Increases in gonorrhea among high school students following hurricane Katrina

Nsuami, Malanda; Taylor, Stephanie N.; Smith, Bradford; Martín, David H.

doi:10.1136/sti.2008.031781

Cited by 23 publications

(23 citation statements)

References 27 publications

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“…The New Orleans screening was offered to all students in participating schools regardless of sexual activity, symptoms of STIs or a history of STI. 7 This study adds that screening for STIs in schools should be offered regardless of students' perception of their risk of STI. The consistency in adolescents' perception of not being at high risk of STI across continents 9 -13 constitutes a strong indicator that overall, most participants in school-based screenings for chlamydia and gonorrhoea 1 -3,5,6,16 are likely to be individuals who do not perceive themselves at high risk of STI.…”

Section: Discussionmentioning

confidence: 97%

Most adolescents who participate in school-based screenings for sexually transmitted infections do not perceive themselves at high risk of sexually transmitted infection

Nsuami

Taylor

2012

Int J STD AIDS

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Statements of study limitations have been made in a number of reports that voluntary participants in school-based screenings for sexually transmitted infections (STIs) may be individuals who self-select for participation because they perceive themselves at high risk of STI. We surveyed 3336 students participating in the New Orleans school-based screening for chlamydia and gonorrhoea to determine their perceived personal risk of STI. Among all screening participants, 1183 (35.5%) estimated that their chances of getting an STI were pretty high or very high and 2153 (64.5%) estimated that their chances were none, not very high or medium. These findings indicate that most participants in the New Orleans school-based screening for chlamydia and gonorrhoea do not perceive themselves at high risk of STI.

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Section: Discussionmentioning

confidence: 97%

Most adolescents who participate in school-based screenings for sexually transmitted infections do not perceive themselves at high risk of sexually transmitted infection

Nsuami

Taylor

2012

Int J STD AIDS

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“…In one recent study, gonorrhea rates among high school students in New Orleans were compared pre- and post hurricane Katrina testing the hypothesis that deterioration in neighborhoods due to Katrina would result in higher gonorrhea rates. Results showed that testing positive for gonorrhea more than doubled after the hurricane (Nsuami et al 2009). Other studies have linked perceived neighborhood disorder to sexual risk behaviors associated with HIV and other STIs (Latkin et al 2007; Rhodes et al 2005).…”

Section: Introductionmentioning

confidence: 99%

Neighborhood Environment, Sexual Risk Behaviors and Acquisition of Sexually Transmitted Infections Among Adolescents Diagnosed with Psychological Disorders

Lang

Salazar

Crosby

et al. 2010

American J of Comm Psychol

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The association between neighborhood environment and prevalence of STIs, sexual partner variables and condom use among adolescents with psychological disorders was examined. Cross-sectional data in three urban areas of the US (Southeast, Northeast and Midwest) were obtained from 384 sexually active male and female participants who provided urine samples for laboratory-confirmed testing of Neisseria gonorrhoeae, Chlamydia trachomatis and Trichomonas vaginalis. A total of 15.4% of participants tested positive for one of the three STIs. Results indicated that relative to adolescents living in low risk neighborhood environments, those living in high risk environments were significantly more likely to have a STI and to report having casual partners. Findings suggest that in high risk neighborhoods, STI acquisition may be less dependent on condom use and more dependent on other contextual factors. The importance of expanding public health research to include assessment of neighborhood context as a determinant of sexual risk-taking is emphasized.

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“…25,27,38,44 In 2 programs, every grade 9 to 12 student was scheduled to attend an education/screening session 25 or students viewed a brief presentation in classrooms. In these 4 programs, students were approached in the classrooms for screening.…”

Section: Findings By Program Typementioning

confidence: 99%

“…25,27,38,44 In 2 programs, every grade 9 to 12 student was scheduled to attend an education/screening session 25 or students viewed a brief presentation in classrooms. 44 In the fourth program, female students were provided with screening information and test kits during lectures or lecture breaks, and specimens were returned on the next day. 25,27 The entire class was escorted to the testing area, and students were individually counseled for an opportunity to screen in the third program.…”

Section: Findings By Program Typementioning

confidence: 99%

“…27 Every student received a test kit and returned it with or without a specimen at stalls near bathrooms. 38 In 2 of these programs, screening was part of ongoing annual programs in New Orleans 44 and Philadelphia 25 high schools. 44 In the fourth program, female students were provided with screening information and test kits during lectures or lecture breaks, and specimens were returned on the next day.…”

Section: Findings By Program Typementioning

confidence: 99%

See 1 more Smart Citation

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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Increases in gonorrhea among high school students following hurricane Katrina

Cited by 23 publications

References 27 publications

Most adolescents who participate in school-based screenings for sexually transmitted infections do not perceive themselves at high risk of sexually transmitted infection

Most adolescents who participate in school-based screenings for sexually transmitted infections do not perceive themselves at high risk of sexually transmitted infection

Neighborhood Environment, Sexual Risk Behaviors and Acquisition of Sexually Transmitted Infections Among Adolescents Diagnosed with Psychological Disorders

Chlamydia Screening Strategies and Outcomes in Educational Settings

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