旧金山高中的衣原体和淋病筛查
Chlamydia and gonorrhea screening in San Francisco high schools.
作者信息
Kent Charlotte K, Branzuela Anna, Fischer Lyn, Bascom Trish, Klausner Jeffrey D
机构信息
STD Prevention and Control Services, Department of Public Health, San Francisco, California 94103, USA.
出版信息
Sex Transm Dis. 2002 Jul;29(7):373-5. doi: 10.1097/00007435-200207000-00001.
BACKGROUND
Previous school-based studies in cities with a high prevalence of chlamydia found a substantial prevalence of chlamydial infection among students.
GOAL
The goal was to determine the feasibility and acceptability of chlamydia and gonorrhea screening in San Francisco high schools.
STUDY DESIGN
Sexually transmitted disease (STD) education and screening were conducted at four high schools. Students provided basic demographic information and urine specimens for chlamydia and gonorrhea ligase chain reaction testing.
RESULTS
Among 283 asymptomatic females screened, 3.9% had chlamydia and 0.7% had gonorrhea. The prevalence of chlamydia was 1.5% among females <16 years of age and 4.6% among females >or=16 years of age. Only 0.8% of asymptomatic males (3/381) had chlamydia, and none had gonorrhea.
CONCLUSION
STD screening was both feasible and acceptable in San Francisco high schools. STD screening in high schools should be prioritized as follows: (1) chlamydia screening over gonorrhea screening, (2) female screening over male screening, and (3) screening of older students (juniors and seniors) over screening of younger students.
背景
先前在衣原体感染率高的城市开展的校内研究发现，学生中衣原体感染率相当高。
目标
本研究旨在确定在旧金山高中进行衣原体和淋病筛查的可行性与可接受性。
研究设计
在四所高中开展了性传播疾病（STD）教育及筛查。学生提供了基本人口统计学信息以及用于衣原体和淋病连接酶链反应检测的尿液样本。
结果
在接受筛查的283名无症状女性中，3.9%感染衣原体，0.7%感染淋病。16岁以下女性衣原体感染率为1.5%，16岁及以上女性感染率为4.6%。无症状男性中仅0.8%（3/381）感染衣原体，无人感染淋病。
结论
在旧金山高中进行性传播疾病筛查既可行又可接受。高中阶段性传播疾病筛查应按以下顺序优先进行：（1）衣原体筛查优先于淋病筛查；（2）女性筛查优先于男性筛查；（3）高年级学生（高三和高四）筛查优先于低年级学生筛查。
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