Sexually transmitted infection incidence among adolescents in Ireland

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dc.contributor.author Davoren, Martin P.
dc.contributor.author Hayes, Kevin
dc.contributor.author Horgan, Mary
dc.contributor.author Shiely, Frances
dc.date.accessioned 2016-12-01T12:09:58Z
dc.date.available 2016-12-01T12:09:58Z
dc.date.issued 2014-06-10
dc.identifier.citation Davoren, M. P., Hayes, K., Horgan, M. and Shiely, F. (2014) 'Sexually transmitted infection incidence among adolescents in Ireland', Journal of Family Planning and Reproductive Health Care, 40, pp. 276-282. doi: 10.1136/jfprhc-2013-100596 en
dc.identifier.volume 40 en
dc.identifier.startpage 276 en
dc.identifier.endpage 282 en
dc.identifier.issn 1471-1893
dc.identifier.uri http://hdl.handle.net/10468/3336
dc.identifier.doi 10.1136/jfprhc-2013-100596
dc.description.abstract Objective: The burden of sexually transmitted infections (STIs) rests with young people, yet in Ireland there has been very little research into this population. The purpose of this study was to determine the incidence rate and establish risk factors that predict STI occurrence among adolescents in Ireland. Design: Routine diagnostic, demographic and behavioural data from first-time visits to three screening centres in the southwest of Ireland were obtained. Univariate and multivariable logistic regression models were used to assess risk factors that predict STI occurrence among adolescents. Results: A total of 2784 first-time patients, aged 13–19 years, received 3475 diagnoses between January 1999 and September 2009; 1168 (42%) of adolescents had notifiable STIs. The incidence rate of STIs is 225/100 000 person-years. Univariate analysis identified eligible risk factors (p<0.2) for inclusion in the multivariable model. Multivariable logistic regression showed the dominant risk factors for STI diagnosis to be: males who sometimes [odds ratio (OR) 2.02] or never (OR 1.83) use condoms; and females 18–19 years (OR 2.26) and 16–18 years (OR 1.8), with 2 (OR 1.33) or 3+ (OR 1.56) partners in the last 12 months, who are non-intravenous drug users (OR 0.72), are most likely to receive a positive STI diagnosis. Conclusions: STI diagnosis has become increasingly common in Ireland. The proportion of notifications among those aged under 20 years is increasing. These data illustrate the significance of age, condom use and number of sexual partners as risk factors for STI diagnosis. Furthermore, providing data for the first time, we report on the high incidence rate of STIs among adolescents in Ireland. The high levels of risk-taking behaviour and STI acquisition are highlighted and suggest that there is a need for an integrated public health approach to combat this phenomenon in the adolescent population. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BMJ Publishing Group en
dc.rights © 2014 The Authors; Licence BMJ Publishing Group. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/ en
dc.rights.uri http://creativecommons.org/licenses/by-nc/3.0/ en
dc.subject Sexually transmitted infections en
dc.subject STIs en
dc.subject Risk factors en
dc.subject Screening en
dc.subject Adolescents en
dc.subject Ireland en
dc.title Sexually transmitted infection incidence among adolescents in Ireland en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Martin Davoren, Student Health Services, University College Cork, Cork, Ireland. +353-21-490-3000 Email: m.davoren@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2016-12-01T11:53:37Z
dc.description.version Published Version en
dc.internal.rssid 372343693
dc.internal.wokid 000345741300011
dc.description.status Peer reviewed en
dc.identifier.journaltitle Journal of Family Planning and Reproductive Health Care en
dc.internal.copyrightchecked No en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress m.davoren@ucc.ie en
dc.internal.IRISemailaddress f.shiely@ucc.ie en


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© 2014 The Authors; Licence BMJ Publishing Group. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/ Except where otherwise noted, this item's license is described as © 2014 The Authors; Licence BMJ Publishing Group. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/
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