Document Detail


Identifying relationships between high-risk sexual behaviors and screening positive for chlamydia and gonorrhea in school-wide screening events.
MedLine Citation:
PMID:  23331269     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This article describes a school-wide sexually transmitted infection (STI) screening to identify adolescent high-risk sexual behaviors, STI history/incidence, and presence of chlamydia and gonorrhea, and examines relationships between high-risk behaviors and screening positive for chlamydia and gonorrhea in an alternative high school setting.
METHODS: School-wide chlamydia and gonorrhea education and screening was provided to 869 adolescents; 226 males and 282 females 14-20 years (mean age = 17.07) consented to urine screening. Relationships were examined between screening positive, history of STIs, and high-risk sexual behaviors.
RESULTS: A majority (69%) of the adolescents consented to screening: 17.76% (92) had a history of STI; 8.83% (46) tested positive at screening. More females than males tested positive (p = .001). Significant relationships existed between history of STIs and ≥ 4 sexual partners (p = .0022), no condom use (p = .06), and sexual intercourse in last 3 months (p = .03).
CONCLUSIONS: School-Based Health Center (SBHC) screening was well accepted by students and staff. Sexually transmitted infection history was correlated with all identified high-risk sexual behaviors supporting the need for in-depth assessment, counseling, and testing of adolescents wherever they present for care. This study also provides an example of the role SBHCs can play in the national strategy to control chlamydia and gonorrhea in adolescents.
Authors:
Jennifer Salerno; Cindy Darling-Fisher; Nicole M Hawkins; Elizabeth Fraker
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of school health     Volume:  83     ISSN:  1746-1561     ISO Abbreviation:  J Sch Health     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-21     Completed Date:  2013-07-30     Revised Date:  2013-08-13    
Medline Journal Info:
Nlm Unique ID:  0376370     Medline TA:  J Sch Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  99-104     Citation Subset:  IM; N    
Copyright Information:
© 2013, American School Health Association.
Affiliation:
University of Michigan, 2025 Traverwood Drive, Suite A6, Ann Arbor, MI 48105, USA. jsalerno@umich.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Chlamydia Infections / diagnosis,  epidemiology*,  prevention & control
Female
Gonorrhea / diagnosis,  epidemiology*,  prevention & control
Health Surveys
Humans
Incidence
Male
Mass Screening / methods*
Primary Prevention / organization & administration
Risk Assessment
Risk-Taking*
School Health Services*
Sex Distribution
Sexual Behavior / statistics & numerical data*
Sexually Transmitted Diseases / diagnosis,  epidemiology,  prevention & control
United States / epidemiology
Young Adult
Comments/Corrections
Erratum In:
J Sch Health. 2013 Jul;83(7):524

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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