Risk factors for sexually transmitted diseases in northern Thai adolescents: an audio-computer-assisted self-interview with noninvasive specimen collection


Paz-Bailey, G; Kilmarx, PH; Supawitkul, S; Chaowanachan, T; Jeeyapant, S; Sternberg, M; Markowitz, L; Mastro, TD; van Griensven, F; (2003) Risk factors for sexually transmitted diseases in northern Thai adolescents: an audio-computer-assisted self-interview with noninvasive specimen collection. Sexually transmitted diseases, 30 (4). pp. 320-6. ISSN 0148-5717 DOI: https://doi.org/10.1097/00007435-200304000-00009

Full text not available from this repository.

Abstract

BACKGROUND: Previous studies of sexual behavior and sexually transmitted diseases (STDs) in Thai adolescents may have been limited by participation bias and underreporting of stigmatized behaviors. GOAL: The goal was to increase knowledge about risk behaviors and STDs among youths in Thailand. STUDY DESIGN: Students aged 15 to 21 years completed an audio-computer-assisted self-interview. Oral fluid was tested for HIV antibodies and urine was tested for Chlamydia trachomatis and Neisseria gonorrhoeae nucleic acids with polymerase chain reaction. RESULTS: Of 1736 invited students, 1725 (99.4%) agreed to participate. Overall, C trachomatis infection was detected in 49 (2.8%), and there were five cases (0.3%) each of infection with N gonorrhoeae and HIV. Among those who reported sexual intercourse, the prevalence of chlamydial infection was 3.7% among men and 6.1% among women. Logistic regression analysis showed age-adjusted factors associated with chlamydial infection among men to be parents' occupation in agriculture, having sold sex, having a sex partner who had been pregnant, and the number of casual sex partners during lifetime. Among women, age-adjusted factors were parents' occupation in agriculture, number of casual partners during lifetime, having an older sex partner, and perception of higher HIV infection risk. CONCLUSION: These adolescents had high rates of unprotected intercourse and are at risk for STDs. Prevention programs should emphasize use of effective contraceptive methods, including condom use; reducing the number of sex partners (stressing the risk a partner of older age may pose to female adolescents); and reducing engagement in commercial sex.

Item Type: Article
Keywords: Adolescent, *Adolescent Behavior, Adolescent Health Services, Adult, Age Factors, Audiovisual Aids, Computers, Female, *Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Logistic Models, Male, Prevalence, Questionnaires, *Risk-Taking, Sex Counseling, Sex Factors, Sexually Transmitted Diseases/*epidemiology/etiology/*prevention & control, Specimen Handling/methods, Thailand/epidemiology, Adolescent, Adolescent Behavior, Adolescent Health Services, Adult, Age Factors, Audiovisual Aids, Computers, Female, Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Logistic Models, Male, Prevalence, Questionnaires, Risk-Taking, Sex Counseling, Sex Factors, Sexually Transmitted Diseases, epidemiology, etiology, prevention & control, Specimen Handling, methods, Thailand, epidemiology
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 12671552
Web of Science ID: 181990300009
URI: http://researchonline.lshtm.ac.uk/id/eprint/8393

Statistics


Download activity - last 12 months
Downloads since deposit
0Downloads
349Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item