title: Partner meeting place is significantly associated with gonorrhea and chlamydia in adolescents participating in a large high school sexually transmitted disease screening program.
abstract: BACKGROUND
  From 2003 to 2012, the Philadelphia High School STD Screening Program screened 126,053 students, identifying 8089 Chlamydia trachomatis (CT)/Neisseria gonorrhoeae (GC) infections. We examined sociodemographic and behavioral factors associated with CT/GC diagnoses among a sample of this high-risk population.
  
  
  METHODS
  Standardized interviews were given to infected students receiving in-school CT/GC treatment (2009-2012) and to uninfected students calling for results (2011-2012). Sex-stratified multivariable logistic models were created to examine factors independently associated with a CT/GC diagnosis. A simple risk index was developed using variables significant on multivariable analysis.
  
  
  RESULTS
  A total of 1489 positive and 318 negative students were interviewed. Independent factors associated with a GC/CT diagnosis among females were black race (adjusted odds ratio [AOR], 2.27; confidence interval, 1.12-4.58), history of arrest (AOR, 2.26; 1.22-4.21), higher partner number (AOR, 1.75; 1.05-2.91), meeting partners in own neighborhood (AOR, 1.92; 1.29-2.86), and meeting partners in venues other than own school, neighborhood, or through friends ("all other"; AOR, 9.44; 3.70-24.09). For males, factors included early sexual debut (AOR, 1.99; 1.21-3.26) and meeting partners at "all other" venues (AOR, 2.76; 1.2-6.4); meeting through friends was protective (AOR, 0.63; 0.41-0.96). Meeting partners at own school was protective for both sexes (males: AOR, 0.33; 0.20-0.55; females: AOR, 0.65; 0.44-0.96).
  
  
  CONCLUSIONS
  Although factors associated with a GC/CT infection differed between males and females in our sample, partner meeting place was associated with infection for both sexes. School-based screening programs could use this information to target high-risk students for effective interventions.
authors.affiliation: From the *Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA; and †STD Control Program, Philadelphia Department of Public Health, Philadelphia, PA.
authors.forename: Felicia M T
authors.initials: FM
authors.lastname: Lewis
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Newman
authors.forename: Greta L
authors.initials: GL
authors.lastname: Anschuetz
authors.forename: Aaron
authors.initials: A
authors.lastname: Mettey
authors.forename: Lenore
authors.initials: L
authors.lastname: Asbel
authors.forename: Melinda E
authors.initials: ME
authors.lastname: Salmon
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology / Q000523:psychology; D002690:Chlamydia Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D005260:Female; D006069:Gonorrhea / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000379:methods; D016017:Odds Ratio; D010353:Patient Education as Topic; D015143:Philadelphia / Q000453:epidemiology; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D012572:School Health Services; D012725:Sexual Behavior / Q000208:ethnology / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology; D012931:Social Environment; D060756:Social Networking; D013334:Students / Q000523:psychology; D011795:Surveys and Questionnaires