Identifying Relationships Between High-Risk Sexual Behaviors and Screening Positive for Chlamydia and Gonorrhea in School-Wide Screening Events

ABSTRACT 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...

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Veröffentlicht in:The Journal of school health 2013-02, Vol.83 (2), p.99-104
Hauptverfasser: Salerno, Jennifer, Darling-Fisher, Cindy, Hawkins, Nicole M., Fraker, Elizabeth
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container_issue 2
container_start_page 99
container_title The Journal of school health
container_volume 83
creator Salerno, Jennifer
Darling-Fisher, Cindy
Hawkins, Nicole M.
Fraker, Elizabeth
description ABSTRACT 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.
doi_str_mv 10.1111/josh.12004
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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.</description><identifier>ISSN: 0022-4391</identifier><identifier>EISSN: 1746-1561</identifier><identifier>DOI: 10.1111/josh.12004</identifier><identifier>PMID: 23331269</identifier><identifier>CODEN: JSHEA2</identifier><language>eng</language><publisher>Malden, USA: Wiley Periodicals, Inc</publisher><subject>Adolescent ; Adolescents ; Bacterial diseases ; Bacterial diseases of the genital system ; Biological and medical sciences ; child and adolescent health ; Chlamydia infections ; Chlamydia Infections - diagnosis ; Chlamydia Infections - epidemiology ; Chlamydia Infections - prevention &amp; control ; Chlamydia trachomatis ; community health ; Company business management ; Contraception ; Correlation ; Counseling Services ; Diagnosis ; Diagnostic Tests ; Female ; Gender Differences ; Gonorrhea ; Gonorrhea - diagnosis ; Gonorrhea - epidemiology ; Gonorrhea - prevention &amp; control ; Health aspects ; Health Behavior ; Health risk assessment ; Health screening ; Health Surveys ; High risk ; High School Students ; Human bacterial diseases ; Humans ; Incidence ; Infectious diseases ; Male ; Management ; Mass Screening - methods ; Medical sciences ; Medical screening ; Michigan ; Miscellaneous ; Nontraditional Education ; Nursing ; Prevention and actions ; Primary Prevention - organization &amp; administration ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Questionnaires ; reproductive health ; Risk ; Risk Assessment ; risk behaviors ; Risk taking ; Risk-taking (Psychology) ; School Health Services ; school-based clinics ; Schools ; Screening ; Screening Tests ; Sex Distribution ; Sexual behavior ; Sexual Behavior - statistics &amp; numerical data ; Sexual behaviour ; Sexuality ; Sexually Transmitted Diseases ; Sexually Transmitted Diseases - diagnosis ; Sexually Transmitted Diseases - epidemiology ; Sexually Transmitted Diseases - prevention &amp; control ; STD ; Teenage sexual behavior ; Teenage sexual behaviour ; Teenagers ; United States - epidemiology ; Young Adult ; Youth Risk Behavior Survey</subject><ispartof>The Journal of school health, 2013-02, Vol.83 (2), p.99-104</ispartof><rights>2013, American School Health Association</rights><rights>2014 INIST-CNRS</rights><rights>2013, American School Health Association.</rights><rights>Copyright Blackwell Publishing Ltd. Feb 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5544-e360f022a368c7c5f4ef1bf51f7c0d227eb51b363a1de0b9faaa2bc647d68c483</citedby><cites>FETCH-LOGICAL-c5544-e360f022a368c7c5f4ef1bf51f7c0d227eb51b363a1de0b9faaa2bc647d68c483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjosh.12004$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjosh.12004$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,30977,45550,45551</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1009623$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27113874$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23331269$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salerno, Jennifer</creatorcontrib><creatorcontrib>Darling-Fisher, Cindy</creatorcontrib><creatorcontrib>Hawkins, Nicole M.</creatorcontrib><creatorcontrib>Fraker, Elizabeth</creatorcontrib><title>Identifying Relationships Between High-Risk Sexual Behaviors and Screening Positive for Chlamydia and Gonorrhea in School-Wide Screening Events</title><title>The Journal of school health</title><addtitle>J School Health</addtitle><description>ABSTRACT 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.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the genital system</subject><subject>Biological and medical sciences</subject><subject>child and adolescent health</subject><subject>Chlamydia infections</subject><subject>Chlamydia Infections - diagnosis</subject><subject>Chlamydia Infections - epidemiology</subject><subject>Chlamydia Infections - prevention &amp; control</subject><subject>Chlamydia trachomatis</subject><subject>community health</subject><subject>Company business management</subject><subject>Contraception</subject><subject>Correlation</subject><subject>Counseling Services</subject><subject>Diagnosis</subject><subject>Diagnostic Tests</subject><subject>Female</subject><subject>Gender Differences</subject><subject>Gonorrhea</subject><subject>Gonorrhea - diagnosis</subject><subject>Gonorrhea - epidemiology</subject><subject>Gonorrhea - prevention &amp; control</subject><subject>Health aspects</subject><subject>Health Behavior</subject><subject>Health risk assessment</subject><subject>Health screening</subject><subject>Health Surveys</subject><subject>High risk</subject><subject>High School Students</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Management</subject><subject>Mass Screening - methods</subject><subject>Medical sciences</subject><subject>Medical screening</subject><subject>Michigan</subject><subject>Miscellaneous</subject><subject>Nontraditional Education</subject><subject>Nursing</subject><subject>Prevention and actions</subject><subject>Primary Prevention - organization &amp; administration</subject><subject>Public health. Hygiene</subject><subject>Public health. 