Abstract:
PURPOSE:The goal of this study was to evaluate the effect of pubertal timing, and its interaction with prior childhood maltreatment, on the risk of cervical human papillomavirus (HPV) among sexually active adolescent minority female adolescents and young adults. METHODS:This cross-sectional study includes 842 adolescent girls and young women (aged 12 to 20 years; predominately Black and Hispanic) enrolled in an HPV vaccine surveillance study at a large adolescent health clinic in New York City between 2007 and 2016. Pubertal timing was assessed by self-reported age at menarche at baseline, with "early" and "late" defined as one standard deviation below (<11 years) or above (>13 years) the mean. Childhood exposure to abuse (sexual, physical and emotional) and neglect (physical and emotional) was assessed using the Childhood Trauma Questionnaire. Over 40 types of HPV infection were detected using the polymerase chain reaction in cervical Pap specimens. RESULTS:Results from multivariable logistic regression showed that early and late pubertal timing were marginally associated with a higher risk of HPV infection, adjusting for demographic and health covariates. Childhood maltreatment moderated the association between early pubertal timing and HPV infection: early pubertal timing was associated with a higher risk for HPV infection among maltreated girls (OR = 3.32, 95%CI:1.61-6.85), but not among non-maltreated girls (OR = 0.96, 95%CI:0.61-1.50; p-interaction<0.01). CONCLUSIONS:Variation in the timing of puberty and history of childhood maltreatment may have implications for adolescent sexual and reproductive health. Findings suggest that clinicians need to assess the biological and psychosocial risks in caring for youth.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Niu L,Hoyt LT,Salandy A,Nucci-Sack A,Shankar V,Strickler H,Burk RD,Schlecht NF,Diaz Adoi
10.1016/j.ypmed.2020.106126subject
Has Abstractpub_date
2020-09-01 00:00:00pages
106126eissn
0091-7435issn
1096-0260pii
S0091-7435(20)30150-Xjournal_volume
138pub_type
杂志文章abstract:BACKGROUND:Neighborhood built environments (BE) include combinations of co-existing stimuli influencing physical activity (PA). Dealing with numerous environmental variables and complexity presents a significant challenge. The current analysis explored whether a range of reported BE features associated with adults' phy...
journal_title:Preventive medicine
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journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2005-07-01 00:00:00
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更新日期:2008-03-01 00:00:00
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更新日期:2016-01-01 00:00:00
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更新日期:2017-06-01 00:00:00
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