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STEP UP: NYC DOHMH STD School Screening Progress

This presentation discusses the progress and results of the NYC DOHMH STD School Screening program. It focuses on chlamydia, the most commonly reported bacterial STD, and its impact on adolescents. The program aims to educate and test high school students, with a focus on high morbidity neighborhoods. Treatment rates and partner follow-up are also discussed.

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STEP UP: NYC DOHMH STD School Screening Progress

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  1. STEP UP: NYC DOHMH STD School Screening Progress Meighan Rogers, MPH IPP Region II Mtg December, 2007

  2. Background • Chlamydia – most commonly reported bacterial STD nationwide and in NYC (almost 40,000 cases – 2006) • Disproportionately affects adolescents • Chlamydia and gonorrhea (CT/GC) usually asymptomatic • Up to 96% of men and women with CT have no symptoms • Both infections easily cured with antibiotics

  3. NYC Chlamydia Cases by Age and Sex, 2006

  4. Behavioral Factors % of NYC High School Students Who Have Ever Had Sexual Intercourse: Youth Risk Behavior Survey of approximately 7,000 students, NYC 2005

  5. DOE & DOHMH Collaboration • Spring 2006 pilot – 5 schools, private grant • 2006-2007 Expansion: • Educated 11,298 students (46 sites) • Tested 5420 (48%) • Total positivity 4.8% overall (n=262) • Treated 99% of students • 2007-2008 Expansion: • Goal: Educate 30,000 NYC students, test ~15,000 • Focus on high morb neighborhoods • Less focus on school-based health center (SBHC) schools

  6. How Does STEP UP Work? • Education: 20-minute education presentation • Voluntary Testing: • Students receive brown paper bag with urine cup, contact info sheet, and call-back card • All students complete paperwork • All students are brought to bathrooms for voluntary testing • Treatment and counseling: Conducted at schools, with DOHMH staff/SBHC staff

  7. Screening Materials

  8. Results Current 2007-08School Year

  9. NYC 2006-2007 Program

  10. Testing Results STD Testing: Of the 7000 educated… Of the n=272 infections…

  11. CT/GC Positivity Results, by sex * Difference between males & females significant at p<.0001

  12. CT/GC Positivity by age, sex

  13. Testing and results, by race Students Tested, by race Students Testing Positive, by race

  14. Does Having an SBHC Significantly Affect CT/GC Positivity? * Results significant at p<.05

  15. Treatment Rates and Partner Follow Up • Treatment rate: 93% (n=245/265); remainder undergoing follow-up • Locatable partner info elicited from 86 patients (total partners n=101) • Of partners elicited, 53% (53/101) have been treated, others being followed

  16. Acknowledgments • Sophie Nurani, STEP UP team, Steve Rubin, Susan Blank, Kristen Harvey, Julie Schillinger, Robin Recant • Roger Platt, Julia Choe - School Health/NYC DOHMH • NYC Dept of Education colleagues • School-based health center partners • School administrations and students Contact information: Meighan Rogers: 212-788-4428 mrogers@health.nyc.gov

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