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Darling-Fisher, Cindy ; Hawkins, Nicole M. ; Fraker, Elizabeth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5544-e360f022a368c7c5f4ef1bf51f7c0d227eb51b363a1de0b9faaa2bc647d68c483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the genital system</topic><topic>Biological and medical sciences</topic><topic>child and adolescent health</topic><topic>Chlamydia infections</topic><topic>Chlamydia Infections - diagnosis</topic><topic>Chlamydia Infections - epidemiology</topic><topic>Chlamydia Infections - prevention &amp; control</topic><topic>Chlamydia trachomatis</topic><topic>community health</topic><topic>Company business management</topic><topic>Contraception</topic><topic>Correlation</topic><topic>Counseling Services</topic><topic>Diagnosis</topic><topic>Diagnostic Tests</topic><topic>Female</topic><topic>Gender Differences</topic><topic>Gonorrhea</topic><topic>Gonorrhea - diagnosis</topic><topic>Gonorrhea - epidemiology</topic><topic>Gonorrhea - prevention &amp; control</topic><topic>Health aspects</topic><topic>Health Behavior</topic><topic>Health risk assessment</topic><topic>Health screening</topic><topic>Health Surveys</topic><topic>High risk</topic><topic>High School Students</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Management</topic><topic>Mass Screening - methods</topic><topic>Medical sciences</topic><topic>Medical screening</topic><topic>Michigan</topic><topic>Miscellaneous</topic><topic>Nontraditional Education</topic><topic>Nursing</topic><topic>Prevention and actions</topic><topic>Primary Prevention - organization &amp; administration</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Questionnaires</topic><topic>reproductive health</topic><topic>Risk</topic><topic>Risk Assessment</topic><topic>risk behaviors</topic><topic>Risk taking</topic><topic>Risk-taking (Psychology)</topic><topic>School Health Services</topic><topic>school-based clinics</topic><topic>Schools</topic><topic>Screening</topic><topic>Screening Tests</topic><topic>Sex Distribution</topic><topic>Sexual behavior</topic><topic>Sexual Behavior - statistics &amp; numerical data</topic><topic>Sexual behaviour</topic><topic>Sexuality</topic><topic>Sexually Transmitted Diseases</topic><topic>Sexually Transmitted Diseases - diagnosis</topic><topic>Sexually Transmitted Diseases - epidemiology</topic><topic>Sexually Transmitted Diseases - prevention &amp; control</topic><topic>STD</topic><topic>Teenage sexual behavior</topic><topic>Teenage sexual behaviour</topic><topic>Teenagers</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><topic>Youth Risk Behavior Survey</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Salerno, Jennifer</creatorcontrib><creatorcontrib>Darling-Fisher, Cindy</creatorcontrib><creatorcontrib>Hawkins, Nicole M.</creatorcontrib><creatorcontrib>Fraker, Elizabeth</creatorcontrib><collection>Istex</collection><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of school health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salerno, Jennifer</au><au>Darling-Fisher, Cindy</au><au>Hawkins, Nicole M.</au><au>Fraker, Elizabeth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1009623</ericid><atitle>Identifying Relationships Between High-Risk Sexual Behaviors and Screening Positive for Chlamydia and Gonorrhea in School-Wide Screening Events</atitle><jtitle>The Journal of school health</jtitle><addtitle>J School Health</addtitle><date>2013-02</date><risdate>2013</risdate><volume>83</volume><issue>2</issue><spage>99</spage><epage>104</epage><pages>99-104</pages><issn>0022-4391</issn><eissn>1746-1561</eissn><coden>JSHEA2</coden><abstract>ABSTRACT 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.</abstract><cop>Malden, USA</cop><pub>Wiley Periodicals, Inc</pub><pmid>23331269</pmid><doi>10.1111/josh.12004</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adolescents
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
child and adolescent health
Chlamydia infections
Chlamydia Infections - diagnosis
Chlamydia Infections - epidemiology
Chlamydia Infections - prevention & control
Chlamydia trachomatis
community health
Company business management
Contraception
Correlation
Counseling Services
Diagnosis
Diagnostic Tests
Female
Gender Differences
Gonorrhea
Gonorrhea - diagnosis
Gonorrhea - epidemiology
Gonorrhea - prevention & control
Health aspects
Health Behavior
Health risk assessment
Health screening
Health Surveys
High risk
High School Students
Human bacterial diseases
Humans
Incidence
Infectious diseases
Male
Management
Mass Screening - methods
Medical sciences
Medical screening
Michigan
Miscellaneous
Nontraditional Education
Nursing
Prevention and actions
Primary Prevention - organization & administration
Public health. Hygiene
Public health. Hygiene-occupational medicine
Questionnaires
reproductive health
Risk
Risk Assessment
risk behaviors
Risk taking
Risk-taking (Psychology)
School Health Services
school-based clinics
Schools
Screening
Screening Tests
Sex Distribution
Sexual behavior
Sexual Behavior - statistics & numerical data
Sexual behaviour
Sexuality
Sexually Transmitted Diseases
Sexually Transmitted Diseases - diagnosis
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - prevention & control
STD
Teenage sexual behavior
Teenage sexual behaviour
Teenagers
United States - epidemiology
Young Adult
Youth Risk Behavior Survey
title Identifying Relationships Between High-Risk Sexual Behaviors and Screening Positive for Chlamydia and Gonorrhea in School-Wide Screening Events
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