ORIGINAL ARTICLE

Adolescent women underestimate their susceptibility to sexually transmitted infections

K A Ethier¹, T Kershaw², L Niccolai², J B Lewis² and J R Ickovics²

¹ Centers for Disease Control and Prevention, National Center for HIV, STD, and TB Prevention, Division of STD Prevention, 1600 Clifton Road, Atlanta, GA, USA
² Yale University School of Medicine, Department of Epidemiology and Public Health, New Haven, CT, USA

Correspondence to:
Correspondence to:
Kathleen A Ethier, Ph.D., Centers for Disease Control and Prevention, National Center for HIV, STD and TB Prevention, Division of STD Prevention, 1600 Clifton Road., NE, MS-E44, Atlanta, GA 30329, USA;
kbe0{at}cdc.gov

Objectives: Adolescent females are at significant risk for sexually transmitted infections (STI) and may not accurately incorporate indicators of risk into their perceptions of susceptibility. The objectives of the current analyses were to: (1) examine the relation between perceived susceptibility and indicators of risk; and (2) investigate the relation between perceived susceptibility and actual STI diagnosis.

Methods: Participants were 209 sexually active adolescent females. Indicators of STI risk included STI history, recent symptoms, and sexual risk behaviour (that is, recent unprotected sex and numbers of sexual partners). Chlamydia and gonorrhoea infection were assessed at baseline, 6, and 12 months post-baseline using urine based ligase chain reaction testing.

Results: Most participants perceived little or no chance that they would be diagnosed with an STI in the following year. There was no relation between almost all STI indicators and perceptions of susceptibility. Among those receiving a positive chlamydia or gonorrhoea test (n=49) at baseline or in the year following, almost all (81.3%) had perceived themselves to be at little or no risk.

Conclusion: The adolescent females in this sample did not accurately perceive their susceptibility to STI. They must be enabled to more effectively assess and modify their risk.

Keywords: adolescent health; sexual health; STD prevention; women

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This article has been cited by other articles:

• Niccolai, L. M., Hochberg, A. L., Ethier, K. A., Lewis, J. B., Ickovics, J. R. (2007). Burden of Recurrent Chlamydia trachomatis Infections in Young Women: Further Uncovering the "Hidden Epidemic". Arch Pediatr Adolesc Med 161: 246-251 [Abstract] [Full Text]  
• (2003). Teens Think They Won't Get STIs. JWatch Women's Health 2003: 5-5 [Full Text]