Document 0120
 DOCN  M9440120
 TI    Relationship between drug use and sexual behaviors and the occurrence of
       sexually transmitted diseases among high-risk male youth.
 DT    9404
 AU    Shafer MA; Hilton JF; Ekstrand M; Keogh J; Gee L; DiGiorgio-Haag L;
       Shalwitz J; Schachter J; Department of Pediatrics, University of
       California, San Francisco; 94143.
 SO    Sex Transm Dis. 1993 Nov-Dec;20(6):307-13. Unique Identifier : AIDSLINE
       MED/94151706
 AB    BACKGROUND AND OBJECTIVES: Sexually active adolescents, especially those
       in detention, are at high risk for acquisition of sexually transmitted
       diseases (STDs), including HIV infection. Yet little information is
       available that describes their risk behaviors associated with STDs. The
       overall objective was to define the relationship between risk behaviors
       and STD acquisition among adolescents. GOALS OF THIS STUDY: The first
       goal was to characterize drug use and sexual behaviors that place a
       population of adolescent male detainees at STD/HIV risk. The second goal
       was to define possible interrelationships between drug use, especially
       alcohol use, and risky sexual behaviors with STD acquisition. STUDY
       DESIGN: The study group consisted of 414 adolescent male detainees 12 to
       18 years of age who participated in an interview and a clinical
       assessment. Two hundred sixty-nine of the 414 subjects agreed to STD
       laboratory tests, including serologic testing for hepatitis B and
       syphilis, and urethral cultures to screen for chlamydial and gonorrheal
       urethritis. RESULTS: Results showed that 15% had current evidence of at
       least one STD, and 34% had a history or current evidence of at least one
       STD (STD occurrence). The subjects were frequently engaging in risky
       sexual and drug use behaviors. Two multivariate models described three
       factors that significantly place the male adolescent in detention at
       risk for STDs: multiple sexual partners, inconsistent condom use, and
       the quantity of alcohol consumed per week. CONCLUSION: Youth in
       detention place themselves at risk for STDs including HIV because of
       their risky sexual behavior and drug use. Addressing alcohol use and
       barriers to condom use appear to be essential components of any STD
       prevention program targeting this largely minority youth population.
 DE    Adolescence  Alcoholism/COMPLICATIONS  Child  Ethnic Groups  Human
       *Juvenile Delinquency  Male  Marijuana Abuse/COMPLICATIONS  Multivariate
       Analysis  Odds Ratio  Prevalence  Regression Analysis  Risk Factors
       *Sex Behavior  Sexually Transmitted
       Diseases/ETHNOLOGY/*EPIDEMIOLOGY/ETIOLOGY  Substance
       Abuse/*COMPLICATIONS  Support, U.S. Gov't, P.H.S.  JOURNAL ARTICLE

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