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Pilot Study: Re-screening Adolescent and Young Adult Women for Chlamydia Infection

This study aims to determine the incidence of re-infection and associated risk factors of Chlamydia in adolescent and young adult women, as well as assess the feasibility and effectiveness of different reminder methods for encouraging clients to return for re-screening.

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Pilot Study: Re-screening Adolescent and Young Adult Women for Chlamydia Infection

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  1. Pilot Study: Re-screening Adolescent and Young Adult Women for Chlamydia Infection Alison Muse NYSDOH Bureau of STD Control Region II IPP meeting November 1, 2006

  2. Background • Federal recommendation to re-screen women with Ct infection in 3 months • Studies show 11% to 15% of women treated for Ct are re-infected 3-4 months after treatment.

  3. Objectives • Determine incidence of re-infection and associated risk factors • Assess feasibility of implementing re-screening in IPP clinics • Assess effectiveness of reminder methods for encouraging clients to return for re-screening

  4. Methods Design: Prospective, cross sectional study. Setting: Nine IPP STD clinics. Population: 15-24 year old women testing Ct positive Sept 1, 2005 to Feb 28, 2006 & providing written informed consent.

  5. Methods Reminder Method: R1: Mail R2: Telephone R3: Unassisted Telephone follow-up for no-shows unless R3 specified Incentive: $15 gift card provided at return visit Risk Assessment: Behavioral risk questionnaire administered at baseline and return visit.

  6. Preliminary Results Baseline • 1,347 screened, 179 (13.3%) infected • 70 (39%) gave informed consent. Re-screening • 56 scheduled to return • 21 re-screened, 4 (19%) Ct positive • 12/21 completed risk assessment at follow up

  7. Preliminary Results: Reminder Method * R1: Mail, R2: Telephone, R3: Unassisted

  8. Preliminary Conclusions • Implementation difficult at clinic level • Mail reminder most popular, least successful • Combined reminder plus incentive has not enhanced return rates.

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