Alexander-Rodriguez T, Vermund S H
Spofford Juvenile Health Services, Montefiore Medical Center, Bronx, NY 10467.
Pediatrics. 1987 Oct;80(4):561-4.
During a 1-year period from July 1983 to June 1984, 285 adolescent girls and 2,236 adolescent boys, ranging in age from 9 to 18 years (89% were 14 to 16 years of age), were screened for gonorrhea and syphilis on entry into a detention facility in New York City. The prevalence rate for gonorrhea was 3% for boys and 18.3% for girls, and the prevalence rate for syphilis was 0.63% for boys and 2.5% for girls. The rates of gonorrhea without penile or cervical discharge on physical examination were 2.1% for boys and 10.9% for girls. This high prevalence of syphilis and gonorrhea and the high frequency of disease without physical signs of illness indicate the desirability of screening high-risk adolescents for these and other sexually transmitted diseases. Our data support the need for programs in detention facilities and, we believe, schools, to encourage use of barrier contraceptives to control gonorrhea, syphilis, Chlamydia, human papillomavirus, human immunodeficiency virus, and unwanted pregnancy.
在1983年7月至1984年6月的1年期间，对年龄在9至18岁（89%为14至16岁）的285名青春期少女和2236名青春期男孩进行了淋病和梅毒筛查，这些青少年进入纽约市的一个拘留所时接受了检查。男孩淋病患病率为3%，女孩为18.3%；男孩梅毒患病率为0.63%，女孩为2.5%。体检时无阴茎或宫颈分泌物的淋病发病率，男孩为2.1%，女孩为10.9%。梅毒和淋病的高患病率以及无疾病体征的高发病率表明，对高危青少年进行这些及其他性传播疾病的筛查是可取的。我们的数据支持在拘留所开展相关项目的必要性，而且我们认为在学校也有必要开展此类项目，以鼓励使用屏障避孕法来控制淋病、梅毒、衣原体、人乳头瘤病毒、人类免疫缺陷病毒感染以及意外怀孕。
