title: Let's stay together: relationship dissolution and sexually transmitted diseases among parenting and non-parenting adolescents.
abstract: Relationships influence sexual risk and maternal-child health. Few studies have assessed relationship dissolution and its association with sexually transmitted diseases (STD) among adolescent parents. Our study aimed to describe relationship dissolution among 295 parenting and non-parenting adolescents over an 18-month period and how it related to STD incidence. Results showed that nonparenting adolescents in a relationship with someone other than their baby's father were more likely to have a relationship dissolution over an 18-month period compared to those in a relationship with the baby's father (OR = 1.69, P < .05). Parenting adolescents who ended their relationship with their baby's father were 3 times more likely to get an STD over the course of the study compared to parenting adolescents who remained with their baby's father (39% vs. 13%). Comparatively, nonparenting adolescents who ended their relationship were only 1.4 times more likely to get an STD compared to non-parenting adolescents who remained with their partner (44% vs. 32%). Our results suggest that prevention programs that incorporate male partners and components that strengthen relationship skills may reduce HIV/STD risk and help adolescents adapt during times of transition such as parenthood.
authors.affiliation: School of Public Health, and Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT, USA. trace.kershaw@yale.edu
authors.forename: Trace S
authors.initials: TS
authors.lastname: Kershaw
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Ethier
authors.forename: Linda M
authors.initials: LM
authors.lastname: Niccolai
authors.forename: Jessica B
authors.initials: JB
authors.lastname: Lewis
authors.forename: Stephanie
authors.initials: S
authors.lastname: Milan
authors.forename: Christina
authors.initials: C
authors.lastname: Meade
authors.forename: Jeannette R
authors.initials: JR
authors.lastname: Ickovics
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D015994:Incidence; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008297:Male; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000523:psychology; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000517:prevention & control