title: Acceptability of urine screening for Neisseria gonorrheae and Chlamydia trachomatis in adolescents at an urban emergency department.
abstract: OBJECTIVE
  The objective of this study was to determine the acceptability of urine screening for Neisseria gonorrhoeae and Chlamydia trachomatis in adolescents in a pediatric emergency department.
  
  
  METHODS
  We used a prospective enrollment of adolescents aged 14-20 visiting an urban pediatric emergency department.
  
  
  METHODS
  The main outcome measure was acceptance of urine STD screening rates.
  
  
  RESULTS
  Of 1231 potential participants, 879 (71%) agreed to participate and 352 (29%) declined screening. Participants were similar to those refusing to participate in terms of gender. In multivariate analysis, age, race/ethnicity, and insurance status were associated with variation in sexually transmitted disease (STD) test acceptance, whereas the presence of a parent was not. Despite similar training, 1 of 3 recruiters had significantly lower acceptance rates than her peers. Overall, 10% of patients enrolled were found to have one or both infections.
  
  
  CONCLUSIONS
  Urine screening for STDs can be efficiently conducted in an emergency department setting. This screening appears to be acceptable to most patients.
authors: Department of Pediatrics, Pediatric Emergency Medicine, Division of Infectious Disease, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA. kmonroe@peds.uab.edu
authors: Kathy W
authors: KW
authors: Monroe
authors: Heidi L
authors: HL
authors: Weiss
authors: Marga
authors: M
authors: Jones
authors: Edward W
authors: EW
authors: Hook
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services; D000328:Adult; D002690:Chlamydia Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D004636:Emergency Service, Hospital; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D006801:Humans; D008297:Male; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D010342:Patient Acceptance of Health Care; D013781:Texas / Q000453:epidemiology; D014504:Urban Health; D016482:Urinalysis / Q000706:statistics & numerical data*