The Young Person Check: screening for sexually transmitted infections and chronic disease risk in remote Aboriginal and Torres Strait Islander youth
The Young Person Check: screening for sexually transmitted infections and chronic disease risk in remote Aboriginal and Torres Strait Islander youth
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DOI：
10.1111/1753-6405.12078
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发表时间：
2013-08-01
影响因子：
3.5
通讯作者：
Crouch, Alan
中科院分区：
文献类型：
--
作者：
Fagan, Patricia;Cannon, Fiona;Crouch, Alan
目标：本文介绍了青少年检查 (YPC) 的实施情况和选定结果，这是昆士兰州远北地区的一项高覆盖率筛查计划，针对 15-24 岁偏远青少年的性传播感染 (STI) 和慢性病风险。 2009 年至 2012 年间，YPC 在 8 个离散偏远社区和 1 个社区群进行了 19 次。 方法：对咨询流程、YPC 规划、招聘策略、后勤、屏幕设计、额外费用和数据管理进行叙述性描述；按地点、年龄组和性别、选定的性传播感染管理结果以及独立于 YPC 的临床性传播感染检测来分析覆盖范围。结果：总共提供了 3,686 次护理，其中 3,083 次针对 15-24 岁的土著青少年。 15-24岁人口的总体覆盖率女性为73%，男性为72%。衣原体/淋病病例的平均治疗时间为 13 天，63% 的病例至少对一名接触者进行了治疗。临床性传播感染检测并未减少。结论：YPC 计划的积极成果，包括令人满意的参与，有赖于严格的规划、招募和实施方法；性传播感染后续行动的规定；和数据管理。影响：检测和治疗策略是解决澳大利亚偏远人群地方性性传播感染和降低艾滋病毒风险的重要组成部分。如果覆盖率令人满意，补充性人群测试策略将继续使用，并可能有所贡献。应在能够满足此处概述的条件的环境中考虑 YPC 等计划。
Objective: This paper describes the implementation and selected outcomes of the Young Person Check (YPC), a high-coverage screening program in far north Queensland targeting remote youth aged 15-24 years for sexually transmissible infections (STI) and chronic disease risk. The YPC was conducted 19 times in eight discrete remote communities and one community cluster between 2009 and 2012. Methods: Narrative description of consultation processes, YPC planning, recruitment strategies, logistics, screen design, additional costs and data management; analysis of coverage by location, age group and gender, selected STI management outcomes, and clinic-based STI testing separate from YPCs. Results: A total of 3,686 episodes of care were delivered, including 3,083 to Indigenous youth aged 15-24 years. Overall coverage of the 15-24 population was 73% for females and 72% for males. Median time to treatment for chlamydia/gonorrhoea cases was 13 days and 63% of cases had at least one contact treated. Clinic-based STI testing did not decrease. Conclusions: Positive outcomes of the YPC program, including satisfactory participation, rest on a rigorous approach to planning, recruitment and implementation; provision for STI follow-up; and data management. Implications: Testing and treatment strategies form an important element of efforts to address endemic STI and reduce HIV risk in remote Australian populations. Complementary population testing strategies will continue to be utilised and may contribute, if coverage is satisfactory. Programs such as the YPC should be considered in settings where the conditions outlined here can be met.