Prevalence of sexually transmitted infections in at-risk adolescent females at a comprehensive, stand-alone adolescent health center in New York City

Risa L. Yavorsky, Dominic Hollman, John Steever, Christine Soghomonian, Angela Diaz, Howard Strickler, Nicolas Schlecht, Robert D. Burk, Christopher N. Ochner

Research output: Contribution to journalArticle

7 Scopus citations


Background. Sexually transmitted infections (STIs) are common among adolescents, and multiple STIs over one's lifetime can increase health risks. Few studies have assessed lifetime STI prevalence. This study evaluates minority, underserved adolescents' self-reported lifetime STI history and objective STI rates. Methods. Lifetime STI rates of female patients at an urban adolescent health center were obtained from self-administered questionnaires. Additionally, STI test results were retrieved from electronic medical records. Results. Patients reported a high lifetime prevalence of STIs. By comparing self-report and objective data, underreporting was identified for chlamydia, gonorrhea, and herpes. Conclusions. STI rates in at-risk adolescent females are higher than in the general population and remain elevated over time. Lifetime STI reports could expand our understanding of sexual health and should be further studied. Underreporting, which may increase health risks and hinder health care delivery, requires further investigation. Improvements in STI screening and prevention targeting at-risk populations are warranted.

Original languageEnglish (US)
Pages (from-to)890-895
Number of pages6
JournalClinical Pediatrics
Issue number9
StatePublished - Aug 2014



  • EMR
  • HPV vaccine
  • electronic medical records
  • self-report
  • sexual health
  • underreporting

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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