TABLE 2.
Multivariate Associations Between Select Factors and Having an STD: 14- to 19-Year-Old Black Female Teenagers Accessing Reproductive Health Services at a Publically Funded Clinic in Atlanta, GA
| Category-Specific Models * | Final Model (Nagelkerke R2 = 0.131), OR (95%CI)† |
|
|---|---|---|
| OR (95% CI) | ||
| Risk Behaviors (Nagelkerke R2 = 0.035) | ||
| Initiated vaginal sex by age 15 y | ||
| No | 1.0 (referent) | 1.0 (referent) |
| Yes | 1.74 (0.96–3.17)‡ | 1.87 (1.02–3.44)§ |
| Lifetime no. sex partners | ||
| 1–2 | 1.0 (referent) | |
| 3–6 | 1.19 (0.66–2.16) | |
| ≥7 | 1.33 (0.66–2.69) | |
| Provider ever told her she had STD | ||
| No | 1.0 (referent) | |
| Yes | 1.27 (0.77–2.11) | |
| Perceptions of STDs (Nagelkerke R2 = 0.052) | ||
| Worry about STDs, past 6 mo | ||
| No | 1.0 (referent) | |
| Yes | 1.43 (0.87–2.37) | |
| Perceived burden of having an STD, next 6 mo | ||
| Could deal with it | 1.0 (referent) | 1.0 (referent) |
| Worst that could happen | 0.52 (0.30–0.91)§ | 0.50 (0.28–0.90)§ |
| Dirty and/or embarrassed if had an STD, next 6 mo | ||
| Disagree with both | 1.00 (referent) | 1.00 (referent) |
| Disagree with one | 0.75 (0.29–1.93) | 0.64 (0.23–1.74) |
| Agree with both | 0.54 (0.25–1.19) | 0.44 (0.19–0.99)§ |
| Relationship with most recent partner (Nagelkerke R2 = 0.059) | ||
| Length of sexual relationship | ||
| 0–3 mo | 1.77 (0.89–3.52)‡ | 1.78 (0.88–3.60) |
| 4–11 mo | 1.61 (0.77–3.38) | 1.69 (0.79–3.62) |
| ≥12 mo | 1.0 (referent) | 1.0 (referent) |
| Serious partner or boyfriend | ||
| No | 1.0 (referent) | |
| Yes | 0.75 (0.44–1.25) | |
| Multiple or concurrent sex partners, past 6 mo | ||
| 1 partner | 1.0 (referent) | |
| Serial, multiple partners | 1.18 (0.66–2.09) | |
| Concurrent, multiple partners | 1.62 (1.10–2.38)§ | |
| Certain he did not have concurrent sex partners | ||
| Sure he did not have | 1.0 (referent) | |
| Sure he had or uncertain | 1.25 (0.70–2.23) | |
| Social factors and age (Nagelkerke R2 = 0.035) | ||
| Lived with father (and mother/other adults) | ||
| No | 1.0 (referent) | 1.0 (referent) |
| Yes | 0.52 (0.27–1.03)‡ | 0.44 (0.22–0.90)§ |
| Had paid job, past 6 mo | ||
| No | 1.0 (referent) | |
| Yes (Job Corp, part-time, full-time, sporadic) | 0.72 (0.40–1.30) | |
| Age, y | ||
| 14–16 | 1.0 (referent) | |
| 17–19 | 0.67 (0.41–1.12) | |
*
Each of the 4 category-specific models includes variables from that category that were significant at P ≤ 0.10 in bivariate analyses and were adjusted for each other variable in the category.
†
Adjusted for each other variable for which results are listed.
‡
P ≤ 0.10.
§
P ≤ 0.05.
OR indicates odds ratio.