Michigan Adolescent Screening Project MDCH Oakland County Michigan

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Michigan Adolescent Screening Project MDCH

Michigan Adolescent Screening Project MDCH

Oakland County - Michigan

Oakland County - Michigan

STD Screening and Assessment of Reproductive Health Needs l Ages 13 -20 l Special

STD Screening and Assessment of Reproductive Health Needs l Ages 13 -20 l Special Settings – Detention – School-Base Clinic – Shelter Care

Description l l l Urine-based BD Probetech - Gonorrhea and Chlamydia Sexual Questionnaire Pregnancy

Description l l l Urine-based BD Probetech - Gonorrhea and Chlamydia Sexual Questionnaire Pregnancy Testing Initiated 12/00 >1000 adolescents screened to date

Age and Sex Males 550/ Females 546 Number Age

Age and Sex Males 550/ Females 546 Number Age

Race/Ethnicity by Gender Males Females 46% 48% 41% 56%

Race/Ethnicity by Gender Males Females 46% 48% 41% 56%

Number of Lifetime Sexual Partners N (1096) Mean Number of Partners Total Number of

Number of Lifetime Sexual Partners N (1096) Mean Number of Partners Total Number of Partners = 8, 544 Age Mean = Female (6) Male (10)

History of Sexually Transmitted Disease Females Males 6% - History

History of Sexually Transmitted Disease Females Males 6% - History

Reproductive Health Risks l Results from Sexual Questionnaire/ Interview – 20% had history of

Reproductive Health Risks l Results from Sexual Questionnaire/ Interview – 20% had history of pregnancy – Pregnancy outcomes- 60 % abortion – 61% reported having had a previous Pap/pelvic – Only 11% reported scheduled birth control • Depo Inj. or Oral Contraception

Reproductive Health Risks l Reported Condom Use- LSC – 51% Females – 65% Males

Reproductive Health Risks l Reported Condom Use- LSC – 51% Females – 65% Males l New Pap results (N-120) – 27% Abnormal pap – 25% Bacterial Vaginosis l Identified 21 new pregnancies – 30% had either CT or GC

Overall Positivity %

Overall Positivity %

Chlamydia Positivity by Age %

Chlamydia Positivity by Age %

Comparison of Sites Chlamydia Positivity % 198/444 273/82 68/23

Comparison of Sites Chlamydia Positivity % 198/444 273/82 68/23

Chlamydia Positivity by Gender/Race/Age % Age

Chlamydia Positivity by Gender/Race/Age % Age

Positive for Chlamydia Symptoms 29% 68% Males Females

Positive for Chlamydia Symptoms 29% 68% Males Females

Gonorrhea Positivity by Age %

Gonorrhea Positivity by Age %

Comparison of Sites Gonorrhea Positivity % 198/444 273/82 68/23

Comparison of Sites Gonorrhea Positivity % 198/444 273/82 68/23

Gonorrhea Positivity by Gender/Race/Age

Gonorrhea Positivity by Gender/Race/Age

Positive for Gonorrhea Symptoms 32% 68% Males Females

Positive for Gonorrhea Symptoms 32% 68% Males Females

Symptoms Indicate Infection GC/CT or Both 29% 95% Females Males

Symptoms Indicate Infection GC/CT or Both 29% 95% Females Males

Positives Treated at Site %

Positives Treated at Site %

Future Directions Increase number of positives treated prior to release l Streamline data collection

Future Directions Increase number of positives treated prior to release l Streamline data collection and entry l – Pilot hand-held computers l Creative ways to reach adolescents – Sport Physicals l Addition of 3 more adolescent sites

Presented by Lynda Byer R. N. , M. S. Barbara Draper R. N. ,

Presented by Lynda Byer R. N. , M. S. Barbara Draper R. N. , B. S. N. Oakland County Children’s Village byerl@co. oakland. mi. us 248/ 452 -9188