title: Chlamydia Screening in Juvenile Corrections: Even Females Considered to Be at Low Risk Are at High Risk.
abstract: The Centers for Disease Control and Prevention recommends chlamydia screening at intake for all females in juvenile detention facilities. Identifying factors predictive of chlamydia could enable targeted screening, reducing costs while still identifying most infections. This study used demographic, arrest, and health data to identify factors associated with chlamydia among females aged 12 to 18 years entering a juvenile detention facility in San Diego during January 2009 to June 2010. The study created different screening criteria based on combinations of factors associated with infection and calculated sensitivity and proportion screened for each criterion. Overall chlamydia prevalence was 10.3% and was 4.2% among females reporting no sexual risk factors. No acceptable targeted screening approach was identified. High prevalence, even among females without risk factors, supports universal screening at intake.
authors.affiliation: Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA Epidemic Intelligence Service, Division of Applied Sciences, Scientific Education and Professional Development Program Office, Centers for Disease Control and Prevention, Atlanta, GA, USA etorrone@cdc.gov.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Torrone
authors.affiliation: HIV, STD and Hepatitis Branch of Public Health Services, Health and Human Services Agency, County of San Diego, San Diego, CA, USA.
authors.forename: Tara
authors.initials: T
authors.lastname: Beeston
authors.affiliation: HIV, STD and Hepatitis Branch of Public Health Services, Health and Human Services Agency, County of San Diego, San Diego, CA, USA.
authors.forename: Rosemari
authors.initials: R
authors.lastname: Ochoa
authors.affiliation: HIV, STD and Hepatitis Branch of Public Health Services, Health and Human Services Agency, County of San Diego, San Diego, CA, USA.
authors.forename: Marjorie
authors.initials: M
authors.lastname: Richardson
authors.affiliation: HIV, STD and Hepatitis Branch of Public Health Services, Health and Human Services Agency, County of San Diego, San Diego, CA, USA.
authors.forename: Tom
authors.initials: T
authors.lastname: Gray
authors.affiliation: Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Peterman
authors.affiliation: HIV, STD and Hepatitis Branch of Public Health Services, Health and Human Services Agency, County of San Diego, San Diego, CA, USA Present address: Department of Dermatology, Kaiser Permanente, Pleasanton, CA, USA.
authors.forename: Kenneth A
authors.initials: KA
authors.lastname: Katz
mesh_terms: D000293:Adolescent; D002648:Child; D002690:Chlamydia Infections / Q000175:diagnosis* / Q000453:epidemiology*; D005260:Female; D015438:Health Behavior; D006801:Humans; D007604:Juvenile Delinquency; D008403:Mass Screening / Q000458:organization & administration*; D015995:Prevalence; D011330:Prisons; D044469:Racial Groups; D012307:Risk Factors; D060386:Sex Workers; D012725:Sexual Behavior; D014481:United States
keywords: chlamydia; correctional health; juvenile detention; screening