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Sex Transm Dis. 2003 Nov;30(11):850-3.

Acceptability of urine screening for Neisseria gonorrheae and Chlamydia trachomatis in adolescents at an urban emergency department.

Author information

  • 1Department of Pediatrics, Pediatric Emergency Medicine, Division of Infectious Disease, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA. kmonroe@peds.uab.edu

Abstract

OBJECTIVE:

The objective of this study was to determine the acceptability of urine screening for Neisseria gonorrhoeae and Chlamydia trachomatis in adolescents in a pediatric emergency department.

STUDY DESIGN:

We used a prospective enrollment of adolescents aged 14-20 visiting an urban pediatric emergency department.

MAIN OUTCOME MEASURES:

The main outcome measure was acceptance of urine STD screening rates.

RESULTS:

Of 1231 potential participants, 879 (71%) agreed to participate and 352 (29%) declined screening. Participants were similar to those refusing to participate in terms of gender. In multivariate analysis, age, race/ethnicity, and insurance status were associated with variation in sexually transmitted disease (STD) test acceptance, whereas the presence of a parent was not. Despite similar training, 1 of 3 recruiters had significantly lower acceptance rates than her peers. Overall, 10% of patients enrolled were found to have one or both infections.

CONCLUSION:

Urine screening for STDs can be efficiently conducted in an emergency department setting. This screening appears to be acceptable to most patients.

PMID:
14603094
[PubMed - indexed for MEDLINE]
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