Adolescent Sexually Transmitted Infections: A Community Epidemic
Abstract
Women under 25 years of age have higher rates of sexually transmitted infections (STIs) than other populations. Providing follow-up for adolescents with an STI is especially challenging in emergency departments (EDs). In our ED, we discovered that a significant number of adolescents with an STI did not receive adequate treatment, and 25% of those with an STI who were treated remained unaware of their infection. These deviations from ideal care are problematic because adolescents with untreated STIs are at risk for pelvic inflammatory disease and infertility. Those who were treated but unaware of their infection are unable to take steps to avoid re-infection, including partner treatment. We hypothesized that an improved system to handle STI test results would reduce the burden on ED staff and increase the proportion of adolescents receiving appropriate follow-up. This intervention has the potential to significantly address the STI epidemic in our community.
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Many youth who visit the pediatric emergency department have high rates of substance use, risky sexual behavior, conduct disorder, and depression.
“Furthermore, many have high rates of substance use, risky sexual behavior, conduct disorder and depression.11–14”
From Association of Physical Activity, Sports, and Screen Time With Adolescent Behaviors in Youth Who Visit the Pediatric Emergency Department (2022) · cites this paper as [12]
Youth who visit the pediatric emergency department represent a key group of children at risk for adverse health outcomes.
“Youth who visit the Pediatric Emergency Department (PED) represent a key group of children at risk for adverse health outcomes.”
From Association of Physical Activity, Sports, and Screen Time With Adolescent Behaviors in Youth Who Visit the Pediatric Emergency Department (2022) · cites this paper as [12]
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- Authors
- Reed, J. L., & Huppert, J. S.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Corresponding author
- Reed, Jennifer L.
- ORCID
- Reed, Jennifer L.
- Venue
- Journal of Prevention & Intervention in the Community
- Publisher
- Informa UK Limited
- Published
- 2011-06-16
- Volume
- 39
- Issue
- 3
- Pages
- 243-255
- ISSN
- 0270-3114 (ISSN-L)
- 1085-2352
- 1540-7330
- OpenAlex
- W2005226660
- Cited by
- 10
- References
- 37
- Citations by year
- 2022: 2 · 2021: 3 · 2019: 1 · 2017: 1 · 2014: 1 · 2013: 2
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Prevention & Intervention in the Community (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- emergency department care, follow-up care, STI treatment, pelvic inflammatory disease, infertility, partner notification, reinfection
- MeSH terms
- Adolescent, Emergency Service, Hospital, Female, Humans, Health Knowledge, Attitudes, Practice, Sexually Transmitted Diseases, Young Adult, Quality Improvement
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