Screening sexually active adolescents for Chlamydia trachomatis: what about the boys?
Tebb, K.P.; Pantell, R.H.; Wibbelsman, C.J.; Neuhaus, J.M.; Tipton, A.C.; Pecson, S.C.; Pai-Dhungat, M.; Ko, T.H.; Shafer, M.-A.B.
American Journal of Public Health 95(10): 1806-1810
2005
ISSN/ISBN: 0090-0036 PMID: 16186459 DOI: 10.2105/ajph.2003.037507Document Number: 256337
We sought to determine the effectiveness of a systems-based intervention designed to increase Chlamydia trachomatis (CT) screening among adolescent boys. An intervention aimed at increasing CT screening among adolescent girls was extended to adolescent boys (14-18 years). Ten pediatric clinics in a health maintenance organization with an ethnically diverse population were randomized. Experimental clinics participated in a clinical practice improvement intervention; control clinics received traditional information on screening. The intervention significantly increased CT screening at the experimental sites from 0% (baseline) to 60% (18-month posttest); control sites evidenced a change only from 0% to 5%. The overall prevalence of CT was 4%. Although routine CT screening is currently recommended only for young sexually active women, the present results show that screening interventions can be successful in the case of adolescent boys, among whom CT is a moderate problem.