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Predictors of Chlamydia and Gonorrhea Screening Behaviors Among High-Risk Young Women

Tyus, Nadra Chante (2005) Predictors of Chlamydia and Gonorrhea Screening Behaviors Among High-Risk Young Women. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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Sexually transmitted disease (STD) testing among sexually active young women is essential in preventing and controlling the STD epidemic. STD testing is critical because infections such as Chlamydia trachomatis and Neisseria gonorrhoeae are primarily asymptomatic in women. If women do not routinely test for STDs, this can facilitate the spread of these diseases and lead to serious sequelae. The research presented explores socio-demographic, psychosocial, and health-related factors that may be associated with young women's STD testing behaviors. The Health Belief Model (HBM) provides the theoretical framework for explaining the relationships that exist between background factors, HBM perceptions of STDs and STD testing, and the total number of STD tests completed during the two-year study. The population studied for this research is a sample of 14 -29 year old women, approximately 80% of whom are African-American. Univariate regression analysis between background factors and the outcome indicated that age, race, education, having symptoms of an STD at baseline, current antibiotic use, and having condom problems were associated with an increasing number of STD tests completed. A similar analysis between HBM perception variables and the outcome showed that only perceived severity was significant. A multivariate stepwise linear regression model of significant background and perception factors revealed that having symptoms at baseline, current antibiotic use, and having condom problems were significant to an increasing number of total STD tests completed. These findings demonstrate that an assessment of behaviors and current health status of young women can be helpful in understanding utilization of STD services. The results also suggest that the HBM may not be sufficient in characterizing STD testing behaviors, however, improved measures of these constructs can better assess trends in the data. The public health significance of this study is that it provides theoretical and empirical attention to factors associated with STD testing behaviors, an area of research that has received limited consideration.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Tyus, Nadra
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairTrauth, Jeanettetrauth@pitt.eduTRAUTH
Committee MemberYouk, Adaayouk@pitt.eduAYOUK
Committee MemberRicci, Edmundemricci@pitt.eduEMRICCI
Committee MemberCook,
Committee MemberQuinn,
Date: 13 September 2005
Date Type: Completion
Defense Date: 30 June 2005
Approval Date: 13 September 2005
Submission Date: 29 July 2005
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Degree: DrPH - Doctor of Public Health
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: chlamydia; gonorrhea; Health Belief Model; healthcare utilization; screening; sexually transmitted diseases; STD
Other ID:, etd-07292005-155857
Date Deposited: 10 Nov 2011 19:54
Last Modified: 15 Nov 2016 13:47


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