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 |
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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 |
format | Article |
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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><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 & 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</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>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27113874$$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 & 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 & 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 & administration</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Questionnaires</subject><subject>reproductive health</subject><subject>Risk</subject><subject>Risk Assessment</subject><subject>risk behaviors</subject><subject>Risk taking</subject><subject>Risk-taking (Psychology)</subject><subject>School Health Services</subject><subject>school-based clinics</subject><subject>Schools</subject><subject>Screening</subject><subject>Screening Tests</subject><subject>Sex Distribution</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>Sexual behaviour</subject><subject>Sexuality</subject><subject>Sexually Transmitted Diseases</subject><subject>Sexually Transmitted Diseases - diagnosis</subject><subject>Sexually Transmitted Diseases - epidemiology</subject><subject>Sexually Transmitted Diseases - prevention & control</subject><subject>STD</subject><subject>Teenage sexual behavior</subject><subject>Teenage sexual behaviour</subject><subject>Teenagers</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><subject>Youth Risk Behavior Survey</subject><issn>0022-4391</issn><issn>1746-1561</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFklFv0zAUhSMEYqXwwjsoEkJCSBl2bCfN41qVdmXQsYL2aDnOTePOtYudduuv4C_jrl1BPMB98cP9ztE98omilxid4jAfFtY3pzhFiD6KOjinWYJZhh9HHYTSNKGkwCfRM-8XKExO8qfRSUoIwWlWdKKf5xWYVtVbZebxFWjRKmt8o1Y-7kN7C2DisZo3yZXyN_EM7tZCh0UjNso6HwtTxTPpArWTX1qvWrWBuLYuHjRaLLeVEvfQyBrrXAMiViYoGmt1cq0q-EM93IRD_PPoSS20hxeHtxt9_zj8NhgnF9PR-eDsIpGMUZoAyVAd0gmS9WQuWU2hxmXNcJ1LVKVpDiXDJcmIwBWgsqiFEGkpM5pXQUB7pBu92_uunP2xBt_ypfIStBYG7NpzzBgqepQEi_-iaU6yoigYDuibv9CFXTsTguyolLCc4TRQyZ6aCw1cGWlNC3ettFrDHHjIOZjyM4J7jFCc0cC_3_PSWe8d1Hzl1FK4LceI7xrAdw3g9w0I8OvDCetyCdURffjyALw9AMJLoWsnjFT-N5djTHr5zujVngOn5HE9nGCEiiy4dSO8398qDdt_nMQn09n44bhDcuVD4qNGuBuehWYyfv1lxCefvvb7n-klH5FfiZXgnw</recordid><startdate>201302</startdate><enddate>201302</enddate><creator>Salerno, Jennifer</creator><creator>Darling-Fisher, Cindy</creator><creator>Hawkins, Nicole M.</creator><creator>Fraker, Elizabeth</creator><general>Wiley Periodicals, Inc</general><general>Wiley-Blackwell</general><general>Wiley</general><general>American School Health Association</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201302</creationdate><title>Identifying Relationships Between High-Risk Sexual Behaviors and Screening Positive for Chlamydia and Gonorrhea in School-Wide Screening Events</title><author>Salerno, Jennifer ; 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 & 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 & 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 & 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 & 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 & 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 & Abstracts (ASSIA)</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & 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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