青少年教养机构中的衣原体筛查：即使被认为风险较低的女性也处于高风险中。
Chlamydia Screening in Juvenile Corrections: Even Females Considered to Be at Low Risk Are at High Risk.
作者信息
Torrone Elizabeth, Beeston Tara, Ochoa Rosemari, Richardson Marjorie, Gray Tom, Peterman Thomas, Katz Kenneth A
机构信息
Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA Epidemic Intelligence Service, Division of Applied Sciences, Scientific Education and Professional Development Program Office, Centers for Disease Control and Prevention, Atlanta, GA, USA
HIV, STD and Hepatitis Branch of Public Health Services, Health and Human Services Agency, County of San Diego, San Diego, CA, USA.
出版信息
J Correct Health Care. 2016 Jan;22(1):21-7. doi: 10.1177/1078345815618185.
The Centers for Disease Control and Prevention recommends chlamydia screening at intake for all females in juvenile detention facilities. Identifying factors predictive of chlamydia could enable targeted screening, reducing costs while still identifying most infections. This study used demographic, arrest, and health data to identify factors associated with chlamydia among females aged 12 to 18 years entering a juvenile detention facility in San Diego during January 2009 to June 2010. The study created different screening criteria based on combinations of factors associated with infection and calculated sensitivity and proportion screened for each criterion. Overall chlamydia prevalence was 10.3% and was 4.2% among females reporting no sexual risk factors. No acceptable targeted screening approach was identified. High prevalence, even among females without risk factors, supports universal screening at intake.
疾病控制与预防中心建议，对所有进入少年拘留所的女性在入所时进行衣原体筛查。确定衣原体感染的预测因素有助于进行有针对性的筛查，既能降低成本，又能发现大多数感染病例。本研究利用人口统计学、逮捕记录和健康数据，确定了2009年1月至2010年6月期间进入圣地亚哥一家少年拘留所的12至18岁女性中与衣原体感染相关的因素。该研究根据与感染相关的因素组合制定了不同的筛查标准，并计算了每个标准的敏感性和筛查比例。衣原体总体患病率为10.3%，在报告无性行为风险因素的女性中为4.2%。未发现可接受的有针对性的筛查方法。即使在无风险因素的女性中患病率也很高，这支持在入所时进行普遍筛查。
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