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

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

Research output: Contribution to journalArticlepeer-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 languageEnglish (US)
Pages (from-to)1543-1554
Number of pages12
JournalJournal of health care for the poor and underserved
Volume33
Issue number3
DOIs
StatePublished - Aug 2022

Keywords

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

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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