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332437
Implementation of STI Screenings in Two New Orleans High Schools


Sunday, November 1, 2015

Temple Barkate, LSU School of Medicine - New Orleans, New Orleans, LA
Ryan Pasternak, MD, MPH, Department of Pediatrics, LSU Health Sciences Center, New Orleans, LA
Jake Quinton, MPH, LSU School of Medicine - New Orleans, New Orleans, LA
Sara Winkler, LSU School of Public Health, New Orleans, LA
Anna Bailey Gibson, LSU School of Nursing
Kelsey Hundley, LSU School of Medicine - New Orleans
Jeffrey Kendrick, LSU School of Medicine - New Orleans
Farinaz Khan, MSPH, LSUHSC School of Medicine - New Orleans, New Orleans, LA
Monica Lai, LSU School of Medicine - New Orleans
Joshua Plant, LSU School of Medicine - New Orleans
Alyssa Russell, LSU School of Medicine - New Orleans
Danielle Stewart, LSU School of Nursing
Katie Wendt, LSU School of Allied Health
Purpose:

In 2013, the state of Louisiana—which does not mandate sexual education in schools—ranked first in Gonorrhea rates and second in Chlamydia rates. Nationally, 67% of reported Chlamydia cases and 56% of reported Gonorrhea cases occurred in the 15-24 year old age group. This reflects a troubling national trend amongst our nation’s youngest sexually active citizens, and highlights a high burden of infection in adolescent Louisianans.  

Methods

The LSU Health Sciences Center-New Orleans Department of Pediatrics oversees School-Based Health Centers (SBHCs) on the grounds of three local high schools. These centers provide many health services to students, including confidential STI screenings. Identifying the need to bring similar services to schools without a SBHC, the New Orleans Adolescent Reproductive Health Project (NOARHP) implemented STI screening days on the campuses of two high schools that do not have their own health center. SBHC staff and NOARHP volunteers set up confidential testing sites on school grounds where urine samples for chlamydia and gonorrhea PCR testing were collected. Results were then returned on campus two weeks later.

Results

The first screening occurred in April 2014 and screened a total of 26 students, 4 of which tested positive for either chlamydia or gonorrhea. The second screening occurred in October 2014 and screened a total of 26 students, 1 of which tested positive for either chlamydia or gonorrhea.

Conclusions

It is NOARHP and the SBHC’s goal to implement more STI screenings as NOARHP expands its reach into more schools without their own SBHC.

Learning Areas:

Implementation of health education strategies, interventions and programs

Learning Objectives:
Discuss the prevalence of Sexually Transmitted Infections in the 15-24 year old age group Identify the impact of School-Based Health Centers on adolescent access to health screenings Demonstrate how to effectively implement STI screenings on school campuses that do not have a School-Based Health Center

Keyword(s): Adolescents, School-Based Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a third year medical student who has volunteered with the New Orleans Adolescent Reproductive Health Project for 2 years now. This past year, I helped implement the STI screening program documented in this abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 2076.0: Reproductive and sexual health among adolescents and young adults