Résumé :
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[BDSP. Notice produite par INIST-CNRS 8mR0xGAE. Diffusion soumise à autorisation]. Objectives. We determined the associations of ecosocial factors and psychosocial factors with having a prevalent sexually transmitted infection (STI), recent STI diagnoses, and sexual risk behaviors. Methods. Young adults aged 18 to 27 years in the National Longitudinal Study of Adolescent Health (n=14322) provided ecosocial, psychosocial, behavioral, and STI-history data. Urine was tested for Chlamydia trachomatis and Neisseria gonorrhoeae by ligase chain reaction and for Trichomonas vaginalis, human papillomavirus, and Mycoplasma genitalium by polymerase chain reaction. Results. Prevalent STI was associated with housing insecurity (adjusted odds ratio [AOR]=1.3 ; 95% confidence interval [CI]=1.00,1.72), exposure to crime (AOR=1.4 ; 95% Cl=1.02,1.80), and having been arrested (AOR=1.4 ; 95% CI=1.07,1.84). STI prevalence increased linearly from 4.9% for 0 factors to 14.6% for 4 or more (P<. for trend nearly all contextual conditions predicted more lifetime partners and earlier sexual debut. recent sti diagnosis was associated with childhood abuse gang participation frequent alcohol use depression adjusted risk behaviors. conclusions. often present before debut enhance by increasing behaviors likelihood of exposure to infection. these findings suggest that upstream such as housing safety contribute the burden stis are appropriate targets future intervention.>
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