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A Health Surveillance Update on Canadian Children and Youth
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Street Youth Project
Sexual and reproductive health problems affect Canadian youth
from all backgrounds and socioeconomic levels. However, street youth
are at a particularly high risk for these problems. In one study,
street youth reported a cumulative incidence of sexually transmitted
diseases of 22% - more than twice the rate found in youth in school.(13)
Despite this increased risk, information focusing on this population
is very limited. To address this issue, the Division of STD Prevention
and Control in the Bureau of HIV/AIDS, STD and TB is conducting
surveillance of street youth in major cities across Canada. In addition
to enhanced surveillance of sexually transmitted diseases, the sentinel
surveillance program will provide valuable information on the sexual
behaviours of Canadian street youth. It is the aim of the program
to translate this surveillance information into appropriate and
effective disease prevention programs. The success of these interventions
can be measured by ongoing surveillance of sexual health and sexual
behaviours in this population.
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Health Canada. HIV and AIDS in Canada, surveillance report to December
31, 1998. Division of HIV/AIDS Surveillance, Bureau of HIV/AIDS, STD
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Bureau of HIV/AIDS, STD and TB, LCDC. Analysis and interpretation
of Canadian HIV/AIDS data. 1999.
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Benenson AS. Control of communicable diseases manual, 16th
edition, 1995. American Public Health Association (ISBN 0-87553-222-5).
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Health Canada. Sexually transmitted diseases in Canada: 1996 surveillance
report (with preliminary 1997 data), Division of STD Prevention and
Control, Bureau of HIV/AIDS, STD and TB, LCDC, Health Canada, 1999.
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Kreipe RE. Sexually transmitted diseases in adolescents. Pediatr
Infect Dis J 1998;17:919-22.
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Division of STD prevention. Sexually transmitted disease surveillance.
1997. U.S. Department of Health and Human Services, Public Health
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Hofferth SL. Social and economic consequences of teenage childbearing.
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pregnancy and childbearing. Washington, DC: National Academy Press;
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Friede A, Baldwin W, Rhodes PH, et al. Young maternal age and infant
mortality: the role of low birth weight. Public Health Rep 1987;102:192-9.
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Brown HL, Fan YD, Gonsoulin WJ. Obstetric complications in young
teenagers. South Med J 1991;84:46-8.
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Bureau of Reproductive and Child Health, LCDC. Analysis and interpretation
of Statistics Canada data. 1999.
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Wadhera S, Millar WJ. Teenage pregnancies, 1974 to 1994. Health
Reports 1997;9(3):9-17.
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UNICEF (United Nations International Children's Emergency Fund).
(1998). The Progress of Nations 1998. Oxford and New York: Oxford
University Press.
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Tam R, MacDonald N, Feder S, Giglia L, Peeling R, Gully P, et al.
Chlamydia infection in street youth: need for more aggressive screening
programs. Can J Infect Dis 1996;7:49-52.
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