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Increasing Chlamydia and Gonorrhea Infections among Female Juveniles: The Need for Collaboration to Improve Treatment.
Cureus. 2020 Jun 04; 12(6):e8446.C

Abstract

BACKGROUND

 Youth in juvenile detention centers are at a high risk for sexually transmitted disease (STD). The current study assesses the trends of chlamydia and gonorrhea (GC) infections and treatment among females within a single county's juvenile correctional facilities.

METHODS

This is a retrospective review of aggregate data of female adolescents between 12 and 18 years old who underwent STD screening from 2009 to 2016 in San Bernardino County.

RESULTS

Chlamydia infections among adolescent females increased from 11.8% in 2009 to 17.0% in 2016 (p = 0.0002), and GC infections increased from 1.3% in 2009 to 6.0% in 2016 (p < 0.0001). Treatment rates of chlamydia were stable, ranging from 66.7% to 70.8% of positive female adolescents were treated between 2009 and 2016 (p=0.1752). The treatment rate for GC increased from 33% in 2009 to 78.3% in 2016, but annual trends were not statistically significant (p=0.8419).

CONCLUSIONS

Chlamydia and GC infections among female adolescents discovered during routine screening upon booking into a county juvenile detention system increased over the study time period. Effective collaboration between public health and various community organizations is needed to improve awareness and prevention of STDs amongst at-risk adolescents.

Authors+Show Affiliations

Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.Probation Department, San Bernardino County Department of Probation, San Bernardino, USA. Research Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.Epidemiology and Public Health, San Bernardino County Department of Probation, San Bernardino, USA.Obstetrics and Gynecology, Arrowhead Regional Medical Center, Colton, USA.Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32566432

Citation

Neeki, Michael, et al. "Increasing Chlamydia and Gonorrhea Infections Among Female Juveniles: the Need for Collaboration to Improve Treatment." Cureus, vol. 12, no. 6, 2020, pp. e8446.
Neeki M, Dong F, Lowe L, et al. Increasing Chlamydia and Gonorrhea Infections among Female Juveniles: The Need for Collaboration to Improve Treatment. Cureus. 2020;12(6):e8446.
Neeki, M., Dong, F., Lowe, L., Cerda, M., Peace, C., Roloff, K., & Lee, C. (2020). Increasing Chlamydia and Gonorrhea Infections among Female Juveniles: The Need for Collaboration to Improve Treatment. Cureus, 12(6), e8446. https://doi.org/10.7759/cureus.8446
Neeki M, et al. Increasing Chlamydia and Gonorrhea Infections Among Female Juveniles: the Need for Collaboration to Improve Treatment. Cureus. 2020 Jun 4;12(6):e8446. PubMed PMID: 32566432.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Increasing Chlamydia and Gonorrhea Infections among Female Juveniles: The Need for Collaboration to Improve Treatment. AU - Neeki,Michael, AU - Dong,Fanglong, AU - Lowe,Lydia, AU - Cerda,Melinda, AU - Peace,Carlos, AU - Roloff,Kristina, AU - Lee,Carol, Y1 - 2020/06/04/ PY - 2020/6/23/entrez PY - 2020/6/23/pubmed PY - 2020/6/23/medline KW - juvenile detention KW - public health KW - screening KW - sexually transmitted diseases SP - e8446 EP - e8446 JF - Cureus JO - Cureus VL - 12 IS - 6 N2 - BACKGROUND:  Youth in juvenile detention centers are at a high risk for sexually transmitted disease (STD). The current study assesses the trends of chlamydia and gonorrhea (GC) infections and treatment among females within a single county's juvenile correctional facilities. METHODS: This is a retrospective review of aggregate data of female adolescents between 12 and 18 years old who underwent STD screening from 2009 to 2016 in San Bernardino County. RESULTS: Chlamydia infections among adolescent females increased from 11.8% in 2009 to 17.0% in 2016 (p = 0.0002), and GC infections increased from 1.3% in 2009 to 6.0% in 2016 (p < 0.0001). Treatment rates of chlamydia were stable, ranging from 66.7% to 70.8% of positive female adolescents were treated between 2009 and 2016 (p=0.1752). The treatment rate for GC increased from 33% in 2009 to 78.3% in 2016, but annual trends were not statistically significant (p=0.8419). CONCLUSIONS: Chlamydia and GC infections among female adolescents discovered during routine screening upon booking into a county juvenile detention system increased over the study time period. Effective collaboration between public health and various community organizations is needed to improve awareness and prevention of STDs amongst at-risk adolescents. SN - 2168-8184 UR - https://www.unboundmedicine.com/medline/citation/32566432/Increasing_Chlamydia_and_Gonorrhea_Infections_among_Female_Juveniles:_The_Need_for_Collaboration_to_Improve_Treatment L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/32566432/ DB - PRIME DP - Unbound Medicine ER -
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