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Author Notes:

All correspondence concerning this article should be addressed to Jessica McDermott Sales, PhD, Research Assistant Professor, Rollins School of Public Health at Emory University, Department of Behavioral Sciences and Health Education, 1518 Clifton Rd., NE, Room 570, Atlanta, GA, 30322, USA. E-mail: jmcderm@emory.edu


Research Funding:

National Institute of Mental Health (grant number K01 MH085506 to J.M.S.); National Institute of Mental Health (grant number 5 R01 MH070537 to R.J.Di).


  • adolescents
  • females
  • sexual behaviors
  • sexually transmitted diseases

Age Differences in STDs, Sexual Behaviors, and Correlates of Risky Sex Among Sexually Experienced Adolescent African-American Females


Journal Title:

Journal of Pediatric Psychology


Volume 37, Number 1


, Pages 33-42

Type of Work:

Article | Post-print: After Peer Review


Objective To explore age differences in factors associated with positive sexually transmitted diseases (STD) status among a sample of African-American adolescent females. Methods Data were collected via ACASI from 701 African-American adolescent females (14–20 years) seeking services at reproductive health clinics. Adolescents provided self-collected vaginal swabs assayed using NAAT to assess the prevalence of three STDs. Results Younger adolescents (14–17 years) had significantly higher rates of STDs than older adolescents (18–20 years), but older adolescents had significantly higher levels of STD-associated risk behavior. In controlled analysis, having a casual sex partner was the only variable significantly associated with a positive STD test for younger adolescents, and prior history of STD and higher impulsivity were significantly associated with testing STD positive among older adolescents. Conclusions These findings suggest that developmentally tailored STD/HIV prevention interventions are needed for younger and older subgroups of adolescent females to help reduce their risk of infection.

Copyright information:

© The Author 2011. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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