Department of Health Systems & Population Health, University of Washington School of Public Health, Seattle, Washington; Formerly of the Research Division, Guttmacher Institute, New York, New York.
Formerly of the Research Division, Guttmacher Institute, New York, New York.
J Adolesc Health. 2022 Nov;71(5):642-645. doi: 10.1016/j.jadohealth.2022.04.014. Epub 2022 Jun 9.
Rates of sexually transmitted infections (STIs) among adolescents and young adults (15-24) continue to increase. Limited national information exists about the frequency and source of STI testing among this population.
We performed a cross-sectional analysis of National Survey of Family Growth data from 2013-2019 to describe patterns in STI testing and assess associations with individual characteristics.
We found that non-Hispanic Black women, non-Hispanic Black and Hispanic men, and individuals with public insurance are more likely to receive an STI test. The two sexes have different sources of care for STI testing and publicly supported providers provide the bulk of services to marginalized populations.
STI testing frequencies of this age group fall below what national guidelines suggest. Multiple socioecological factors may affect the likelihood that a young person receives an STI test. All providers should be supported and encouraged to provide confidential and unbiased STI care.
青少年和年轻人(15-24 岁)的性传播感染(STI)率继续上升。关于这一人群中 STI 检测的频率和来源,全国性信息有限。
我们对 2013-2019 年全国家庭增长调查的数据进行了横断面分析,以描述 STI 检测模式,并评估其与个体特征的关联。
我们发现,非西班牙裔黑人女性、非西班牙裔黑人和西班牙裔男性以及拥有公共保险的人更有可能接受 STI 检测。两性在 STI 检测方面的护理来源不同,公共支持的提供者为边缘化人群提供了大部分服务。
该年龄段的 STI 检测频率低于国家指南建议的水平。多个社会生态因素可能会影响年轻人接受 STI 检测的可能性。应支持和鼓励所有提供者提供保密和无偏见的 STI 护理。