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基于学校的性传播疾病筛查:综述与规划指南。

School-Based Sexually Transmitted Disease Screening: Review and Programmatic Guidance.

作者信息

Lewis Felicia M T, Dittus Patricia, Salmon Melinda E, Nsuami M Jacques

机构信息

From the *Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA; †Philadelphia Department of Public Health, Philadelphia, PA; and ‡Louisiana State University Health Sciences Center, New Orleans, LA.

出版信息

Sex Transm Dis. 2016 Feb;43(2 Suppl 1):S18-27. doi: 10.1097/OLQ.0000000000000283.

Abstract

School-based sexually transmitted disease (STD) screening (SBSS) was designed to provide chlamydia and gonorrhea testing, treatment, and counseling to adolescents in a school setting to overcome some of the difficulties of screening in this population. To inform STD control programs and other entities on decision making about potentially implementing this intervention, we reviewed existing published and gray literature on SBSS from 1998 to 2014. Although they are work-intensive to establish, school-based STD screening programs are a feasible and cost-effective way of testing large numbers of male and female adolescents for chlamydia and gonorrhea, and to provide counseling and treatment to almost all those who are found infected. School-based STD screening programs do not seem to reduce prevalence in either the school or the general adolescent population, although there are currently relatively few studies on large-scale SBSS. More research in this field is needed.

摘要

以学校为基础的性传播疾病(STD)筛查(SBSS)旨在为学校环境中的青少年提供衣原体和淋病检测、治疗及咨询服务,以克服该人群筛查中的一些困难。为了为性传播疾病控制项目及其他实体在决定是否可能实施这一干预措施时提供参考,我们回顾了1998年至2014年期间关于以学校为基础的性传播疾病筛查的已发表和灰色文献。尽管建立以学校为基础的性传播疾病筛查项目工作量很大,但它们是对大量青少年男女进行衣原体和淋病检测,以及为几乎所有被发现感染的人提供咨询和治疗的一种可行且具有成本效益的方式。以学校为基础的性传播疾病筛查项目似乎并未降低学校或一般青少年人群中的患病率,尽管目前关于大规模以学校为基础的性传播疾病筛查的研究相对较少。该领域需要更多研究。

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