High prevalence of asymptomatic STDs in incarcerated minority male youth: A case for screening

Robert P. Pack, Ralph J. Diclemente, Edward W. Hook, M. Kim Oh

Research output: Contribution to journalArticle

Abstract

Background and Objectives: To assess STD prevalence among a sample of incarcerated minority male youth in a southern US city. Methods: A consecutive entrant, cross-sectional study of 284 minority males 14 to 18 years was performed. All adolescents were screened for gonorrhea and chlamydia using ligase chain reaction tests. Results: Eighteen percent of youth were identified as having either gonorrhea, chlamydia, or both. Approximately 84% of those with sexually transmitted diseases (STDs) self- reported having no symptoms. Failure to use condoms in the past month was significantly associated with a positive test result for STDs (odds ratio = 1.9, 95% CI = 1.1-3.3). Conclusions: The findings indicate an urgent need for routine STD screening and STD-prevention programs for adolescent males in detention facilities. A study of 284 detained black male adolescents revealed 18% prevalence of gonorrhea, chlamydia, or both. Approximately 84% of those with sexually transmitted diseases self-reported not having symptoms.

Original languageEnglish (US)
Pages (from-to)175-177
Number of pages3
JournalSexually Transmitted Diseases
Volume27
Issue number3
DOIs
StatePublished - Mar 2000

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases

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