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Michigan Adolescent Screening Project- Community Partnerships

Michigan Adolescent Screening Project- Community Partnerships. MDCH. County Pilot Project STD Screening and Assessment of Reproductive Health Needs. MDCH funded Project through IPP funds Ages 13-20 Special Settings Juvenile Detention Juvenile Correctional School Based Clinics

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Michigan Adolescent Screening Project- Community Partnerships

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  1. Michigan Adolescent Screening Project-Community Partnerships MDCH

  2. County Pilot ProjectSTD Screening and Assessment of Reproductive Health Needs • MDCH funded Project through IPP funds • Ages 13-20 • Special Settings • Juvenile Detention • Juvenile Correctional • School Based Clinics • Alternative Schools • Shelter Care • Jail • Drug Court*

  3. Description • Urine-based • Computerized Sexual Questionnaire • Initiated 12/00 • >3300 adolescents screened to date

  4. Model for Screening • Juvenile Detention • Offered to adolescents reporting sexually activity on admission • Re-offer few days later for those that refuse • School Clinics • Offered to students accessing clinic for any reason • Correctional and Shelter • Weekly visit by Project Nurse to interview new adolescent admissions

  5. Age and SexMales1697/ Females 1659 Number Age

  6. Race/Ethnicity

  7. Number of Lifetime Sexual PartnersN 3355 Mean Number of Partners Total Number of Partners = 23,640 Mean Female (5) Male (9) Age

  8. Reproductive Health • 17% history of previous STD • 20% history of pregnancy • Pregnancy outcomes - 60% abortion • 10 % report on scheduled birth control

  9. Reproductive Health • Reported Condom Use- LSC • 51% Females • 65% Males • New Pap results (N-260) • 25% Abnormal pap • Identified 87 new pregnancies • 32% Chlamydia

  10. Overall Positivity %

  11. Comparison of SitesChlamydia Positivity %

  12. Chlamydia Positivity by Gender/Race/Age % Age

  13. Positive for ChlamydiaSymptoms 20% 80% Males Females

  14. Chlamydia Positivity -Primary Reason for Clinic Visit % 50% of the infections would have been missed - only tested STD requests

  15. CT Positivity - Number of Lifetime Partners % Number of Lifetime Partners

  16. Gonorrhea Positivity by Age %

  17. Comparison of SitesGonorrhea Positivity %

  18. Positive for GonorrheaSymptoms 32% 68% Males Females

  19. Symptoms Indicate InfectionGC/CT or Both 95 % 29 % Males Females

  20. Pen-based Computers • Data entry at time of client contact • Uploaded directly into database • Time saving • no data entry • no missing data • Data can be analyzed at individual sites

  21. Future Directions • Pilot Project CDC Expansion funds into another county • CDC Jail Integration Funding - provided urine tests and computers to other detention facilities • Prevalence of infections within community • Infrastructure of health care on site • Creative ways to reach adolescents • Sport Physicals • Juvenile Drug Court • Alternative Schools

  22. Expansion of Adolescent Screening Sites in Michigan * * * *

  23. Presented by : Lynda Byer R.N., M.S. Barbara Draper R.N., B.S.N. Oakland County Children’s Village byerl@co.oakland.mi.us 248/ 452-9188 MDCH

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