University of Michigan, 2025 Traverwood Drive, Suite A6, Ann Arbor, MI 48105, USA.
J Sch Health. 2013 Feb;83(2):99-104. doi: 10.1111/josh.12004.
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.
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.
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).
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.
本文描述了一项全校范围的性传播感染（STI）筛查，旨在识别青少年的高危性行为、STI 病史/发病率，以及衣原体和淋病的存在，并在一所替代高中环境中检查高危行为与衣原体和淋病筛查阳性之间的关系。
为 869 名青少年提供了全校范围的衣原体和淋病教育和筛查；226 名男性和 282 名 14-20 岁（平均年龄=17.07 岁）的女性同意接受尿液筛查。检查了筛查阳性、性病史与高危性行为之间的关系。
大多数（69%）青少年同意接受筛查：17.76%（92 人）有性病史；8.83%（46 人）筛查呈阳性。女性筛查阳性的比例高于男性（p =.001）。性病史与≥4 个性伴侣（p =.0022）、无避孕套使用（p =.06）和过去 3 个月内发生性行为（p =.03）之间存在显著关系。
基于学校的健康中心（SBHC）筛查得到了学生和工作人员的广泛认可。性传播感染史与所有确定的高危性行为相关，这支持对青少年进行深入评估、咨询和检测的必要性，无论他们在何处寻求护理。本研究还提供了一个例子，说明 SBHC 可以在全国控制青少年衣原体和淋病的战略中发挥作用。
