title: School-Based Sexually Transmitted Disease Screening: Review and Programmatic Guidance.
abstract: School-based sexually transmitted disease (STD) screening (SBSS) was designed to provide chlamydia and gonorrhea testing, treatment, and counseling to adolescents in a school setting to overcome some of the difficulties of screening in this population. To inform STD control programs and other entities on decision making about potentially implementing this intervention, we reviewed existing published and gray literature on SBSS from 1998 to 2014. Although they are work-intensive to establish, school-based STD screening programs are a feasible and cost-effective way of testing large numbers of male and female adolescents for chlamydia and gonorrhea, and to provide counseling and treatment to almost all those who are found infected. School-based STD screening programs do not seem to reduce prevalence in either the school or the general adolescent population, although there are currently relatively few studies on large-scale SBSS. More research in this field is needed.
authors.affiliation: From the *Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA; †Philadelphia Department of Public Health, Philadelphia, PA; and ‡Louisiana State University Health Sciences Center, New Orleans, LA.
authors.forename: Felicia M T
authors.initials: FM
authors.lastname: Lewis
authors.forename: Patricia
authors.initials: P
authors.lastname: Dittus
authors.forename: Melinda E
authors.initials: ME
authors.lastname: Salmon
authors.forename: M Jacques
authors.initials: MJ
authors.lastname: Nsuami
mesh_terms: D000293:Adolescent; D002648:Child; D003362:Cost-Benefit Analysis; D005240:Feasibility Studies; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D017053:Infection Control / Q000379:methods / Q000592:standards / Q000639:trends; D008297:Male; D008403:Mass Screening / Q000191:economics / Q000458:organization & administration*; D015995:Prevalence; D016730:Program Development; D015397:Program Evaluation; D012572:School Health Services / Q000458:organization & administration / Q000592:standards / Q000639:trends; D012749:Sexually Transmitted Diseases / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*; D014481:United States / Q000453:epidemiology