New sexual partners and readiness to seek screening for chlamydia and gonorrhoea: Predictors among minority young women

Mariam R. Chacko, C. M. Wiemann, C. A. Kozinetz, Ralph DiClemente, P. B. Smith, M. M. Velasquez, K. Von Sternberg

Research output: Contribution to journalArticle

Abstract

Objectives: To determine (1) level of readiness and (2) demographic and behavioural predictors of readiness to seek chlamydia (CT) and gonorrhoea (NGC) screening in the absence of symptoms after sex with a "new" partner. Methods: Baseline data, obtained as part of a larger randomised controlled clinical trial in young women, were analysed. Readiness to seek screening for CT and NGC after sex with a "new" partner was assessed using the stages of change framework from the transtheoretical model of change-precontemplation, contemplation, preparation, and action. Ordinal logistic regression, using the proportional odds model, was used to determine predictors of being in action for or having already been screened for CT and NGC after sex with a "new" partner. Results: The sample consisted of 376 predominantly African American (67%) young women (mean age 18.5 (SD 1.4) years). The distribution of readiness to seek CT and NGC screening was 4% precontemplation, 11% contemplation, 28% preparation, and 57% action. The best fitting logistic model that predicted being in action for seeking screening after sex with a "new" partner included high perceived seriousness of acquiring a sexually transmitted infection (OR = 2.02, 95% Cl 1.05 to 3.89), and having "other" (not steady) partners in the last 6 months (OR = 0.50, 95% C.I. 0.32 to 0.78) Conclusions: Many young women report that they were not getting screened for CT and NGC after sex with a "new" partner and therefore may be at increased risk of an untreated STI. Enhancing level of perceived seriousness of acquiring an STI from a "new" partner may increase a young woman's readiness to seek screening after initiating a new sexual relationship.

Original languageEnglish (US)
Pages (from-to)75-79
Number of pages5
JournalSexually Transmitted Infections
Volume82
Issue number1
DOIs
StatePublished - Feb 1 2006

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Chlamydia
Gonorrhea
Sexual Partners
Sexually Transmitted Diseases
Logistic Models
African Americans
Randomized Controlled Trials
Demography

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases

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New sexual partners and readiness to seek screening for chlamydia and gonorrhoea : Predictors among minority young women. / Chacko, Mariam R.; Wiemann, C. M.; Kozinetz, C. A.; DiClemente, Ralph; Smith, P. B.; Velasquez, M. M.; Von Sternberg, K.

In: Sexually Transmitted Infections, Vol. 82, No. 1, 01.02.2006, p. 75-79.

Research output: Contribution to journalArticle

Chacko, Mariam R. ; Wiemann, C. M. ; Kozinetz, C. A. ; DiClemente, Ralph ; Smith, P. B. ; Velasquez, M. M. ; Von Sternberg, K. / New sexual partners and readiness to seek screening for chlamydia and gonorrhoea : Predictors among minority young women. In: Sexually Transmitted Infections. 2006 ; Vol. 82, No. 1. pp. 75-79.
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AU - Chacko, Mariam R.

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AU - Kozinetz, C. A.

AU - DiClemente, Ralph

AU - Smith, P. B.

AU - Velasquez, M. M.

AU - Von Sternberg, K.

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AB - Objectives: To determine (1) level of readiness and (2) demographic and behavioural predictors of readiness to seek chlamydia (CT) and gonorrhoea (NGC) screening in the absence of symptoms after sex with a "new" partner. Methods: Baseline data, obtained as part of a larger randomised controlled clinical trial in young women, were analysed. Readiness to seek screening for CT and NGC after sex with a "new" partner was assessed using the stages of change framework from the transtheoretical model of change-precontemplation, contemplation, preparation, and action. Ordinal logistic regression, using the proportional odds model, was used to determine predictors of being in action for or having already been screened for CT and NGC after sex with a "new" partner. Results: The sample consisted of 376 predominantly African American (67%) young women (mean age 18.5 (SD 1.4) years). The distribution of readiness to seek CT and NGC screening was 4% precontemplation, 11% contemplation, 28% preparation, and 57% action. The best fitting logistic model that predicted being in action for seeking screening after sex with a "new" partner included high perceived seriousness of acquiring a sexually transmitted infection (OR = 2.02, 95% Cl 1.05 to 3.89), and having "other" (not steady) partners in the last 6 months (OR = 0.50, 95% C.I. 0.32 to 0.78) Conclusions: Many young women report that they were not getting screened for CT and NGC after sex with a "new" partner and therefore may be at increased risk of an untreated STI. Enhancing level of perceived seriousness of acquiring an STI from a "new" partner may increase a young woman's readiness to seek screening after initiating a new sexual relationship.

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