{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T08:09:01Z","timestamp":1782202141747,"version":"3.54.5"},"reference-count":67,"publisher":"SAGE Publications","issue":"4_suppl","license":[{"start":{"date-parts":[[2010,7,1]],"date-time":"2010-07-01T00:00:00Z","timestamp":1277942400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives.<\/jats:title>\n                    <jats:p>Education has long been considered a protective factor against sexual risk behaviors and sexually transmitted infections (STIs) among adolescents; however, few have explored this association and determined differences across racial\/ethnic groups of young adult females on a national scale. The purpose of this study was to (1) describe the association between education and STI diagnosis among a national sample of black and white young adult females and (2) examine racial differences in this association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>We used data from the National Longitudinal Study of Adolescent Health (Add Health) to assess the association between education and chlamydia, gonorrhea, and\/or trichomoniasis (self-reported and assay-diagnosed) in 2001\u20132002 using logistic regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>After adjustment for risk behaviors, education was inversely associated with any assay-diagnosed STI, but this association was nonsignificant among black women for self-reported STI. Additionally, black females enrolled in, or who graduated from, college had significantly higher predicted probabilities of having an STI (12.4% self-reported; 13.4% assay-diagnosed) compared with white females who had less than a high school diploma (6.4% self-reported; 2.3% assay-diagnosed).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>Educational status was not uniformly protective against STIs for black and white females in this sample. Particularly for young black women, other factors may play a more prominent role in determining STI risk. Social determinants, such as education, should be viewed as important factors associated with STI prevalence, but their differential impact on various racial\/ethnic groups should also be considered when addressing the disproportionate rates of STIs in the U.S.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549101250s415","type":"journal-article","created":{"date-parts":[[2017,1,28]],"date-time":"2017-01-28T13:18:37Z","timestamp":1485609517000},"page":"110-121","source":"Crossref","is-referenced-by-count":53,"title":["Does Education Matter? Examining Racial Differences in the Association between Education and STI Diagnosis among Black and White Young Adult Females in the U.S."],"prefix":"10.1177","volume":"125","author":[{"given":"Lucy","family":"Annang","sequence":"first","affiliation":[{"name":"Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina M.","family":"Walsemann","sequence":"additional","affiliation":[{"name":"Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debeshi","family":"Maitra","sequence":"additional","affiliation":[{"name":"Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelani C.","family":"Kerr","sequence":"additional","affiliation":[{"name":"Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2010,7,1]]},"reference":[{"key":"bibr1-00333549101250S415","doi-asserted-by":"publisher","DOI":"10.1363\/3600604"},{"key":"bibr2-00333549101250S415","volume-title":"Sexually transmitted disease surveillance","author":"Centers for Disease Control and Prevention (US)","year":"2007"},{"key":"bibr3-00333549101250S415","volume-title":"Our voices, our lives, our futures: Youth and sexually transmitted diseases","author":"Cates JR","year":"2004"},{"key":"bibr4-00333549101250S415","volume-title":"CDC HIV\/AIDS fact sheet","author":"CDC (US). 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