Gonorrhea Screening What Do the Data Tell Us

Gonorrhea Screening: What Do the Data Tell Us? Region II IPP Advisory Meeting May 31, 2006 Kelly Opdyke, MPH Cicatelli Associates Inc.

Region II IPP Strategic Plan 2005 -2009 Ø PRIORITY 1: Target/Expand Chlamydia Screening to Young Sexually Active Women and Men at Risk for Infection in Public and Private Settings. l GOAL: All at risk men and women under the age of 25 will be screened at least annually. • OBJECTIVE 1 B: By December 2006, decrease routine Ct and GC screening by 50% in women ≥ 30 years of age in FP clinics where the prevalence of Ct is less than 2%

Gonorrhea Positivity by Sex N = 162, 003 N = 172, 116 N = 209, 421

Female Positivity for Gonorrhea by Age Group and Provider Type N = 1, 065 N = 35, 625 N = 54, 099 N = 32, 183 N = 37, 777

FP Female GC Testing & Positivity by Project Area and Age Group Region II IPP CY 2005 Project Area < 25 Yrs # Tests % Pos 25 -29 Yrs # Tests % Pos 30+ Yrs # Tests % Pos Total # Tests % Pos 18, 357 1. 18% 4, 810 0. 40% 5, 468 0. 29% 28, 635 0. 88% NYC 9, 003 0. 48% 5, 400 0. 17% 6, 452 0. 02% 20, 855 0. 25% NYS 35, 734 0. 68% 11, 983 0. 45% 10, 707 0. 26% 58, 424 0. 56% 3, 034 0. 40% 1, 303 0. 08% 1, 223 0. 16% 5, 560 0. 27% 547 2. 93% 179 0. 00% 243 0. 00% 969 1. 65% 66, 675 0. 80% 23, 675 0. 35% 24, 093 0. 20% 114, 443 0. 58% NJ PR USVI Region II Total

STD Female GC Testing & Positivity by Project Area and Age Region II IPP CY 2005 Project Area < 30 Yrs # Tests 30+ Yrs % Pos # Tests Total % Pos # Tests % Pos NJ 2, 636 4. 06% 703 2. 42% 3, 339 3. 71% NYC 9, 548 2. 97% 4, 673 2. 03% 14, 221 2. 67% n/a n/a n/a 2, 356 0. 81% 1, 066 1. 03% 3, 422 0. 88% 181 3. 31% 66 3. 03% 247 3. 24% 14, 721 2. 83% 6, 508 1. 92% 21, 229 2. 55% NYS* PR USVI Region II Total *No GC tests reported by NYS STD sites for females in CY 2005

Female Positivity for Gonorrhea by Race/Ethnicity N = 43, 202 N = 40, 235 N = 2, 320 N = 559 N = 7, 084 N = 64, 443

Male Positivity for Gonorrhea by Age Group and Provider Type N = 915 N = 8, 175 N = 11, 681 N = 8, 734 N = 17, 366

STD Male GC Testing & Positivity by Project Area and Age Region II IPP CY 2005 Project Area NJ NYC NYS* PR USVI Region II Total < 30 Yrs # Tests 30+ Yrs % Pos # Tests % Pos Total # Tests % Pos 2, 186 7. 23% 907 5. 51% 3, 093 6. 72% 10, 465 4. 98% 9, 170 4. 10% 19, 635 4. 57% n/a 6 0. 00% 1, 464 3. 89% 1, 056 4. 83% 2, 520 4. 29% 153 7. 84% 62 6. 45% 215 7. 44% 14, 268 5. 24% 11, 201 4. 29% 25, 469 4. 83%

Male Positivity for Gonorrhea by Race/Ethnicity N = 7, 183 N = 18, 536 N = 600 N = 334 N = 3, 007 N = 12, 189