Stage of Change Behavioral Assessment Tool Fails to Predict the Prevalence of Chlamydia in an Urban Adolescent Health Clinic

Andrea R. Kasowitz, Mark McCusker, Patricia Coury-Doniger, Wendy P. Neal, Debbie Indyk, Robert D. Burk, Stephen G. Jenkins, Vaughn I. Rickert, Betsy Herold

Research output: Contribution to journalArticle

Abstract

Study Objective: Strategies to reduce STI among adolescents and young adults have failed to consistently demonstrate effectiveness. A universal approach may not be appropriate because individuals are at different stages with respect to self-management behaviors. Thus, the Stage of Change Transtheoretical Model has been advocated. This study was conducted to determine whether staging could be accomplished in an urban adolescent clinic and whether it provides a tool to predict STI risk. Design: Participants were interviewed and staged according to a standardized instrument with respect to sexual risk behaviors and contraceptive use. Setting: Urban adolescent health clinic. Participants: 103 females (ages 18-24). Interventions: A physical examination and diagnostic tests for syphilis, HSV, HCV, chlamydia, gonorrhea and HPV were performed. Main Outcome Measures: Stages for behaviors to reduce STI risk and to utilize contraception and STI prevalence. Results: 78% of the participants were in the three earliest stages of behavior (precontemplative, contemplative, and ready for action) with respect to condom use for STI prevention; conversely only 47% were in early stages with respect to birth control practices. Of the participants tested, 12/81 (15%) had chlamydial infection detected by molecular techniques, whereas no participants had gonorrhoeae. Among the subset tested for HPV DNA, 18/45 (40%) were positive. The diagnostic behavior stage for STI prevention did not correlate with the presence of chlamydia. Conclusions: A staging instrument can be implemented into adolescent health clinic practice, but cannot be used as a risk assessment tool for the presence of chlamydia. Additionally females are more likely to protect themselves against pregnancy than against an STI.

Original languageEnglish (US)
Pages (from-to)277-283
Number of pages7
JournalJournal of Pediatric and Adolescent Gynecology
Volume19
Issue number4
DOIs
StatePublished - Aug 2006

Fingerprint

Urban Health
Chlamydia
Sexually Transmitted Diseases
Gonorrhea
Contraception
Human papillomavirus 18
Condoms
Syphilis
Self Care
Contraceptive Agents
Risk-Taking
Adolescent Health
Routine Diagnostic Tests
Sexual Behavior
Physical Examination
Young Adult
Outcome Assessment (Health Care)
Pregnancy
DNA
Infection

Keywords

  • Birth control
  • Chlamydia
  • Stage of Change Transtheoretical Model (SOC/TTM)
  • STI

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Stage of Change Behavioral Assessment Tool Fails to Predict the Prevalence of Chlamydia in an Urban Adolescent Health Clinic. / Kasowitz, Andrea R.; McCusker, Mark; Coury-Doniger, Patricia; Neal, Wendy P.; Indyk, Debbie; Burk, Robert D.; Jenkins, Stephen G.; Rickert, Vaughn I.; Herold, Betsy.

In: Journal of Pediatric and Adolescent Gynecology, Vol. 19, No. 4, 08.2006, p. 277-283.

Research output: Contribution to journalArticle

Kasowitz, Andrea R. ; McCusker, Mark ; Coury-Doniger, Patricia ; Neal, Wendy P. ; Indyk, Debbie ; Burk, Robert D. ; Jenkins, Stephen G. ; Rickert, Vaughn I. ; Herold, Betsy. / Stage of Change Behavioral Assessment Tool Fails to Predict the Prevalence of Chlamydia in an Urban Adolescent Health Clinic. In: Journal of Pediatric and Adolescent Gynecology. 2006 ; Vol. 19, No. 4. pp. 277-283.
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AU - Neal, Wendy P.

AU - Indyk, Debbie

AU - Burk, Robert D.

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