title: Correlates of African American female adolescent offenders 3, 4-Methylenedioxymethamphetamine (MDMA or "Ecstasy") use and sexually transmitted infection morbidity.
abstract: The current study was designed to determine the extent to which self-reported ecstasy use in a population of juvenile adolescent detainees in a southern state is associated with high-risk health behaviors pertaining to sexually transmitted infection (STI) symptomology and past history of STI occurrence. Participants were 764 African American females extracted from an overall sample of 2,260 juvenile offenders housed at selected Youth Development Campuses in the state of Georgia. Significance tests were conducted using univariate logistic regressions to examine the independent associations of participant's self-reported ecstasy use and dichotomized HIV risk behavior correlates and history of having a prior STI before the most recent incarceration Participants who reported ecstasy use prior to incarceration were 1.7 (OR= 1.68, 95%CI= 0.78-3.64) and 1.8 times (OR= 1.87, 95%CI= 1.24-2.81) more likely respectively to indicate having had genital warts or chlamydia, and were more than 1.5 times (OR= 2.21, 95%CI= 0.83-5.44) and two times more likely to report having had gonorrhea or herpes, accordingly. Prevention programs for adolescent offender populations should develop interventions that target adolescents' substance use behavior as a function of STI risk taking as well as being culturally competent to deal specifically with these problem behaviors.
authors.affiliation: Department of Psychology; and Department of Political Science, Clark Atlanta University, Atlanta, Georgia, USA.
authors.forename: Torrance
authors.initials: T
authors.lastname: Stephens
authors.affiliation: Department of Preventive Medicine, Morehouse School of Medicine, Atlanta, Georgia, USA.
authors.forename: Rhonda Conerly
authors.initials: RC
authors.lastname: Holliday
authors.affiliation: Department of Biology, Clark Atlanta University, Atlanta, Georgia, USA.
authors.forename: Shakita
authors.initials: S
authors.lastname: Hopkins
authors.affiliation: Department of Biology, University of West Georgia, Carrollton, Georgia, USA.
authors.forename: Shanhol
authors.initials: S
authors.lastname: Rose
authors.affiliation: Department of Preventive Medicine, Morehouse School of Medicine, Atlanta, Georgia, USA.
authors.forename: Ronald
authors.initials: R
authors.lastname: Braithwaite
authors.affiliation: Institute of Public and Preventive Health, Georgia Regents University, Augusta, Georgia, USA.
authors.forename: Selina
authors.initials: S
authors.lastname: Smith
keywords: African American; ecstasy; female offenders; sexually transmitted infections (STIs)
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