Purpose

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.

Methods

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.

Results

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.

Discussion

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.

中文翻译：

---

2013-2019 年美国年轻人 STI 检测的接收模式和来源

目的

青少年和年轻成人（15-24 岁）的性传播感染率（STI）继续增加。关于该人群中性传播感染检测的频率和来源的国家信息有限。

方法

我们对 2013-2019 年全国家庭成长调查数据进行了横断面分析，以描述 STI 测试的模式并评估与个人特征的关联。

结果

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个人更有可能接受 STI 测试。两性在性传播感染检测方面有不同的护理来源，公共支持的提供者为边缘化人群提供大部分服务。

讨论

该年龄组的 STI 检测频率低于国家指南的建议。多种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公正的 STI 护理。