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Promoting equity and reducing health disparities among racially/ethnically diverse adolescents: a position paper of the Society for Adolescent Health and Medicine.促进种族/民族多样化青少年中的公平和平等，减少健康差距：青少年健康医学学会的立场文件。
J Adolesc Health. 2013 Jun;52(6):804-7. doi: 10.1016/j.jadohealth.2013.03.021.
2
Reaching youth with out-of-facility HIV and reproductive health services: a systematic review.为非医疗机构环境中的青年提供艾滋病毒和生殖健康服务：系统评价。
J Adolesc Health. 2012 Aug;51(2):106-21. doi: 10.1016/j.jadohealth.2012.01.004. Epub 2012 Mar 19.
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Youth risk behavior surveillance - United States, 2011.青少年危险行为监测-美国，2011 年。
MMWR Surveill Summ. 2012 Jun 8;61(4):1-162.
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Sexually transmitted disease (STD) update: a review of the CDC 2010 STD treatment guidelines and epidemiologic trends of common STDs in Hawai'i.性传播疾病（STD）最新情况：美国疾病控制与预防中心2010年性传播疾病治疗指南及夏威夷常见性传播疾病流行病学趋势综述
Hawaii J Med Public Health. 2012 Mar;71(3):68-73.
5
Centers for Disease Control and Prevention Sexually Transmitted Disease Treatment Guidelines.疾病控制与预防中心性传播疾病治疗指南
Clin Infect Dis. 2011 Dec;53 Suppl 3:S59-63. doi: 10.1093/cid/cir694.
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Sexually transmitted diseases treatment guidelines, 2010.性传播疾病治疗指南，2010 年。
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REACH Youth Night: The Evolution of an Adolescent Drop-in Clinic.REACH 青年之夜：青少年随到随诊诊所的演变。
Can Fam Physician. 1975 Mar;21(3):79-81.
8
How to open and sustain a drop-in center for homeless youth.如何开办并维持一个为无家可归青少年提供的临时接待中心。
Child Youth Serv Rev. 2008;30(7):727-734. doi: 10.1016/j.childyouth.2007.12.004.
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Sexually transmitted diseases treatment guidelines, 2006.《2006年性传播疾病治疗指南》
MMWR Recomm Rep. 2006 Aug 4;55(RR-11):1-94.
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Validity of brief alcohol screening tests among adolescents: a comparison of the AUDIT, POSIT, CAGE, and CRAFFT.青少年简短酒精筛查测试的效度：酒精使用障碍识别测试（AUDIT）、阳性酒精使用筛查测试（POSIT）、CAGE问卷及儿童青少年饮酒相关问题筛查测试（CRAFFT）的比较
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高危青少年中的艾滋病毒和性传播感染检测：青少年积极机会支持（SPOT）青年中心。

HIV and Sexually Transmitted Infection Testing Among High-Risk Youths: Supporting Positive Opportunities With Teens (SPOT) Youth Center.

作者信息

Plax Katie, Garbutt Jane, Kaushik Gaurav N

机构信息

All of the authors are with the Department of Pediatrics, Washington University School of Medicine, St. Louis, MO. Jane Garbutt is also with the Department of Medicine, Washington University School of Medicine.

出版信息

Am J Public Health. 2015 Jul;105(7):1394-8. doi: 10.2105/AJPH.2015.302569. Epub 2015 May 14.

DOI:10.2105/AJPH.2015.302569
PMID:25973833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4463384/
Abstract

OBJECTIVES

We investigated the development of and service utilization at Supporting Positive Opportunities with Teens (SPOT)-a community-based health and social service facility in St. Louis, Missouri, for youths that focuses on increasing HIV and sexually transmitted infection (STI) testing.

METHODS

We identified the US-based, co-located youth health and social service models that guided the establishment of the SPOT. We analyzed the first 5 years (2008-2013) of service delivery and utilization data.

RESULTS

During the study period, the SPOT provided services for 8233 youths in 37,480 visits. The 5 most utilized services included HIV and STI screening, food, transportation, contraception, and case management. A total of 9812 gonorrhea and chlamydia screenings revealed 1379 (14.1%) cases of chlamydia and 437 (4.5%) cases of gonorrhea, and 5703 HIV tests revealed 59 HIV infections (1.0%); 93.0% of patients found to have an STI were treated within a 5-day window.

CONCLUSIONS

Co-locating health and social services in informal community settings attracts high-risk youths to utilize services and can prove instrumental in reducing STI burden in this population.

摘要

目标

我们调查了“支持青少年积极机会”（SPOT）——密苏里州圣路易斯市一家以社区为基础的健康和社会服务机构的发展情况及服务利用情况，该机构专注于增加青少年的艾滋病毒和性传播感染（STI）检测。

方法

我们确定了指导SPOT建立的美国境内、同地办公的青少年健康和社会服务模式。我们分析了前5年（2008 - 2013年）的服务提供和利用数据。

结果

在研究期间，SPOT为8233名青少年提供了服务，共进行了37480次就诊。使用最多的5项服务包括艾滋病毒和性传播感染筛查、食品、交通、避孕及病例管理。总共9812次淋病和衣原体筛查发现了1379例（14.1%）衣原体病例和437例（4.5%）淋病病例，5703次艾滋病毒检测发现了59例艾滋病毒感染（1.0%）；93.0%被发现感染性传播感染的患者在5天内接受了治疗。

结论

在非正式社区环境中整合健康和社会服务能够吸引高危青少年利用服务，并有助于减轻该人群的性传播感染负担。