Determinants of sexually transmitted infection among juvenile offenders

Although prior research has indicated that incarcerated juvenile offenders represent a subpopulation at high risk for sexually transmitted infections (STIs), no data have been available on the prevalence of STIs and the risk factors associated with these infections for the much larger population of youth who are arrested but who receive community supervision instead of incarceration. In a NIDA-funded project in Hillsborough County (Tampa) FL, we are investigating the prevalence of Chlamydia and gonorrhea and associated risk factors among high risk youth recently arrested for delinquent offenses. This paper presents results from analyses of the relation between sexual risk behaviors and exposure to STI/HIV prevention services on STI prevalence among a sample of 443 female and 507 male delinquents. Gender-specific analyses include the effects on STI prevalence of age of sexual initiation, number of partners, condom use, and perceived vulnerability to STIs. Additional analyses investigate the protective effects of prior exposure to STI/HIV prevention services, disaggregated by type and amount of exposure, as well as the effects of prior STI testing experience. We find that the risk of STI is related to age at first intercourse, number of partners, and exposure to STI/HIV prevention services. Gender differences in these relationships are also noted. Implications for improving public health strategies to increase STI testing, prevention, and treatment among high-risk youth are also discussed.