Crosby Richard A, DiClemente Ralph J, Wingood Gina M, Salazar Laura F, Rose Eve, Sales Jessica M
College of Public Health, Lexington, KY 40506-0003, USA.
Sex Transm Infect. 2007 Jun;83(3):223-7. doi: 10.1136/sti.2006.022590.
To identify whether school enrolment is protective against laboratory-confirmed diagnosis of sexually transmitted diseases (STDs) and against a spectrum of sexual risk factors.
A cross-sectional study of 715 African-American adolescent females (15-21 years old) was conducted. Data collection included an audio-computer-assisted self-interview lasting about 60 min and a self-collected vaginal swab for nucleic acid amplification testing of Trichomonas vaginalis, Chlamydia trachomatis and Neisseria gonorrhoeae.
In total, 65% were enrolled in school. After adjusting for age and whether adolescents resided with a family member, those not enrolled were twice as likely to test positive for one of the three STDs compared with those enrolled (adjusted OR2; 95% CI 1.38 to 2.91). Similarly, school enrolment was protective against risk factors contributing to STD acquisition. The measures of sexual risk behaviour of 8 of 10, retained significance after adjusting for the covariates, and 2 of the 3 psychosocial mediators retained significance.
This study provides initial evidence suggesting that keeping high-risk African-American adolescent females in school (including forms of school that occur after high-school graduation) may be important from a public health standpoint.
确定入学是否能预防实验室确诊的性传播疾病（STD）以及一系列性风险因素。
对715名非裔美国青少年女性（15 - 21岁）进行了一项横断面研究。数据收集包括一次持续约60分钟的音频计算机辅助自我访谈，以及一份自行采集的阴道拭子，用于对阴道毛滴虫、沙眼衣原体和淋病奈瑟菌进行核酸扩增检测。
总共65%的人入学。在调整年龄以及青少年是否与家庭成员同住后，未入学的青少年感染三种性传播疾病之一的阳性检测率是入学青少年的两倍（调整后的比值比为2；95%置信区间为1.38至2.91）。同样，入学对导致性传播疾病感染的风险因素具有预防作用。在调整协变量后，10项性风险行为指标中的8项、3项心理社会调节因素中的2项仍具有统计学意义。
本研究提供了初步证据，表明从公共卫生角度来看，让高危非裔美国青少年女性留在学校（包括高中毕业后的各种形式的学校教育）可能很重要。
