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Clinical Pediatrics
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Risk Behaviors and the Prevalence of Chiamydia in a Juvenile Detention Facility

Patricia J. Kelly, RN, MPH, PhD

Department of Family Nursing and School of Medicine, Department of Pediatrics, University of Texas Health Science Center; School Nursing, 7703 Floyd Curl Drive, San Antonio, TX 78284-7825

Rita M. Bair, MD

Jacques Baillargeon, PhD

Victor German, MD, PhD

Department of Pediatrics, University of Texas Health Science Center at San Antonio

The prevalence of Chlamydia trachomatis, a sexually transmitted disease, and the association of selected behavioral risk factors were assessed in a population of adolescents in two juvenile detention facilities. Urine was collected for Chlamydia testing and a brief interview conducted for risk and demographic information. Almost all of the 200 participants were sexually active, many before the age of 13 years. The prevalence of Chlamydia infection was 22.2% among female and 8.7% among male participants. Injection drug use was the only statistically significant variable associated with infection. Education and community services are necessary to break the cycle of infection for this high-risk population.

Clinical Pediatrics, Vol. 39, No. 9, 521-527 (2000)
DOI: 10.1177/000992280003900903
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