Yavorsky Risa L, Hollman Dominic, Steever John, Soghomonian Christine, Diaz Angela, Strickler Howard, Schlecht Nicolas, Burk Robert D, Ochner Christopher N
Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Albert Einstein College of Medicine, New York, NY, USA.
Clin Pediatr (Phila). 2014 Aug;53(9):890-5. doi: 10.1177/0009922814533816. Epub 2014 May 7.
Sexually transmitted infections (STIs) are common among adolescents, and multiple STIs over one's lifetime can increase health risks. Few studies have assessed lifetime STI prevalence. This study evaluates minority, underserved adolescents' self-reported lifetime STI history and objective STI rates.
Lifetime STI rates of female patients at an urban adolescent health center were obtained from self-administered questionnaires. Additionally, STI test results were retrieved from electronic medical records.
Patients reported a high lifetime prevalence of STIs. By comparing self-report and objective data, underreporting was identified for chlamydia, gonorrhea, and herpes.
STI rates in at-risk adolescent females are higher than in the general population and remain elevated over time. Lifetime STI reports could expand our understanding of sexual health and should be further studied. Underreporting, which may increase health risks and hinder health care delivery, requires further investigation. Improvements in STI screening and prevention targeting at-risk populations are warranted.
性传播感染（STIs）在青少年中很常见，一生中感染多种性传播感染会增加健康风险。很少有研究评估一生中性传播感染的患病率。本研究评估少数族裔、医疗服务不足的青少年自我报告的一生中性传播感染病史和客观的性传播感染率。
通过自我管理的问卷获得城市青少年健康中心女性患者的一生中性传播感染率。此外，从电子病历中检索性传播感染检测结果。
患者报告一生中感染性传播感染的患病率很高。通过比较自我报告和客观数据，发现衣原体、淋病和疱疹存在报告不足的情况。
高危青春期女性的性传播感染率高于一般人群，且长期居高不下。一生中性传播感染报告可能会扩展我们对性健康的理解，应进一步研究。报告不足可能会增加健康风险并阻碍医疗服务的提供，需要进一步调查。有必要改进针对高危人群的性传播感染筛查和预防工作。
