Original ArticlesSubsequent infection among adolescent African- American males attending a sexually transmitted disease clinic☆
Section snippets
Participants and design
Between September 1992 and October 1993, 562 males were enrolled in a 14-min STD/HIV prevention intervention designed to promote condom use among 15- to 19-year-old African-American males attending an STD clinic in a large Midwestern city. Self-report data were obtained through four self-administered questionnaires completed shortly after the individual entered the clinic (baseline or index visit), prior to leaving the clinic (posttest), and 30 days and 6 months after the index visit. Infection
Baseline characteristics
Table 1 describes selected demographic and sexual behavior characteristics. Most (97%) of the participants (n = 562) were single, five were married, and nine were separated. Seventy-two percent lived with one or both parents; 29 participants lived with their partner, and two of the five married men lived with their spouse. Only 2% lived alone. Based on their baseline age, 28% were one or more years below their expected grade level. Twenty-five percent were employed and worked an average of 27.9
Discussion
Following participation in a brief intervention designed to promote condom use, adolescent African-American males attending a municipal STD clinic were followed for 12 months. Within that period, 31.3% were treated for one or more infections. The 12-month return rate was 1.6–1.7 times higher than the rate reported by researchers studying repeat infection among older STD clinic attendees 21, 25, 26, 27.
The strongest predictor of infection within 30 days of the index visit was a history of
Acknowledgements
The authors thank Sandy Becken, R.N., Mary Joyce Hotelling, R.N., M.S., Harriet Schlichting, R.N., and the staff of the City of Milwaukee Health Department for playing key roles throughout the study; and Cathy Edwards, Public Health Educator, Wisconsin Division of Health, and her staff for assistance with participant tracking. Research team members Jacqueline Sills, Melvin Pugh, and Carlos Grady played critical roles in fielding the intervention that provided the data used for the present
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This research was supported by National Institute of Mental Health Grant R01-MH48630. The first author was also supported by National Institute of Drug Abuse Grant P50-DA10075.