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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Laboratory-diagnosed sexually transmitted infections in former foster youth compared with peers.
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Laboratory-diagnosed sexually transmitted infections in former foster youth compared with peers.

机译：与同龄人相比，前寄养青年经实验室诊断的性传播感染。

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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.
机译：目的：本研究的目的是评估居住在寄养机构中与成年期性传播感染（STI）风险之间的关系。方法：使用国家青少年健康纵向研究（1994-2002）的第一至第三波进行多元回归分析，以评估寄养状况与性传播感染生物标志物和危险行为之间的关系。女性（N = 7563）和男性参与者（N = 6759）分别进行了评估。所有模型的协变量包括基线年龄，种族，种族，父母的教育水平，父母的收入水平和邻里家庭平均收入水平。结果：曾接受寄养的女性参与者更容易患滴虫病（几率[OR]：3.23 [95％置信区间（CI）：1.45-7.23），但淋病或衣原体感染较轻，与性行为相比，性危险行为增加非寄养的同龄人。曾接受寄养的男性参与者更容易同时患淋病（OR：14.28 [95％CI：2.07-98.28]）和衣原体（OR：3.07 [95％CI：1.36-6.96]），但滴虫并没有没有表现出比没有寄养的同龄人更高的大多数性危险行为风险。结论：结果表明，在寄养儿童中，成年后性传播感染的风险增加。男性和女性之间的接触方式可能有所不同。如果发现得到证实，他们建议与这些年轻人一起工作的医疗保健提供者应调整其性传播感染筛查方法。儿童福利机构还应考虑采取有针对性的干预措施，以减少该人群中的性传播感染风险。

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