History of sexual abuse in incarcerated adolescents with gonorrhea or syphilis |
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| Institution: | 1. From the Departments of Epidemiology and Social Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York, USA;2. From the Department of Pediatrics, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York, USA;3. From the Spofford Juvenile Health Services, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York, USA;1. Department of Maxillo-Facial Surgery and Plastic Surgery, Necker – Enfants Malades University Hospital, Assistance Publique – Hôpitaux de Paris, Paris 75015, France;2. Department of Mechanical Engineering, University College London, London WC1E 7JE, UK;3. Department of Neurosurgery, Craniofacial surgery unit, Necker – Enfants Malades University Hospital, Assistance Publique – Hôpitaux de Paris, Paris 75015, France;4. Department of Head and Neck Surgery for Children and Adolescents. University of Warmia and Mazury in Olsztyn. Prof. St. Popowski Regional Specialized Children''s Hospital. Ul. ?o?nierska 18a, 10-561 Olsztyn, Poland;5. Department of Plastic Surgery, Sahlgrenska University Hospital, Gothenburg University, Gothenburg SE-413 45, Sweden;1. Instituto Nacional de Salud Pública (INSP), Av. Universidad 655, Col. Sta. María Ahuacatitlán, 62100 Cuernavaca, Morelos, Mexico;2. Hospital General de México, Dr. Balmis 148, Col. Doctores, Deleg. Cuauhtémoc, 06726 México, D.F., Mexico;3. Hospital Regional “Lic. Adolfo López Mateos” (ISSSTE), Av. Universidad 1321, Col. Florida Deleg. Álvaro Obregón, 01030 México, D.F., Mexico;4. Instituto Nacional de Cancerología (INCan), Av. San Fernando No. 22, Col. Sección XVI, Deleg. Tlalpan, 14080 México, D.F., Mexico;5. Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ), Av. Vasco de Quiroga 15, Col. Belisario Domínguez, Col. Sección XVI, Deleg. Tlalpan, 14080 México, D.F, Mexico;6. Hospital de Oncología, Centro Médico Siglo XXI (CMN-SXXI), Instituto Mexicano del Seguro Social (IMSS), Av. Cuauhtémoc 330, Col. Doctores, Deleg. Cuauhtémoc, México, D.F., 06720, Mexico;7. Hospital General Regional No. 1. “Carlos MacGregor Sánchez Navarro” (IMSS), Eje 2 Pte 222, Col. Del Valle Centro, Deleg. Benito Juárez, 03100 México, D.F., Mexico;1. National Veterinary Institute, Technical University of Denmark, Frederiksberg, Denmark;2. Department of Veterinary Disease Biology, University of Copenhagen, Frederiksberg, Denmark;3. Department of Microbiology and Infection Control, Statens Serum Institut, Copenhagen, Denmark |
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| Abstract: | From July 1983 to June 1984, 2521 adolescents were medically screened at entry into a detention facility in New York City. A medical history, physical examination, serology for syphilis, and culture for gonorrhea were obtained from each entrant. A retrospective chart review was conducted for 136 persons with gonorrhea and/or syphilis (79 boys and 57 girls) and 136 sex-matched infection-negative controls. Several characteristics were compared including age, age at first sexual intercourse, sexual abuse history, contraceptive use, and pregnancy status. Among infected cases, 8% of males and 32% of females reported a history of sexual abuse, whereas among controls, no males and 14% of females reported abuse. A history of sexual abuse was strongly associated with gonorrhea or syphilis (odds ratio = 3.4; 95% confidence intervals, 1.5–8.0). These data suggest an association between sexual abuse and subsequent high-risk sexual behavior manifested by a gonorrhea or syphilis infection. |
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