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Michigan Adolescent Screening Project

Michigan Adolescent Screening Project. MDCH. Oakland County - Michigan. STD Screening and Assessment of Reproductive Health Needs. Ages 13-20 Special Settings Detention School-Base Clinic Shelter Care. Description. Urine-based BD Probetech - Gonorrhea and Chlamydia Sexual Questionnaire

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Michigan Adolescent Screening Project

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  1. Michigan Adolescent Screening Project MDCH

  2. Oakland County - Michigan

  3. STD Screening and Assessment of Reproductive Health Needs • Ages 13-20 • Special Settings • Detention • School-Base Clinic • Shelter Care

  4. Description • Urine-based BD Probetech - Gonorrhea and Chlamydia • Sexual Questionnaire • Pregnancy Testing • Initiated 12/00 • >1000 adolescents screened to date

  5. Age and SexMales 550/ Females 546 Number Age

  6. Race/Ethnicity by Gender Males Females 46% 48% 41% 56%

  7. Number of Lifetime Sexual PartnersN (1096) Mean Number of Partners Total Number of Partners = 8,544 Mean = Female (6) Male (10) Age

  8. History of Sexually Transmitted Disease Females Males 6% - History

  9. Reproductive Health Risks • Results from Sexual Questionnaire/ Interview • 20% had history of pregnancy • Pregnancy outcomes- 60 % abortion • 61% reported having had a previous Pap/pelvic • Only 11% reported scheduled birth control • Depo Inj. or Oral Contraception

  10. Reproductive Health Risks • Reported Condom Use- LSC • 51% Females • 65% Males • New Pap results (N-120) • 27% Abnormal pap • 25% Bacterial Vaginosis • Identified 21 new pregnancies • 30% had either CT or GC

  11. Overall Positivity %

  12. Chlamydia Positivity by Age %

  13. Comparison of SitesChlamydia Positivity % 198/444 273/82 68/23

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

  15. Positive for ChlamydiaSymptoms 29% 68% Males Females

  16. Gonorrhea Positivity by Age %

  17. Comparison of SitesGonorrhea Positivity % 198/444 273/82 68/23

  18. Gonorrhea Positivity by Gender/Race/Age

  19. Positive for GonorrheaSymptoms 32% 68% Males Females

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

  21. Positives Treated at Site %

  22. Future Directions • Increase number of positives treated prior to release • Streamline data collection and entry • Pilot hand-held computers • Creative ways to reach adolescents • Sport Physicals • Addition of 3 more adolescent sites

  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

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