Hostname: page-component-7c8c6479df-nwzlb Total loading time: 0 Render date: 2024-03-28T12:54:32.943Z Has data issue: false hasContentIssue false

1135 – Mental Health Distress And Alcohol Misuse Associated With Prevalence Of Sexually Transmitted Infections Among Adolescents In Care

Published online by Cambridge University Press:  15 April 2020

N. Haley
Affiliation:
Montreal Public Health Department, McGill University Centre Hospitalier Universitaire Ste-Justine
G. Lambert
Affiliation:
Montreal Public Health Department, McGill University Institut National de Santé Publique du Québec, McGill University
S. Jean
Affiliation:
Montreal Public Health Department, McGill University
J.-Y. Frappier
Affiliation:
Centre Hospitalier Universitaire Ste-Justine
J. Otis
Affiliation:
Université du Québec à Montréal
E. Roy
Affiliation:
Université de Sherbrooke, Montréal, QC, Canada

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

Every year 4,000 to 5,000 adolescents reside in Quebec Youth Protection Centers (YPCs). Many youth have risky behaviours and mental health issues that put them at risk for sexually transmitted infections (STIs).

Objectives

Document the prevalence of STIs (chlamydia and gonorrhoeae) among adolescents aged 14-17 years old entering Quebec residential YPCs and identify associated risk factors.

Methods

In 2008–2009, adolescents residing in six YPCs completed a questionnaire covering sexual and substance use behaviours, as well as other health issues affecting their well-being. Urine samples were collected for Chlamydia trachomatis (CTGI) and Neisseria gonorrhoea (NGGI) genital infections.

Results

Among 578 participants, 14-17 years old, 89% were sexually active. Risk behaviours included: early sexual initiation (66% < 14 years); multiple partners (median: girls 5, boys 8); group sex (girls 38%, boys 43%); sex for money or goods (girls 27%, boys 8%). Half of sexual relations were under the influence of drugs/alcohol. Regular substance use (3x weekly and +) was: tobacco: 75.0%; cannabis: 63.1%; alcohol: 24.2%; amphetamines: 16.7%; and cocaine: 7.4%. Prevalence of CTGI: 9.3% girls, 1.9% boys; NGGI: 1.7% girls, 0% boys. In multivariate analysis, factors significantly associated with chlamydia infection among girls were: alcohol intoxication hospitalisation or history of suicide ideation with plan.

Conclusion

Serious alcohol misuse or mental distress were significantly associated with STI infections among adolescents. Mental health professionals are encouraged to provide sexual health and substance use counselling with adolescent patients given the highly woven interaction between mental distress and risk of sexually transmitted infections.

Type
Abstract
Copyright
Copyright © European Psychiatric Association 2013
Submit a response

Comments

No Comments have been published for this article.