提高对性传播感染（STI）检测的认识并消除耻辱感，可能会改善原住民和托雷斯海峡岛民青年的性传播感染检测情况：来自下一代青年健康研究的证据。

Increasing awareness of sexually transmitted infections (STI) testing and addressing stigma may improve STI testing in Aboriginal and Torres Strait Islander youth: Evidence from the Next Generation Youth Wellbeing Study.

作者信息

Rahman Tabassum, Kong Fabian Yuh Shiong, Williams Robyn, Davis Katiska, Whitby Justine, Eades Francine, Graham Simon, Joshy Grace, Eades Sandra

机构信息

The University of Melbourne, Victoria 3053, Australia.

出版信息

Aust N Z J Public Health. 2024 Dec;48(6):100203. doi: 10.1016/j.anzjph.2024.100203. Epub 2024 Nov 16.

DOI:10.1016/j.anzjph.2024.100203

PMID:39550915

Abstract

OBJECTIVE

To quantify the prevalence of sexually transmitted infections (STI) testing in relation to sociodemographic, behavioural, and health related factors, and patterns in sexual health service (SHS) use and non-use among Aboriginal and Torres Strait Islander (hereafter Aboriginal) youth.

METHODS

The analyses included N=198 sexually active 16-24-year-olds from Central Australia, Western Australia, and New South Wales participating in the Next Generation Youth Wellbeing Study. Modified Poisson regression estimated age-sex-adjusted prevalence ratios (PRs) for ever testing for STIs.

RESULTS

Approximately 55% of the participants ever tested for STIs. Over 44% of the participants ever accessed SHS; perceived irrelevance (50%) and embarrassment (15%) were the main reasons for not accessing SHS. STI testing was higher among: 21-24-year-olds (68.75% vs 37.04% among 16-17-year-olds, PR: 1.82; confidence interval 1.23-2.67); those with high/very-high psychological distress (63.39% vs 44.55% among low/moderate group, 1.50;1.16-1.94); and those who lived in ≥3 houses in the past five years (65.43% vs 48.11% among those who lived in 1-2 houses, 1.33;1.04-1.70).

CONCLUSIONS

STI testing should be offered to sexually active Aboriginal youth at every opportunity.

IMPLICATIONS FOR PUBLIC HEALTH

Sexual health messages should further promote the benefit of regular STI testing and where to access free SHS among Aboriginal youth.

摘要

目的

量化与社会人口学、行为及健康相关因素有关的性传播感染（STI）检测的流行率，以及原住民和托雷斯海峡岛民（以下简称原住民）青年使用和未使用性健康服务（SHS）的模式。

方法

分析纳入了来自澳大利亚中部、西部和新南威尔士州的198名16 - 24岁性活跃的青少年，他们参与了下一代青年健康研究。修正泊松回归估计了曾经进行STI检测的年龄 - 性别调整患病率比（PRs）。

结果

约55%的参与者曾经进行过STI检测。超过44%的参与者曾经使用过SHS；认为无关紧要（50%）和尴尬（15%）是未使用SHS的主要原因。在以下人群中STI检测率较高：21 - 24岁的人群（68.75%，16 - 17岁人群中为37.04%，PR：1.82；置信区间1.23 - 2.67）；心理困扰程度高/非常高的人群（63.39%，低/中度困扰组中为44.55%，1.50；1.16 - 1.94）；以及过去五年内居住过≥3处房屋的人群（65.43%，居住过1 - 2处房屋的人群中为48.11%，1.33；1.04 - 1.70）。