Increases in Oral and Anal Sexual Exposure among Adolescents ...

Increases in Oral and Anal Sexual Exposure among Adolescents ...

Increases in Oral and Anal Sexual Exposure among Adolescents Attending STD Clinics in Baltimore Renee M Gindi, MPH, Khalil G Ghanem MD, Erbelding, MD MPH CDC STD Prevention Conference Jacksonville, Florida May 10, 2006 Emily J Background Surveys suggest increase in oral sex among teens and young adults 2002 National Survey of Family Growth 1995 National Survey of Adolescent Males Accurate risk assessment is essential Appropriate clinical exam, diagnostic tests

Tailored preventive messages Do trends among adolescents attending the Baltimore STD clinics reflect changes suggested by national surveys? Methods Clients age 12-25 seen at 2 public STD clinics in 1994 or 2004 were eligible for inclusion Electronic medical record review of patients Demographic information Sexual exposure Sexual preference Chi-squared tests, t-tests, and multivariate logistic regression were used Characteristics of the Study Population 70%

62% 1994 n=2598 2004 n=6438 60% 51% 50% 40% 30% 23% 20% 10% 10% 5%

0.50% 0% % Males % < 18 * All changes are significant at p<.0001 MSM Changes in Behavior Males (%) oral genital 15% 77%

0% 1% 0% 66% 0% 0% 0% 30% 3% 0% 0%

0% rectal 7% none oral genital rectal 0% none 1994 2004 N=1610

N=3274 Changes in Behavior Females (%) genital 74% oral 11% 2% 2% 0% 0% 34% 59% 6%

0% 1% 0% 0% rectal 11% none oral genital rectal 0% none 1994

2004 N=988 N=3164 0% Changes in Oral and Anal Sexual Exposure among Heterosexual Adolescents, 2004 vs. 1994 Oral Sex Exposure OR (CI) 3.00 (2.63 3.36) adjOR (CI) 2.55 (2.30 2.91)

Anal Sex Exposure 2.00 (1.45 2.77) 1.51 (1.05 2.16) Same Sex Preference 9.51 (5.84 15.48) * Adjusted for gender, race, and age of patient 10.4 (6.1 17.8) Conclusions Increasing rates of: Oral sexual exposure Anal sexual exposure Same-sex behavior Changes in behavior among high-risk populations mirror

trends suggested by national population-based surveys Strengths Samples a high-risk population Clinical setting reduces social desirability bias Standard form has had comparable variables for ten years Assessment of STD risk behaviors rather than ever/never Limitations Retrospective chart review Not generalizable Reporting behavior vs. engaging in behavior Thank you. Renee M Gindi, MPH [email protected]

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