The relationship between ethnic identity and Chlamydia and Gonorrhea infections among low-income detained African American adolescent females

• Authors: Dexter R. Voisin, University of Chicago; Laura F. Salazar, University of Chicago; Richard Crosby, University of Chicago; Ralph Joseph Diclemente, Emory University
• Journal Title: Psychology, Health and Medicine
• Volume: Volume 18, Number 3
• Publisher: Taylor & Francis | 2013-05-01, Pages 355-362
• Type of Work: Article | Post-print: After Peer Review
• Publisher DOI: http://doi.org/10.1080/13548506.2012.726361
• Subjects: Health Sciences, Public Health
• Keywords: Science & Technology; Life Sciences & Biomedicine; Public, Environmental & Occupational Health; ethnic identity; African American females; detainees; STIs; SEXUALLY-TRANSMITTED INFECTIONS; RACIAL IDENTITY; PSYCHOLOGICAL DISTRESS; NEISSERIA-GONORRHOEAE; DISCRIMINATION; TRACHOMATIS; ADJUSTMENT; SPECIMENS; BEHAVIORS; SCHOOL

Abstract

This study explored the relationship between ethnic identity and Chlamydia and Gonorrhea infections among detained African American female adolescents. A cross-sectional survey was conducted among 123 African American female adolescents within eight detention facilities in Georgia. Using audio-computer assisted self-interviewing technology, data were collected on demographics, ethnic identity, laboratory-confirmed Chlamydia and Gonorrhea, and other known correlates for sexually transmitted infections (STIs), such as socioeconomic status, parental monitoring, and risky sexual behaviors. Rates of Chlamydia and Gonorrhea testing yielded incidence rates of 22.6% and 4.3%, respectively. Findings indicated that, controlling for STI correlates, participants who indicated high ethnic identity were 4.3 times more likely to test positive for an STI compared to those scoring low on the measure of ethnic identity.