Nsuami Malanda, Taylor Stephanie N, Sanders Ladatra S, Martin David H
School of Medicine, Department of Medicine, Section of Infectious Diseases, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.
Sex Transm Dis. 2006 Dec;33(12):703-5. doi: 10.1097/01.olq.0000223284.86637.f0.
The purpose of the study was to assess the extent to which students are screened for sexually transmitted diseases (STDs) in their school-based health centers (SBHCs) in a Louisiana school district.
The goal of this study was to determine the proportion of students who reported having been tested or treated for STDs at their SBHCs in the past 3 months and the prevalence of chlamydia and gonorrhea among respondents.
During the 2002-2003 and 2003-2004 school years, 487 students registered in their SBHCs, and who visited routinely their SBHC at least once in the past 3 months, participated in a chlamydia and gonorrhea screening independent of services their SBHCs provide. Participants were asked whether in the past 90 days they had been tested or treated for an STD at their SBHC.
Among respondents, 47/482 (9.8%) reported having been tested or treated for an STD at the SBHC in the previous 3 months. Overall, 65/487 (13.3%) tested positive for chlamydia or gonorrhea. Of the 65 students who tested positive, 53 (81.5%) were not tested or treated for an STD at the SBHC.
Many infections could have been detected by testing students during routine visits in SBHCs. Lack of routine screening in these SBHCs clearly represents missed opportunities for early detection of chlamydia and gonorrhea among local teens.
本研究旨在评估路易斯安那州一个学区的学生在其校内健康中心（SBHC）接受性传播疾病（STD）筛查的程度。
本研究的目标是确定在过去3个月内在其SBHC接受过STD检测或治疗的学生比例以及受访者中衣原体和淋病的患病率。
在2002 - 2003学年和2003 - 2004学年期间，487名在其SBHC注册且在过去3个月内至少定期访问过一次SBHC的学生，独立于SBHC提供的服务参与了衣原体和淋病筛查。参与者被问及在过去90天内是否在其SBHC接受过STD检测或治疗。
在受访者中，47/482（9.8%）报告在过去3个月内在SBHC接受过STD检测或治疗。总体而言，65/487（13.3%）衣原体或淋病检测呈阳性。在65名检测呈阳性的学生中，53名（81.5%）未在SBHC接受过STD检测或治疗。
通过在SBHC的常规就诊期间对学生进行检测，许多感染本可以被发现。这些SBHC缺乏常规筛查显然意味着当地青少年衣原体和淋病早期检测的机会被错失。
