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Sexually Transmitted Infection Testing After Brief Intervention for Risk Behaviors in School-Based Health Centers
Journal of Adolescent Health ( IF 7.6 ) Pub Date : 2022-01-22 , DOI: 10.1016/j.jadohealth.2021.11.013
Anjalee Sharma 1 , Shannon Gwin Mitchell 1 , Courtney D Nordeck 2 , Robert P Schwartz 1 , Kristi Dusek 1 , Kevin E O'Grady 3 , Jan Gryczynski 1
Affiliation  

Purpose

The initiation and escalation of substance use and sex behaviors is prevalent during adolescence. School-based health centers (SBHCs) are well-equipped to provide interventions for risky behaviors and offer sexually transmitted infection (STI) testing services. This study examined receipt of STI testing following brief intervention (BI) among sexually active adolescents.

Methods

This is a secondary analysis of data from a randomized trial comparing computer versus nurse practitioner–delivered BI approaches among adolescents (ages 14–18) with risky alcohol and/or cannabis use at two SBHCs within two urban high schools. Associations were examined among receipt of STI testing and participant characteristics, BI format, site, and frequency of substance use/sexual behaviors.

Results

Among sexually active participants (N = 254), 64.2% received STI testing at their SBHC within 6 months of receiving a BI. Participants receiving nurse practitioner–delivered BI had higher odds of getting STI testing than participants receiving computer-delivered BI (adjusted odds ratio 2.51, 95% confidence interval 1.41–4.47, p = .002). Other variables associated with STI testing in multivariable logistic regression included female sex (p = .001), being in a serious relationship (p = .018), and SBHC site (p < .001). Frequency of substance use and sexual risk behaviors were not independently associated with receipt of STI testing services.

Conclusion

Sexually active adolescents who received in-person BI from a nurse practitioner were more likely to get STI testing than adolescents who received BI via computer. Nurse practitioners working in SBHCs can successfully engage adolescents in additional sexual health services subsequent to BI for risky behaviors.



中文翻译:

在校本健康中心对危险行为进行短暂干预后进行性传播感染检测

目的

物质使用和性行为的开始和升级在青春期很普遍。校本健康中心 (SBHC) 装备精良,可为危险行为提供干预措施,并提供性传播感染 (STI) 检测服务。本研究调查了性活跃青少年接受短暂干预 (BI) 后接受 STI 检测的情况。

方法

这是对在两所城市高中的两个 SBHC 中使用危险酒精和/或大麻的青少年(14-18 岁)进行比较计算机与执业护士提供的 BI 方法的随机试验数据的二次分析。检查了接受 STI 测试和参与者特征、BI 格式、站点和物质使用/性行为频率之间的关联。

结果

在性活跃的参与者 (N = 254) 中,64.2% 的人在接受 BI 后 6 个月内在他们的 SBHC 接受了 STI 检测。接受执业护士提供的 BI 的参与者获得 STI 检测的几率高于接受计算机提供的 BI 的参与者(调整后的优势比 2.51,95% 置信区间 1.41–4.47,  p  = .002)。多变量逻辑回归中与 STI 测试相关的其他变量包括女性 ( p  = .001)、处于认真的关系中 ( p  = .018) 和 SBHC 站点 ( p  < .001)。药物使用频率和危险性行为与接受性传播感染检测服务无关。

结论

从执业护士那里接受当面 BI 的性活跃青少年比通过计算机接受 BI 的青少年更有可能接受 STI 检测。在 SBHC 工作的执业护士可以成功地让青少年参与 BI 之后的额外性健康服务,以应对危险行为。

更新日期:2022-01-22
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