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Increases in Oral and Anal Sexual Exposure among Adolescents Attending STD Clinics in Baltimore

Increases in Oral and Anal Sexual Exposure among Adolescents Attending STD Clinics in Baltimore. Renee M Gindi, MPH, Khalil G Ghanem MD, Emily J Erbelding, MD MPH. CDC STD Prevention Conference Jacksonville, Florida May 10, 2006. Background.

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Increases in Oral and Anal Sexual Exposure among Adolescents Attending STD Clinics in Baltimore

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  1. Increases in Oral and Anal Sexual Exposure among Adolescents Attending STD Clinics in Baltimore Renee M Gindi, MPH, Khalil G Ghanem MD, Emily J Erbelding, MD MPH CDC STD Prevention Conference Jacksonville, Florida May 10, 2006

  2. Background • Surveys suggest increase in oral sex among teens and young adults • 2002 National Survey of Family Growth • 1995 National Survey of Adolescent Males • Accurate risk assessment is essential • Appropriate clinical exam, diagnostic tests • Tailored preventive messages Do trends among adolescents attending the Baltimore STD clinics reflect changes suggested by national surveys?

  3. Methods • Clients age 12-25 seen at 2 public STD clinics in 1994 or 2004 were eligible for inclusion • Electronic medical record review of patients • Demographic information • Sexual exposure • Sexual preference • Chi-squared tests, t-tests, and multivariate logistic regression were used

  4. Characteristics of the Study Population * All changes are significant at p<.0001

  5. Changes in Behavior – Males (%) oral oral genital genital 15% 30% 77% 0% 66% 0% 1% 3% 0% 0% 0% 0% 0% 0% rectal rectal 7% none 0% none 2004 N=3274 1994 N=1610

  6. Changes in Behavior – Females (%) oral oral genital genital 11% 34% 74% 0% 59% 0% 2% 6% 2% 0% 1% 0% 0% 0% rectal rectal 11% none 0% none 2004 N=3164 1994 N=988

  7. Conclusions • Increasing rates of: • Oral sexual exposure • Anal sexual exposure • Same-sex behavior • Changes in behavior among high-risk populations mirror trends suggested by national population-based surveys

  8. Strengths • Samples a high-risk population • Clinical setting reduces social desirability bias • Standard form has had comparable variables for ten years • Assessment of STD risk behaviors rather than “ever/never” • Retrospective chart review • Not generalizable • Reporting behavior vs. engaging in behavior Limitations

  9. Thank you. Renee M Gindi, MPH rgindi@jhsph.edu

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