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Innovative Approaches to Screen School Populations for Sexually Transmitted Infections

Innovative Approaches to Screen School Populations for Sexually Transmitted Infections. Paritosh Kaul, MD Douglas B Richardson Gerrit Bruintjes Cornelis A Rietmeijer, MD PhD Denver Health and Hospitals Denver Public Health University of Colorado Health Sciences Center. Background.

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Innovative Approaches to Screen School Populations for Sexually Transmitted Infections

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  1. Innovative Approaches to Screen School Populations for Sexually Transmitted Infections Paritosh Kaul, MD Douglas B Richardson Gerrit Bruintjes Cornelis A Rietmeijer, MD PhD Denver Health and Hospitals Denver Public Health University of Colorado Health Sciences Center

  2. Background • Chlamydia trachomatis most commonly reported disease. • Since 1994 – largest proportion of STIs • Highest age - specific rates in 2005 15-19 yr olds (2,796.6 cases per 100,000 females) • Chlamydia - common STI among teens

  3. DenverSchool Based Health Centers Collaboration between Denver Health Denver Public Schools St Anthony’s Hospitals The Mental Health Center of Denver The Children’s Hospital Arapahoe House

  4. School Based Health CentersService Sites High Schools 6 Middle Schools 5 Elementary 1

  5. School Based Health Centers Services Provided • Primary Health Care • Confidential Visits • Mental Health Counseling • Substance Abuse Services • Health Education • Insurance Enrollment

  6. School Based Health CentersVisit Type in 2005 - 2006(N = 27,007)

  7. School Based Health CentersClinic Users by Ethnicity

  8. School Based Health CentersInsurance Status

  9. School Based Health CentersMedical High School Visits

  10. Objectives To look for feasibility of screening and prevalence for Chlamydia among adolescents in school based health centers.

  11. Methods • Partnership between Denver School Based Health Centers and Denver Public Health • Study feasibility and prevalence of Chlamydia among adolescents in School Based Health Centers. • Sexually active adolescents were screened for Chlamydia by Urine based screening • Adolescents were treated if they were positive at the SBHC.

  12. Methods (cont’d) • Urine Based screening • Non – invasive • Improves efficiency • Saves provider time • Treatment easy – captive audience • Non-traditional medical and non-clinical settings.

  13. ResultsAll Schools p = 0.26

  14. ResultsHigh Schools p = 0.29

  15. ResultsMiddle Schools p = 0.78

  16. Barriers • School system • central administration • local administration. • Financial resources • test • treatment

  17. PublicHealthImplications • Chlamydia affects 976,445 people (2005 CDC) and the highest age specific rates are among the 15-19 year old females • Chlamydia long term morbidity among women – screening important • Within SBHC the students can be screened, treated and educated regarding STIs

  18. Conclusion Urine Based screening is a feasible method of screening for Chlamydia among adolescents in school based health centers.

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