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Condom Use for Sexually Transmitted Infection Prevention Among Hispanic Teenage Mothers: A Community-Based Randomized Trial.

Abstract

Background:

Hispanics experience a higher prevalence of sexually transmitted infections (STIs) than non-Hispanics. Specifically, Hispanic teenagers are more at risk for HIV, have close to four times the rate of primary and secondary syphilis, and close to two times the rate of chlamydia and gonorrhea compared with non-Hispanic white teenagers. Hispanic youth engage in sexual activity at a younger age than non-Hispanic white youth and are less likely to use condoms in these encounters, thereby contributing to increased rates of teenage pregnancy and STIs. Prevention of STIs is needed for unmarried Hispanic teenage mothers. The purpose of this study was to examine whether Project Mothers and Schools (Project MAS), a support program for parenting teenagers, changed condom use to prevent STIs among Hispanic participants.

Methods:

A longitudinal study was conducted among 84 Hispanic teenage mothers. Generalized estimating equations were used to identify factors associated with participants' reported condom use to prevent STIs.

Results:

Overall, participants were 3.21 times more likely to report condom use to prevent STIs from baseline to 12-month follow-up (p = 0.030). Those using condoms to prevent pregnancy at 12-month follow-up were significantly more likely to report using a condom to prevent STIs (OR = 3.23, p = 0.017).

Conclusions:

Participation in Program MAS improved condom use patterns for STI prevention. These services and supports have potential to change unmarried Hispanic teenage mothers' condom use behaviors and decrease STI infection disparities among the teenage Hispanic population.

Authors+Show Affiliations

Center for Population Health and Aging, Texas A&M University, College Station, Texas. Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, College Station, Texas. Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, Georgia.Department of Health and Kinesiology, Texas A&M University, College Station, Texas.Institut national de santé publique du Québec, Quebec, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31509072

Citation

Smith, Matthew Lee, et al. "Condom Use for Sexually Transmitted Infection Prevention Among Hispanic Teenage Mothers: a Community-Based Randomized Trial." Journal of Women's Health (2002), 2019.
Smith ML, Wilson KL, Bergeron CD. Condom Use for Sexually Transmitted Infection Prevention Among Hispanic Teenage Mothers: A Community-Based Randomized Trial. J Womens Health (Larchmt). 2019.
Smith, M. L., Wilson, K. L., & Bergeron, C. D. (2019). Condom Use for Sexually Transmitted Infection Prevention Among Hispanic Teenage Mothers: A Community-Based Randomized Trial. Journal of Women's Health (2002), doi:10.1089/jwh.2018.7455.
Smith ML, Wilson KL, Bergeron CD. Condom Use for Sexually Transmitted Infection Prevention Among Hispanic Teenage Mothers: a Community-Based Randomized Trial. J Womens Health (Larchmt). 2019 Sep 11; PubMed PMID: 31509072.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Condom Use for Sexually Transmitted Infection Prevention Among Hispanic Teenage Mothers: A Community-Based Randomized Trial. AU - Smith,Matthew Lee, AU - Wilson,Kelly L, AU - Bergeron,Caroline D, Y1 - 2019/09/11/ PY - 2019/9/12/entrez KW - Hispanic population KW - condom use KW - sexually transmitted infection KW - teenage mothers JF - Journal of women's health (2002) JO - J Womens Health (Larchmt) N2 - Background: Hispanics experience a higher prevalence of sexually transmitted infections (STIs) than non-Hispanics. Specifically, Hispanic teenagers are more at risk for HIV, have close to four times the rate of primary and secondary syphilis, and close to two times the rate of chlamydia and gonorrhea compared with non-Hispanic white teenagers. Hispanic youth engage in sexual activity at a younger age than non-Hispanic white youth and are less likely to use condoms in these encounters, thereby contributing to increased rates of teenage pregnancy and STIs. Prevention of STIs is needed for unmarried Hispanic teenage mothers. The purpose of this study was to examine whether Project Mothers and Schools (Project MAS), a support program for parenting teenagers, changed condom use to prevent STIs among Hispanic participants. Methods: A longitudinal study was conducted among 84 Hispanic teenage mothers. Generalized estimating equations were used to identify factors associated with participants' reported condom use to prevent STIs. Results: Overall, participants were 3.21 times more likely to report condom use to prevent STIs from baseline to 12-month follow-up (p = 0.030). Those using condoms to prevent pregnancy at 12-month follow-up were significantly more likely to report using a condom to prevent STIs (OR = 3.23, p = 0.017). Conclusions: Participation in Program MAS improved condom use patterns for STI prevention. These services and supports have potential to change unmarried Hispanic teenage mothers' condom use behaviors and decrease STI infection disparities among the teenage Hispanic population. SN - 1931-843X UR - https://www.unboundmedicine.com/medline/citation/31509072/Condom_Use_for_Sexually_Transmitted_Infection_Prevention_Among_Hispanic_Teenage_Mothers:_A_Community-Based_Randomized_Trial L2 - https://www.liebertpub.com/doi/full/10.1089/jwh.2018.7455?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -