Chlamydia Positivity in New Orleans Public High Schools, 1996–2005: Implications for Clinical and Public Health Practices

Nsuami, Malanda; Nsa, Musheni; Brennan, Christine; Cammarata, Catherine L.; Martín, David H.; Taylor, Stephanie N.

doi:10.1016/j.acap.2013.02.011

Cited by 14 publications

(23 citation statements)

References 44 publications

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“…In the USA, the prevalence of C. trachomatis infection was about 5 % among sexually active female adolescents aged 14–19 years [ 2 ]. A study carried out in public high schools in New Orleans in 1995–2005 showed an average C. trachomatis positivity of 10.5 and 16.4 % among 18-year-old males and females, respectively [ 16 ], although Chlamydia positivity was computed on the whole student population, regardless of sexual activity. Our estimate is also lower than that reported in a systematic review carried out among European women, though these studies included selected individuals, such as women seeking medical advice because of genitourinary symptoms, those attending an antenatal or family planning clinic or those seeking medical attention for contraceptive use [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae infection in adolescents in Northern Italy: an observational school-based study

et al. 2016

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BackgroundWe carried out a study to evaluate the prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae genital infections in school-based adolescents in Northern Italy.MethodsSystematic screening for C. trachomatis and N. gonorrhoeae genital infection was performed in 13th grade students in the province of Brescia, an industrialized area in Northern Italy. Student filled in a questionnaire on sexual behaviour and provided a urine sample for microbiological testing.ResultsA total of 2,718 students (mean age: 18.4 years; 59.1 % females) provided complete data (62.2 % of those eligible). Overall 2,059 students (75.8 %) were sexually active (i.e. had had at least one partner), and the mean age at sexual debut was 16.1 years (SD: 1.4). Only 27.5 % of the sexually active students reported regular condom use during the previous 6 months, with higher frequency in males than in females (33.8 % vs 24.2 %). No case of N. gonorrhoeae infection was detected, while C. trachomatis was found in 36 adolescents, with a prevalence of 1.7 % (95 % CI: 1.2–2.4) among sexually active students, and no statistical difference between females and males (1.9 and 1.4 %, respectively). Inconsistent condom use (odds ratio, OR = 5.5) and having had more than one sexual partner during the previous 6 months (OR = 6.8) were associated with an increased risk of Chlamydia infection at multivariate analysis.ConclusionThe prevalence of C. trachomatis infection among sexually active adolescents in Northern Italy was low, despite a high proportion of students who engage in risky sexual behaviour. No cases of N. gonorrhoeae infection were identified.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-2839-x) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae infection in adolescents in Northern Italy: an observational school-based study

et al. 2016

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“…51 A survey of 736 US colleges/universities found that STI services were available in 66% of institutions with a SBHC, and only 48% and 67% of these screened sexually active men and women, respectively. 53 It may also take some time for screening programs to achieve prevalence reductions, even if coverage is high, as suggested by mathematical modeling. However, in addition to screening coverage, the success of screening programs depends on treatment, partner management, and retesting after treatment.…”

Section: Discussionmentioning

confidence: 99%

“…52 Education facilities are ideal to reach adolescents and young adults for screening because it is mandatory for students to remain in school in many countries. 20 Two school-based screening programs included in our review 25,44 were part of annual programs that achieved high testing coverage over many years, but only demonstrated a transient decline in prevalence for boys in one program 53,54 and girls in the other. Overall, there was a lack of quantitative data on these outcomes.…”

Section: Discussionmentioning

confidence: 99%

Chlamydia Screening Strategies and Outcomes in Educational Settings

Jamil

Bauer

Hocking

et al. 2014

Sexually Transmitted Diseases

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Chlamydia trachomatis (CT) screening programs have been established in educational settings in many countries during the past 2 decades. However, recent evidence suggests that high uptake of screening and management (treatment, partner notification, and retesting for reinfection) improves program effectiveness. We conducted a systematic review to understand the screening strategies, the extent of screening conducted, and uptake of management strategies in educational settings. Screening studies in educational settings were identified through a systematic search of published literature from 2005 to 2011. We identified 27 studies describing 30 screening programs in the United States/Canada (n = 10), Europe (n = 8), Australia/New Zealand (n = 5), and Asia (n = 4). Most studies targeted both male and female students (74%). Classroom-based strategies resulted in 21,117 testes overall (4 programs), followed by opportunistic screening during routine health examination (n = 13,470; 5 programs) and opportunistic screening at school-based health centers (n = 13,006; 5 programs). The overall median CT positivity was 4.7% (range, 1.3%-18.1%). Only 5 programs reported treatment rates (median, 100%; range, 86%-100%), 1 partner notification rate (71%), 1 retesting rate within a year of an initial CT diagnosis (47%), and 2 reported repeat positivity rates (21.1% and 26.3%). In conclusion, this systematic review shows that a variety of strategies have been used to screen large numbers of students in educational settings; however, only a few studies have reported CT management outcomes.

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“…One such idea is to screen youth where they are, such as correctional facilities or schools, to capture the youth who forgo traditional clinical care or whose primary care physician does not include STI screenings in their encounter. A small number of these programs exist and studies on their effectiveness have shown that they can identify and treat a significant number of infections and that they are also cost‐effective …”

mentioning

confidence: 99%

Examining Time to Treatment and the Role of School‐Based Health Centers in a School‐Based Sexually Transmitted Infection Program

Sabharwal

Masinter

Weaver

2018

Journal of School Health

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Chlamydia Positivity in New Orleans Public High Schools, 1996–2005: Implications for Clinical and Public Health Practices

Cited by 14 publications

References 44 publications

Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae infection in adolescents in Northern Italy: an observational school-based study

Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae infection in adolescents in Northern Italy: an observational school-based study

Chlamydia Screening Strategies and Outcomes in Educational Settings

Examining Time to Treatment and the Role of School‐Based Health Centers in a School‐Based Sexually Transmitted Infection Program

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