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Health Review

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CRITICAL REVIEW LITERATURE
ARTICLE 1 TITLE ( CITATION) | Family Socioeconomic Status and Self-Reported Sexually Transmitted Diseases Among Black and White American Adolescents | RESEARCH QUESTIONS | Indicators of Socioeconomic StatusSexually Transmitted Disease PrevalenceMaternal EducationMaternal OccupationHousehold CompositionAdjusted Household Income | OBJECTIVES | The objective of this study was to assess associations between socioeconomic status (SES) and adolescent sexually transmitted diseases (STDs) stratified by race and gender. | TYPES OF STUDY | Cross-sectional study | SAMPLE SIZE | 4 family SES indicators and STD reports for black and white 7th through 12th graders were examined. | RESULT | STD reports were higher for adolescents not living in 2-parent homes, and lower income was only associated for black males. | MAJOR FINDINGS | Measures indicating lower SES were more consistently related to STD among blacks. Family structure, maternal occupation, and, to a lesser extent, maternal education were associated with STDs among black females and males. For black males, the association of STDs with maternal education and occupation were not statistically significant; however, the magnitudes of the point estimates were comparable to those of black females, suggesting important, but imprecise, effects. In contrast, only nontraditional family structure was associated with STD among white females. Income was generally a poor indicator of STD risk in all groups, as expected. | POLICY | | CONCLUSION | SES is only a weak to moderate marker for adolescent STD risks. The relationship of SES and STDs varies by the SES measure used and differs across race-gender groups. Other individual factors such as risk behaviors or community factors such as income inequality could play a more critical role for adolescent STDs than family SES. | LESSON LEARNT |

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