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Age specific evaluation of sexual behavior, STI knowledge and infection among asymptomatic adolescents and young adults.
J Infect Public Health. 2020 Aug; 13(8):1112-1117.JI

Abstract

OBJECTIVES

Adolescents and young adults account for 50% of new infections with sexually transmitted infection (STI), while representing only 25% of the sexually active population. An evaluation of sexual behavior, STI knowledge and infection among youth of different age groups is relevant to formulate effective sexual health strategies.

METHODS

In this monocentric, open, prospective cross-sectional study, 268 asymptomatic subjects (14-30 years) were partitioned into three cohorts I: 14-19 (n=42), II: 20-25 (n=147) and III: 25-30 (n=79) years. A comparative analysis of their sexual behavior and STI knowledge was performed using a 21-item questionnaire at the WIR-Center for Sexual Health and Medicine. Prevalence of chlamydia and gonococcal infections were tested, using the Cepheid Xpert® CT/NG assay.

RESULTS

The three age-specific cohorts showed statistically significant differences in their relationship status, their sexual contacts and the number of life-time sexual partners. Independent of age, men who have sex with men had greater number of sexual partners across all age groups. Although >95% of participants were aware of HIV in all age groups, the corresponding awareness of non-HIV STI was consistently lower in cohort I. The awareness of trichomonas, mycoplasma and candida in particular was <50% across all agedemographies. Chlamydia screening remains poor despite current chlamydia infection among cohort I, II & III being 7.1%, 5.4%, & 11.4% respectively.

CONCLUSION

Our study demonstrates a demographic divide in the knowledge on most frequent STI apart from HIV. Current education, screening and vaccination programs for STI among the younger demographic should be improved.

Authors+Show Affiliations

Walk In Ruhr (WIR), Center for Sexual Health and Medicine, Bochum, Germany; Interdisciplinary Immunological Outpatient Clinic, Center for Sexual Health and Medicine, Department of Dermatology, Venereology and Allergology, Ruhr Universität Bochum, Germany.Walk In Ruhr (WIR), Center for Sexual Health and Medicine, Bochum, Germany; Interdisciplinary Immunological Outpatient Clinic, Center for Sexual Health and Medicine, Department of Dermatology, Venereology and Allergology, Ruhr Universität Bochum, Germany.Walk In Ruhr (WIR), Center for Sexual Health and Medicine, Bochum, Germany; Interdisciplinary Immunological Outpatient Clinic, Center for Sexual Health and Medicine, Department of Dermatology, Venereology and Allergology, Ruhr Universität Bochum, Germany.Walk In Ruhr (WIR), Center for Sexual Health and Medicine, Bochum, Germany; Public Health Department Bochum, Germany.Walk In Ruhr (WIR), Center for Sexual Health and Medicine, Bochum, Germany; Aidshilfe (Aids Service Organization Bochum) e. V., Germany.Walk In Ruhr (WIR), Center for Sexual Health and Medicine, Bochum, Germany; Interdisciplinary Immunological Outpatient Clinic, Center for Sexual Health and Medicine, Department of Dermatology, Venereology and Allergology, Ruhr Universität Bochum, Germany.Walk In Ruhr (WIR), Center for Sexual Health and Medicine, Bochum, Germany; Interdisciplinary Immunological Outpatient Clinic, Center for Sexual Health and Medicine, Department of Dermatology, Venereology and Allergology, Ruhr Universität Bochum, Germany. Electronic address: n.brockmeyer@klinikum-bochum.de.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32471797

Citation

Skaletz-Rorowski, A, et al. "Age Specific Evaluation of Sexual Behavior, STI Knowledge and Infection Among Asymptomatic Adolescents and Young Adults." Journal of Infection and Public Health, vol. 13, no. 8, 2020, pp. 1112-1117.
Skaletz-Rorowski A, Potthoff A, Nambiar S, et al. Age specific evaluation of sexual behavior, STI knowledge and infection among asymptomatic adolescents and young adults. J Infect Public Health. 2020;13(8):1112-1117.
Skaletz-Rorowski, A., Potthoff, A., Nambiar, S., Wach, J., Kayser, A., Kasper, A., & Brockmeyer, N. H. (2020). Age specific evaluation of sexual behavior, STI knowledge and infection among asymptomatic adolescents and young adults. Journal of Infection and Public Health, 13(8), 1112-1117. https://doi.org/10.1016/j.jiph.2020.04.005
Skaletz-Rorowski A, et al. Age Specific Evaluation of Sexual Behavior, STI Knowledge and Infection Among Asymptomatic Adolescents and Young Adults. J Infect Public Health. 2020;13(8):1112-1117. PubMed PMID: 32471797.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Age specific evaluation of sexual behavior, STI knowledge and infection among asymptomatic adolescents and young adults. AU - Skaletz-Rorowski,A, AU - Potthoff,A, AU - Nambiar,S, AU - Wach,J, AU - Kayser,A, AU - Kasper,A, AU - Brockmeyer,N H, Y1 - 2020/05/26/ PY - 2020/01/16/received PY - 2020/03/19/revised PY - 2020/04/05/accepted PY - 2020/5/31/pubmed PY - 2020/5/31/medline PY - 2020/5/31/entrez KW - Adolescents KW - Sexual behavior KW - Sexuall transmitted infections KW - Youth SP - 1112 EP - 1117 JF - Journal of infection and public health JO - J Infect Public Health VL - 13 IS - 8 N2 - OBJECTIVES: Adolescents and young adults account for 50% of new infections with sexually transmitted infection (STI), while representing only 25% of the sexually active population. An evaluation of sexual behavior, STI knowledge and infection among youth of different age groups is relevant to formulate effective sexual health strategies. METHODS: In this monocentric, open, prospective cross-sectional study, 268 asymptomatic subjects (14-30 years) were partitioned into three cohorts I: 14-19 (n=42), II: 20-25 (n=147) and III: 25-30 (n=79) years. A comparative analysis of their sexual behavior and STI knowledge was performed using a 21-item questionnaire at the WIR-Center for Sexual Health and Medicine. Prevalence of chlamydia and gonococcal infections were tested, using the Cepheid Xpert® CT/NG assay. RESULTS: The three age-specific cohorts showed statistically significant differences in their relationship status, their sexual contacts and the number of life-time sexual partners. Independent of age, men who have sex with men had greater number of sexual partners across all age groups. Although >95% of participants were aware of HIV in all age groups, the corresponding awareness of non-HIV STI was consistently lower in cohort I. The awareness of trichomonas, mycoplasma and candida in particular was <50% across all agedemographies. Chlamydia screening remains poor despite current chlamydia infection among cohort I, II & III being 7.1%, 5.4%, & 11.4% respectively. CONCLUSION: Our study demonstrates a demographic divide in the knowledge on most frequent STI apart from HIV. Current education, screening and vaccination programs for STI among the younger demographic should be improved. SN - 1876-035X UR - https://www.unboundmedicine.com/medline/citation/32471797/Age_specific_evaluation_of_sexual_behavior,_STI_knowledge_and_infection_among_asymptomatic_adolescents_and_young_adults L2 - https://linkinghub.elsevier.com/retrieve/pii/S1876-0341(20)30440-8 DB - PRIME DP - Unbound Medicine ER -
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