Family-related correlates of sexually transmitted disease and barriers to care: a pilot study of pregnant African American adolescents.
This study explored associations between family-related measures and sexually transmitted disease (STD) history among 170 pregnant African American adolescent females, 14 to 20 years of age, attending prenatal care clinics in a large urban area of the South. Measures of low family support and infrequent mother-daughter communication were significant bivariate correlates of having at least one STD. Mother-daughter communication about preventing acquired immune deficiency syndrome remained significant in a multivariate model. The study also explored barriers to STD care-seeking behavior and found that few adolescents perceived access or financial issues as reasons to delay entry into the medical system. Low perceived family support was marginally associated with greater perceived barriers to STD care.
Crosby
Richard A
RA
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory Center for AIDS Research, Atlanta, Georgia, USA.
Wingood
Gina M
GM
DiClemente
Ralph J
RJ
Rose
Eve S
ES
D000293:Adolescent; D001741:Black or African American / Q000523:psychology*; D005195:Family Relations; D005260:Female; D005845:Georgia; D015658:HIV Infections / Q000517:prevention & control / Q000628:therapy; D006801:Humans; D009034:Mother-Child Relations; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control / Q000628:therapy*; D011253:Pregnancy in Adolescence; D012749:Sexually Transmitted Diseases / Q000517:prevention & control / Q000628:therapy*; D012944:Social Support