Document 0027
 DOCN  M94A0027
 TI    Sexual behavior and sexually transmitted diseases among male adolescents
       in detention [see comments]
 DT    9412
 AU    Oh MK; Cloud GA; Wallace LS; Reynolds J; Sturdevant M; Feinstein RA;
       Department of Pediatrics, University of Alabama School of; Medicine,
       Birmingham.
 SO    Sex Transm Dis. 1994 May-Jun;21(3):127-32. Unique Identifier : AIDSLINE
       MED/94353297
 CM    Comment in: Sex Transm Dis 1994 May-Jun;21(3):181-2
 AB    BACKGROUND: Youth in detention represent a medically underserved
       population at risk for a variety of medical and emotional disorders.
       GOAL OF THE STUDY: To determine prevalence of STDs and high-risk sexual
       behaviors for HIV/STD among adolescent males admitted to a juvenile
       detention facility. STUDY DESIGN: Cross-sectional study of behavioral
       risk factors and STD prevalence among detained males, 11 to 18 years of
       age. Study subjects were interviewed for behavioral history and screened
       for STD. RESULTS: The median number of lifetime partners of the
       population was 8 (range 1-100), the number of partners in the preceding
       4 months was 2 in median (range 0-30), 59% used a condom with their last
       sex, and consistent condom use in the past 4 months was reported by 37%.
       A history of sexual intercourse within the last one week was reported by
       43%. Chlamydia trachomatis infection rate was 6.9% (66/957), Neisseria
       gonorrhoeae 4.5% (42/940) and syphilis 0.9% (8/930) including one who
       seroconverted while in detention. Overall, 12% (109/908) of subjects
       tested for all three infections were positive for at least one STD.
       Stepwise logistic regression analysis showed that greater than one
       partner in the previous 4 months (OR 1.53, 95% confidence interval [95%
       CI] 1.18-1.98), inconsistent or no condom use in the preceding 4 months
       (OR 1.77, 95%CI 1.37-2.28), a history of recent STD (OR 1.80, 95%CI
       1.33-2.42) and greater than five lifetime partners (OR 2.03, 95% CI
       1.41-2.92) were independent predictors of these STDs in this population.
       CONCLUSION: Detained juvenile males in our study were at a high-risk for
       STD/HIV infections and probably form a core group of STD transmitters.
       Vigorous attempt to reduce STD reservoir and change behavior of
       juveniles in detention, such as our study subjects, is urgently needed
       for the control of the STD/HIV infections.
 DE    Adolescence  Child  Chlamydia Infections/EPIDEMIOLOGY/THERAPY
       Cross-Sectional Studies  Gonorrhea/EPIDEMIOLOGY/THERAPY  Human  Male
       *Prisoners  *Sex Behavior/STATISTICS & NUMER DATA  Sexually Transmitted
       Diseases/*EPIDEMIOLOGY/THERAPY  Support, U.S. Gov't, P.H.S.
       Syphilis/EPIDEMIOLOGY/THERAPY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).