Bridging the Gap: Using School-Based Health Services to Improve Chlamydia Screening Among Young Women
Bridging the Gap: Using School-Based Health Services to Improve Chlamydia Screening Among Young Women
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DOI：
10.2105/ajph.2009.186825
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发表时间：
2010-09-01
影响因子：
12.7
通讯作者：
Provost, Jackie M.
中科院分区：
文献类型：
--
作者：
Braun, Rebecca A.;Provost, Jackie M.
目标.我们实施了一项衣原体筛查计划，目标是在以学校为基础的环境中获得生殖保健服务的年轻女性，我们评估了与感染相关的种族/民族因素。2008年1月至2008年12月，加州家庭健康理事会与接受联邦第十条计划生育资金的9个卫生保健机构和19个教育机构合作，实施了“教育伙伴关系，以增加衣原体筛查”（EPICS）计划。EPICS机构提供生殖健康服务，3396独特的性活跃的女性，其中85%的人自我报告没有其他来源的生殖健康护理。为3 026名客户提供了衣原体筛查（衣原体筛查覆盖率为89.1%）。在接受衣原体检查的人中，5.6%的人检测呈阳性。非裔美国人（优势比[OR]=7.5; 95%可信区间[CI]=3.9，14.3）、太平洋岛民（OR=4.1; 95% CI=1.1，15.5）或亚洲人（OR=3.3; 95% CI = 1.4，8.1）比白色客户更有可能出现阳性检测。在学校环境中实施的衣原体筛查方案有能力识别和治疗人口中的大量无症状感染，否则可能无法达到。为了促进筛查，学校诊所应实施针对学校人口的外展战略和最大限度地增加筛查机会的临床战略。(Am J公共卫生。2010;100：1624-1629. doi：10.2105/AJPH.2009。186825）
Objectives. We implemented a chlamydia screening program targeted at young women accessing reproductive health care services in a school-based setting, and we assessed racial/ethnic factors associated with infection.Methods. The California Family Health Council partnered with 9 health care agencies receiving federal Title X family planning funding and 19 educational institutions to implement the Educational Partnerships to Increase Chlamydia Screening (EPICS) program from January 2008 through December 2008.Results. EPICS agencies provided reproductive health services to 3396 unique sexually active females, 85% of whom self-reported no other source for reproductive health care. Chlamydia screening was provided to 3026 clients (89.1% chlamydia screening coverage). Of those screened for chlamydia, 5.6% tested positive. Clients who were African American (odds ratio [OR]=7.5; 95% confidence interval [CI]=3.9, 14.3), Pacific Islander (OR=4.1; 95% CI=1.1, 15.5), or Asian (OR=3.3; 95% CI = 1.4, 8.1) were more likely to have a positive test than were White clients.Conclusions. Chlamydia screening programs implemented in school-based settings have the capacity to identify and treat a significant amount of asymptomatic infection in a population that otherwise may not be reached. To facilitate screening, school-based clinics should implement outreach strategies that target their school population and clinical strategies that maximize opportunities for screening. (Am J Public Health. 2010;100:1624-1629. doi:10.2105/AJPH.2009. 186825)