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STEP UP: NYC DOHMH STD School Screening Progress

STEP UP: NYC DOHMH STD School Screening Progress. Meighan Rogers, MPH IPP Region II Mtg December, 2007. Background. Chlamydia – most commonly reported bacterial STD nationwide and in NYC (almost 40,000 cases – 2006) Disproportionately affects adolescents

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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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