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Thirteen percent of females and 4% of males had ever had an STD.

Among those who had had an STD, 75% were female, 9% had ever been paid for sex, 31% had had sex before age 15 and 55% had had multiple sex partners in the previous 12 months.

Being female (odds ratio, 4.1), being Indian (compared with being Filipino; 4.8), having ever been paid money for sex (4.7) and having had more than one sex partner in the past 12 months (2.5) were associated with increased odds of having had an STD diagnosis.

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In 2004, about 1% of Asians and Pacific Islanders in the United States had HIV or AIDS, a lower proportion than among any other U. racial group.[11] Nonetheless, in 2001, HIV/AIDS was the seventh-leading cause of death among Asians and Pacific Islanders aged 15–19 and 25–34.[12] Investigations of HIV and other STDs among Asians and Pacific Islanders have largely focused on men who have sex with men.[13,14] However, researchers have paid insufficient attention to Asian and Pacific Islander women and their chances of contracting STDs.

The previous studies that examined women in this group used small samples, employed limited statistical analyses,[15,16] relied on regional rather than national samples[16,17] and focused on only one ethnicity,[18] resulting in a lack of generalizability.

The present study will provide a fuller picture of the occurrence of and the factors associated with STDs among a nationally representative sample of Asian and Pacific Islander young men and women.

Asian and Pacific Islander women and Indians are priority groups for both research and clinical attention; prevention efforts to reduce STDs should be tailored to these groups.

Clinicians working with Asians and Pacific Islanders need to focus on clients’ number of sexual partners and health-related beliefs.

Perspectives on Sexual and Reproductive Health, 2007, 39(4):231–239 Asians and Pacific Islanders are one of the fastest growing minority groups in the United States. The number of Asian and Pacific Islander adolescents and young adults is also on the rise: During the same time period, the 15–24-year-old age-group registered a 26% increase.[1,2] From 2004 to 2005, the Asian and Pacific Islander population grew at a faster rate than any other U. racial group.[3] Although the population increase has led to more research concerning Asians and Pacific Islanders, knowledge about the factors associated with STDs among this group remains sketchy.From 1990 to 2000, the Asian and Pacific Islander population increased by 46%, whereas the total U. STDs are among the most common infectious diseases in the United States,[4] but the majority of young adults, including those who engage in high-risk behaviors, vastly underestimate their own risk of chlamydial and gonococcal infection.[5] Contracting STDs during young adulthood can have serious reproductive health effects, including pelvic inflammatory disease, infertility, ectopic pregnancy, preterm birth and fetal abnormalities.[6,7] Furthermore, certain STDs have strong epidemiologic, behavioral and immunologic connections with HIV.[8–10] In this study, we view STD history and predictors in the broad context of the HIV and AIDS epidemic.Limited information is available on factors associated with STDs among Asian and Pacific Islander young adults.Such information is vital to developing effective interventions to reduce STDs within this group.Data were derived from the National Longitudinal Study of Adolescent Health, Wave 3; the sample consisted of 605 female and 578 male Asian and Pacific Islander young adults.Logistic regression analysis was used to assess factors associated with ever having had an STD.

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