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Chlamydia Screening and STD Education For High-risk Teens: A Peer Outreach Program

Chlamydia Screening and STD Education For High-risk Teens: A Peer Outreach Program. C. Leah, L. Jackson, K. Guzman, A. Arroyo, D. Borntrager, R. Gunn Health and Human Services Agency, San Diego, CA Centers for Disease Control and Prevention, Atlanta, GA. The Problem:.

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Chlamydia Screening and STD Education For High-risk Teens: A Peer Outreach Program

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  1. Chlamydia Screening and STD Education For High-risk Teens: A Peer Outreach Program C. Leah, L. Jackson, K. Guzman, A. Arroyo, D. Borntrager, R. Gunn Health and Human Services Agency, San Diego, CA Centers for Disease Control and Prevention, Atlanta, GA

  2. The Problem: • High CT prevalence among teens • High risk teens/young adults • Limited access to health services, tx • Poor health care seeking behavior • Especially teenage boys • Bring CT and GC screening services to non-clinical sites

  3. Community Testing and Outreach Program • Teen-peer program design: • Provide STD education • Target youth 12–24 years of age in the STD high-risk area of San Diego, CA • Urine screening at non-clinical sites

  4. Non-Clinical Sites: • Recovery Centers • Probation Schools • Juvenile Detention • Adolescent Pregnant/Parenting Program • Group Homes • Homeless Shelter • Boys and Girls Clubs • Teen Drop-in Centers

  5. Presentation • 1 hour interactive presentation • STD information: • Bacterial, Viral, Parasites, Prevention • Post-presentation knowledge/behavior survey • Urine testing for CT/GC

  6. Test Results Procedures: • Result card • Call-in for results • Teens with positive test results are followed by field staff • Free treatment provided • Partner notification services

  7. Year 2000-2001 Presentations

  8. Year 2000-2001 Screening Results

  9. Partner Notification Results

  10. Named Partners

  11. Knowledge and Behavior Survey • Initiated June 2001 • 10-question • Anonymous • STD knowledge • Chlamydia screening history • Urine test today?

  12. Survey Results (1) • Completion rate: 80%; N=569 • Heard of all STDs covered before today? • All/Most = (72%) • What new information did you learn today? • CT can cause infertility (49%) • Asymptomatic infections (45%) • STD  HIV link (45%)

  13. Survey Results (2)Had a CT Test in Last 12 Months?:

  14. Survey Results (3)Are you planning to take the urinetest today?

  15. Survey Results (4)No, Not sure - Taking urine test today?

  16. Conclusions • Peer-based education and screening can: • Reach a considerable number of high-risk adolescents • Identify new CT and GC infections • Partner services limited in identifying partners- 40% named no partners • Partners identified had 39% infection prevalence.

  17. Program Cost: • Peer Educator (24 hrs/wk) - $12,000 • Mileage • Laboratory • Treatment • STD brochures/condoms • In-kind – supervision, CDI staff • Annual Program Cost - $22,000

  18. Recommendations: • Continue and expand program • Explore ways to get partners of infected teens treated • Increase screening acceptance rates • Peer educators are a valuable component of a STD Program

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