title: Social support and sexually transmitted disease related healthcare utilisation in sexually experienced African-American adolescents.
abstract: OBJECTIVE
  To determine whether adolescents' perceived social support predicts future utilisation of sexually transmitted disease (STD) related health care.
  
  
  METHODS
  A longitudinal study of African-American adolescents ages 12-18 recruited from a random sample of households in the San Francisco Bay area in which baseline data were collected by telephone and follow up data were collected by telephone or in-home audio computer assisted self interview. At baseline, participants were asked about their sexual behaviours, STD history, and social support. At follow up 14-18 months later, participants were asked whether they, while asymptomatic, had sought STD related medical care within the past year.
  
  
  RESULTS
  Asymptomatic sexually experienced adolescents who talked to their closest friend almost every day were more likely to have had STD related health care in the past year (odds ratio (OR) = 1.38; 95% confidence interval (CI) 1.09, 1.76). Closeness to female and male parents/guardians and participation in extracurricular activities were not associated with utilisation of STD related health care within the past year. After controlling for age and sex, sexually experienced adolescents who talked to or saw their closest friend almost every day were more likely to have had STD related health care within the past year (OR = 1.35; 95% CI = 1.08 to 1.70).
  
  
  CONCLUSIONS
  These findings suggest that friends have an impact on the seeking of confidential healthcare services, such as care for STDs.
authors.affiliation: Division of Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA . lisa.lowery@spectrum.health.com
authors.forename: L M
authors.initials: LM
authors.lastname: Lowery
authors.forename: S
authors.initials: S
authors.lastname: Chung
authors.forename: J M
authors.initials: JM
authors.lastname: Ellen
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000706:statistics & numerical data*; D002648:Child; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012495:San Francisco / Q000453:epidemiology; D012749:Sexually Transmitted Diseases / Q000628:therapy*; D012944:Social Support