探讨治疗时间和学校性传播感染项目中学校卫生中心的作用。

Examining Time to Treatment and the Role of School-Based Health Centers in a School-Based Sexually Transmitted Infection Program.

机构信息

University of Louisville School of Medicine, 500 South Preston Street, Louisville, KY 40202.

Chicago Department of Public Health, 333 South State Street, Suite 200, Chicago, IL 60604.

出版信息

J Sch Health. 2018 Aug;88(8):590-595. doi: 10.1111/josh.12648.

DOI:10.1111/josh.12648

PMID:29992604

Abstract

BACKGROUND

Barriers to health care service utilization contribute to the spread of sexually transmitted infections (STIs) among teens. School-based STI screening programs reach adolescents outside of the clinic-based health care model and schools with school-based health centers (SBHCs) may expedite treatment because of their proximity to the population. This study examined whether students who tested positive for STIs in a school-based screening program had differing times to treatment based on treatment location.

METHODS

All positive cases of chlamydia and gonorrhea from the 2012-2013 school year in a Chicago Department of Public Health (CDPH) and Chicago Public Schools school-based STI screening program were reviewed. Median time to treatment was compared for those treated at an SBHC versus those treated elsewhere (CDPH STI clinic, community health center, private physician).

RESULTS

Overall, 540 students had positive results. The median age was 17 years, 427 had chlamydia (79.1%), 59 had gonorrhea (10.9%), and 54 had dual infections (10.0%); 144 were tested in a school with a SBHC on site (26.7%). Of the 483 students who received treatment (89.4%), those treated at a SBHC had a faster time to treatment compared to CDPH STI clinics (median 17 days versus 28 days, respectively, p < .001).

CONCLUSIONS

For students testing positive in the Chicago school-based STI program, time to treatment is accelerated in locations with SBHCs.

摘要

背景

卫生保健服务利用的障碍导致性传播感染（STIs）在青少年中传播。基于学校的 STI 筛查计划在诊所为基础的医疗保健模式之外接触青少年，并且在拥有基于学校的健康中心（SBHC）的学校中，由于它们靠近人群，可能会加速治疗。本研究调查了在基于学校的筛查计划中检测到 STI 阳性的学生，其治疗时间是否因治疗地点而异。

方法

回顾了 2012-2013 学年芝加哥公共卫生部（CDPH）和芝加哥公立学校基于学校的 STI 筛查计划中所有衣原体和淋病的阳性病例。比较了在 SBHC 治疗与在其他地方（CDPH STI 诊所、社区卫生中心、私人医生）治疗的患者的治疗中位时间。

结果

总体而言，有 540 名学生的结果呈阳性。中位年龄为 17 岁，427 人患有衣原体感染（79.1%），59 人患有淋病（10.9%），54 人患有双重感染（10.0%）；144 人在设有 SBHC 的学校现场接受检测（26.7%）。在接受治疗的 483 名学生中（89.4%），在 SBHC 接受治疗的学生与 CDPH STI 诊所相比，治疗中位时间更快（分别为 17 天和 28 天，p < 0.001）。