical standpoint, the discrepancies between STD positivity and self-reported sexual behavior observed in this nationally representative sample suggest that routine STD screening may be beneficial and necessary to reduce STD morbidity among young adults.
机译：目的：自我报告的行为一直是性健康研究和临床实践的基石，但是性传播疾病（STD）筛查的进步为研究人员提供了客观量化性危险行为的机会。但是，尚未在全国代表性的样本中评估年轻人在实验室确认的性病结果与自我报告的性行为是否一致的程度。病人和方法：数据来自完成《国家青少年健康纵向研究》第3轮的参与者。年轻人（N = 14 012）完成了音频计算机辅助的自我访谈调查，并提供了尿液样本来检测沙眼衣原体和淋病奈瑟菌的存在，并提供了聚合酶链反应测定法来检测阴道毛滴虫。结果：在实验室确认的性病阳性结果中，超过10％的年轻人表示在评估和性病检测之前的12个月内没有性交。在控制了几种社会人口统计学因素后，过去12个月的自我报告的性别（与报告戒酒的人群相比）与检测阳性呈显着相关，但检测阳性的几率仅略高于两倍（调整后的优势比：2.11 [95] ％置信区间：2.097-2.122]）。结论：发现表明年轻人的性病阳性状态与自我报告的性行为之间存在差异。未发现差异报告的显着相关性。从临床角度来看，在这个全国代表性的样本中观察到性传播疾病阳性与自我报告的性行为之间的差异表明，常规性传播疾病筛查可能是有益的，而且对于降低年轻人中的性传播疾病发病率是必要的。

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