Associations of Pediatric Symptom Checklist Scores with Sexual Activity and Sexually Transmitted Infections in Urban Adolescents

Sylvia W. Lim; Nicole Brown; Diana Lee; Danielle Smith; Ellen J. Silver

doi:10.1353/hpu.2022.0128

Associations of Pediatric Symptom Checklist Scores with Sexual Activity and Sexually Transmitted Infections in Urban Adolescents

Sylvia W. Lim, Nicole Brown, Diana Lee, Danielle Smith, Ellen J. Silver

Pediatrics

Research output: Contribution to journal › Article › peer-review

Abstract

Objective. To assess the association between the Youth Pediatric Symptom Checklist-17 (YPSC-17) and adolescents’ reports of ever having sex and with having positive testing results for sexually transmitted infections (STIs). Methods. Analyzed electronic data from primary care clinics for 27,901 adolescents aged 13–17 years with responses to the YPSC-17 and urine screen results for gonorrhea/ chlamydia. Results. On the YPSC-17 in total 8.3% screened positive. Over one quarter (26%) reported ever having sex and 11% of sexually active youth had a positive STI test. Logistic regression analyses revealed increased odds of sexual activity among those positive on the YPSC-17 total (aOR 1.87, 95% CI 1.68–2.08) or any subscale (INT-aOR 1.43, 95% CI 1.32–1.55; EXT-aOR 1.62, 95% CI 1.40–1.88; ATT-aOR 1.67, 95% CI 1.47–1.90). In addition, sexually active youth with positive EXT (aOR 1.41 95% CI 1.00– 1.98) scores were more likely to have STIs. Conclu-sion. The YPSC-17 can identify adolescents with heightened risks for STIs.

Original language	English (US)
Pages (from-to)	1543-1554
Number of pages	12
Journal	Journal of health care for the poor and underserved
Volume	33
Issue number	3
DOIs	https://doi.org/10.1353/hpu.2022.0128
State	Published - Aug 2022

Keywords

Youth Pediatric Symptom Checklist-17
adoles-cents
attention deficit hyperactivity disorder
chlamydia infection
externalizing symptoms
gonorrhea infection
internalizing symptoms
sexually transmitted infections

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1353/hpu.2022.0128

Cite this

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title = "Associations of Pediatric Symptom Checklist Scores with Sexual Activity and Sexually Transmitted Infections in Urban Adolescents",

abstract = "Objective. To assess the association between the Youth Pediatric Symptom Checklist-17 (YPSC-17) and adolescents{\textquoteright} reports of ever having sex and with having positive testing results for sexually transmitted infections (STIs). Methods. Analyzed electronic data from primary care clinics for 27,901 adolescents aged 13–17 years with responses to the YPSC-17 and urine screen results for gonorrhea/ chlamydia. Results. On the YPSC-17 in total 8.3% screened positive. Over one quarter (26%) reported ever having sex and 11% of sexually active youth had a positive STI test. Logistic regression analyses revealed increased odds of sexual activity among those positive on the YPSC-17 total (aOR 1.87, 95% CI 1.68–2.08) or any subscale (INT-aOR 1.43, 95% CI 1.32–1.55; EXT-aOR 1.62, 95% CI 1.40–1.88; ATT-aOR 1.67, 95% CI 1.47–1.90). In addition, sexually active youth with positive EXT (aOR 1.41 95% CI 1.00– 1.98) scores were more likely to have STIs. Conclu-sion. The YPSC-17 can identify adolescents with heightened risks for STIs.",

keywords = "Youth Pediatric Symptom Checklist-17, adoles-cents, attention deficit hyperactivity disorder, chlamydia infection, externalizing symptoms, gonorrhea infection, internalizing symptoms, sexually transmitted infections",

author = "Lim, {Sylvia W.} and Nicole Brown and Diana Lee and Danielle Smith and Silver, {Ellen J.}",

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year = "2022",

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AU - Lim, Sylvia W.

AU - Brown, Nicole

AU - Lee, Diana

AU - Smith, Danielle

AU - Silver, Ellen J.

N1 - Publisher Copyright: © Meharry Medical College.

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N2 - Objective. To assess the association between the Youth Pediatric Symptom Checklist-17 (YPSC-17) and adolescents’ reports of ever having sex and with having positive testing results for sexually transmitted infections (STIs). Methods. Analyzed electronic data from primary care clinics for 27,901 adolescents aged 13–17 years with responses to the YPSC-17 and urine screen results for gonorrhea/ chlamydia. Results. On the YPSC-17 in total 8.3% screened positive. Over one quarter (26%) reported ever having sex and 11% of sexually active youth had a positive STI test. Logistic regression analyses revealed increased odds of sexual activity among those positive on the YPSC-17 total (aOR 1.87, 95% CI 1.68–2.08) or any subscale (INT-aOR 1.43, 95% CI 1.32–1.55; EXT-aOR 1.62, 95% CI 1.40–1.88; ATT-aOR 1.67, 95% CI 1.47–1.90). In addition, sexually active youth with positive EXT (aOR 1.41 95% CI 1.00– 1.98) scores were more likely to have STIs. Conclu-sion. The YPSC-17 can identify adolescents with heightened risks for STIs.

AB - Objective. To assess the association between the Youth Pediatric Symptom Checklist-17 (YPSC-17) and adolescents’ reports of ever having sex and with having positive testing results for sexually transmitted infections (STIs). Methods. Analyzed electronic data from primary care clinics for 27,901 adolescents aged 13–17 years with responses to the YPSC-17 and urine screen results for gonorrhea/ chlamydia. Results. On the YPSC-17 in total 8.3% screened positive. Over one quarter (26%) reported ever having sex and 11% of sexually active youth had a positive STI test. Logistic regression analyses revealed increased odds of sexual activity among those positive on the YPSC-17 total (aOR 1.87, 95% CI 1.68–2.08) or any subscale (INT-aOR 1.43, 95% CI 1.32–1.55; EXT-aOR 1.62, 95% CI 1.40–1.88; ATT-aOR 1.67, 95% CI 1.47–1.90). In addition, sexually active youth with positive EXT (aOR 1.41 95% CI 1.00– 1.98) scores were more likely to have STIs. Conclu-sion. The YPSC-17 can identify adolescents with heightened risks for STIs.

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Associations of Pediatric Symptom Checklist Scores with Sexual Activity and Sexually Transmitted Infections in Urban Adolescents

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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