2016
DOI: 10.1097/olq.0000000000000382
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Trends in Chlamydia Screening, Test Positivity, and Treatment Among Females in California Juvenile Detention Facilities, 2003–2014

Abstract: The California Chlamydia Screening Project demonstrated consistently high rates of chlamydia screening and positivity among adolescent females while keeping costs low for high-volume facilities. Further improvement in timely treatment rates remains a challenge for extending the impact of screening in this high-risk population.

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Cited by 8 publications
(4 citation statements)
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“…The current study demonstrates a progressive increasing trend of both CT and GC infections upon booking of female adolescents within the San Bernardino County juvenile detention system. In contrast, a recent study by Burghardt et al noted a decreasing trend of CT infections among incarcerated female juveniles since the implementation of a CT screening program (CLaSP) in California [9]. Despite the overall statewide success of CLaSP, this study suggests that San Bernardino County infection rates are in contrast to previously reported patterns.…”
Section: Discussioncontrasting
confidence: 96%
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“…The current study demonstrates a progressive increasing trend of both CT and GC infections upon booking of female adolescents within the San Bernardino County juvenile detention system. In contrast, a recent study by Burghardt et al noted a decreasing trend of CT infections among incarcerated female juveniles since the implementation of a CT screening program (CLaSP) in California [9]. Despite the overall statewide success of CLaSP, this study suggests that San Bernardino County infection rates are in contrast to previously reported patterns.…”
Section: Discussioncontrasting
confidence: 96%
“…The disease burden of STDs within the juvenile population is relatively large and costly, with juveniles accounting for nearly 60% of STD cases in San Bernardino County in 2016 [12,13]. While screening programs may seem costly (median cost of $708 per treated individual), the cost-effectiveness over time will likely mitigate initial start-up costs [9,12]. Incorporating screening into the initial medical exam upon booking has been shown to reduce the STD disease burden [14].…”
Section: Discussionmentioning
confidence: 99%
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“…In addition, incarcerated individuals have a history of risky behavior in prison, such as sharing needles and unprotected sex, which favor the occurrence of this type of infection (7)(8) . Among the STIs most associated with this population are HIV, syphilis, genital herpes, viral hepatitis, gonorrhea, chlamydia, and HPV (9)(10)(11)(12)(13)(14)(15) .…”
Section: Introductionmentioning
confidence: 99%