Evidence map›Paper›PMID 34993752›Full record

ArticleMaternal and child health journal2022

Syndemics of Sexually Transmitted Infections in a Sample of Racially Diverse Pregnant Young Women.

Ashley V Hill, Dara D Mendez, Catherine L Haggerty, Elizabeth Miller, Natacha M De Genna

Abstract read
In one paragraph

Article in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ashley V HillDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto St, Pittsburgh, PA, 15216, USA. avh16@pitt.edu.ORCID http://orcid.org/0000-0002-3535-1404
Dara D MendezDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto St, Pittsburgh, PA, 15216, USA.
Catherine L HaggertyDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto St, Pittsburgh, PA, 15216, USA.
Elizabeth MillerDivision of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, 120 Lytton Ave. Suite 302, Pittsburgh, PA, 15213, USA.
Natacha M De GennaDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto St, Pittsburgh, PA, 15216, USA.

Funding

Teen Mothers’ Prenatal Cannabis Use and Co-Use with TobaccoR01DA046401 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DE GENNA, NATACHA · 2019 to 2023
$3.8M
Adolescent Research in Community Postdoctoral Training ProgramT32HD087162 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MILLER, ELIZABETH · 2016 to 2020
$1.2M
National Institute of Child Health and Human Development T32HD087162NICHD NIH HHS T32 HD087162NIDA NIH HHS R01 DA046401NIDA NIH HHS R01DA046401NIMHD NIH HHS L60 MD015553
6 · The paper itself

Abstract

introductionSyndemic theory posits that poor health outcomes co-occur and amplify each other in the context of harmful conditions that must be addressed simultaneously to improve health equity. This analysis identifies perinatal syndemic factors and examine how factors are related to STI in a sample of racially diverse young pregnant women.

methodsPregnant participants (n = 61) ages 14-21 from racially diverse backgrounds were recruited from a prenatal clinic for an ongoing longitudinal study between October 2019-February 2020. Participants completed a tablet survey assessing pregnancy intention, psychosocial factors (e.g., depression, stress, partner violence, pregnancy history) and consented to provide access to their medical records for STI and clinical urine samples screened for tobacco and cannabis use. Latent class analysis (LCA) was used to examine probabilities of co-occurring Syndemic indicators.

resultsHalf of the women were Black (52%) and primigravida (54%). Three classes were identified in the LCA, two of them reflecting syndemics related to STI from the medical record. The largest class was half Black (51%), with a high rate of STI (65%), and was characterized by factors including depressive symptoms (93%), stress (64%), and substance use (65% cannabis, 82% tobacco). Additionally, the class with the highest rates of STI (74%) also had higher rates of partner violence (48%), morning sickness (100%), and prenatal cannabis use (63%).

conclusionFindings indicate evidence of a syndemic related to increased STI. A longitudinal evaluation of syndemics in this cohort may inform appropriately tailored intervention strategies to promote perinatal health in racially diverse young pregnant populations.

Indexed as

HIV InfectionsSexually Transmitted DiseasesSubstance-Related DisordersAdolescentAdultFemaleHumansLongitudinal StudiesPregnancyPregnant PeopleSexual BehaviorSyndemicYoung AdultAdolescent and Young AdultPerinatal HealthSexually Transmitted InfectionsSyndemics

Identifiers

PMID34993752
PMCPMC8736293

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