Chlamydia screening of youth and young adults in non-clinical settings throughout California

被引:42
作者
Bauer, HM
Chartier, M
Kessell, E
Packel, L
Brammeier, M
Little, M
Bolan, G
机构
[1] Calif Dept Hlth Serv, STD Control Branch, Berkeley, CA 94704 USA
[2] Univ Calif Berkeley, Sch Publ Hlth, Div Publ Hlth Biol & Epidemiol, Berkeley, CA 94720 USA
关键词
D O I
10.1097/01.OLQ.0000130456.03464.EA
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: Urine-based chlamydia tests enable screening in non-clinical settings. Goal: The goal of this study was to determine the prevalence of chlamydia infection among high-risk youth and young adults in non-clinical settings. Design: County sexually transmitted disease (STD) programs implemented chlamydia screening projects in non-clinical settings using nucleic acid amplification tests. Demographic and access to care data were collected. Results: Overall, 16,279 female and male youth were screened for chlamydia in 24 counties throughout California. The 158 screening venues included 32 educational, 32 correctional, and 94 community-based settings. Chlamydia infection rates varied significantly by gender, age, and venue type. Among females, the highest prevalence was found in jail settings (14.6%), juvenile detention (13.0%), and alternative schools (10.0%). Among males, the highest prevalence was found in jail (7.9%) and juvenile detention (5.8%). Venue types that serve populations with poor access to care and high rates of infection were identified. Conclusions: Screening projects in non-clinical settings identify high-risk youth in need of STD care, improve access to STD screening and education, and foster local collaborations.
引用
收藏
页码:409 / 414
页数:6
相关论文
共 35 条
[1]   Screening for chlamydial infection - Recommendations and rationale [J].
Berg, AO ;
Allan, JD ;
Frame, PS ;
Homer, CJ ;
Lieu, TA ;
Mulrow, CD ;
Orleans, CT ;
Peipert, JF ;
Pender, NJ ;
Sox, HC ;
Teutsch, SM ;
Westhoff, C ;
Woolf, SH .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2001, 20 (03) :90-94
[3]   Community-based chlamydia and gonorrhea screening through the United States mail, San Francisco [J].
Bloomfield, PJ ;
Kent, C ;
Campbell, D ;
Hanbrook, L ;
Klausner, JD .
SEXUALLY TRANSMITTED DISEASES, 2002, 29 (05) :294-297
[4]   Screening for gonorrhea and Chlamydia by DNA amplification in adolescents attending middle school health centers - Opportunity for early intervention [J].
Burstein, GR ;
Waterfield, G ;
Joffe, A ;
Zenilman, JM ;
Quinn, TC ;
Gaydos, CA .
SEXUALLY TRANSMITTED DISEASES, 1998, 25 (08) :395-402
[5]  
*CAL DEP HLTH SERV, 2002, DAT POOINTS 2002, V3, P1
[6]  
*CAL DEP HLTH SERV, 2003, SEX TRANSM DIS CAL 2
[7]  
*CDCP, 2001, EP INF VERS 60 4D
[8]  
Centers for Disease Control and Prevention, 1999, MMWR Morb Mortal Wkly Rep, V48, P793
[9]  
Centers for Disease Control and Prevention, 2002, MMWR-MORBID MORTAL W, V51, P3
[10]  
Centers for Disease Control and Prevention (CDC), 2002, MMWR Morb Mortal Wkly Rep, V51, P1