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High Prevalence of Asymptomatic STDs in Incarcerated Minority Male Youth: A Case for Screening

  • West Virginia University
  • Emory University
  • University of Alabama

Research output: Contribution to journalArticlepeer-review

Abstract

Background and Objectives:   To assess STD prevalence among a sample of incarcerated minority male youth in a southern US city.

Methods:   A consecutive entrant, cross-sectional study of 284 minority males 14 to 18 years was performed. All adolescents were screened for gonorrhea and chlamydia using ligase chain reaction tests.

Results:   Eighteen percent of youth were identified as having either gonorrhea, chlamydia, or both. Approximately 84% of those with sexually transmitted diseases (STDs) self-reported having no symptoms. Failure to use condoms in the past month was significantly associated with a positive test result for STDs (odds ratio = 1.9, 95% CI = 1.1-3.3).

Conclusions:   The findings indicate an urgent need for routine STD screening and STD-prevention programs for adolescent males in detention facilities. A study of 284 detained black male adolescents revealed 18% prevalence of gonorrhea, chlamydia, or both. Approximately 84% of those with sexually transmitted diseases self-reported not having symptoms.
Original languageAmerican English
JournalSexually Transmitted Diseases
Volume27
DOIs
StatePublished - Mar 2000
Externally publishedYes

Disciplines

  • Pediatrics
  • Epidemiology
  • Medicine and Health Sciences

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