Screening Juvenile Justice-Involved Females for Sexually Transmitted Infection: A Pilot Intervention for Urban Females in Community Supervision

J Correct Health Care. 2013 Oct;19(4):258-68. doi: 10.1177/1078345813499310. Epub 2013 Aug 27.

Abstract

Little is known about Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) rates in community-supervised juvenile justice-involved (CSJJI) females, or how to best provide screening for sexually transmitted infections in this population. A pilot intervention allowed case managers to offer optional CT/GC screening to CSJJI females during mandated visits. Anonymous satisfaction surveys and discussion groups assessed intervention acceptability. Case managers met with 514 CSJJI females; 102 (20%) agreed to screening and 117 tests were completed. Among those screened, 21 (18%) had CT and 3 (3%) had GC. Intervention feedback from case managers and clients was positive, but there were barriers to recruitment. Lessons learned from this case manager-facilitated intervention may increase the acceptability and effectiveness of future screening methods in this setting.

Keywords: community-based screening; juvenile justice health care; sexually transmitted infection screening.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Chlamydia Infections / diagnosis
  • Chlamydia Infections / epidemiology
  • Chlamydia Infections / prevention & control
  • Continental Population Groups
  • Female
  • Gonorrhea / diagnosis
  • Gonorrhea / epidemiology
  • Gonorrhea / prevention & control
  • Humans
  • Mass Screening / methods
  • Mass Screening / statistics & numerical data*
  • Patient Education as Topic / organization & administration
  • Pilot Projects
  • Prisoners / statistics & numerical data*
  • Reproductive Health Services / organization & administration
  • Risk-Taking
  • Sexual Behavior
  • Sexually Transmitted Diseases / diagnosis*
  • Sexually Transmitted Diseases / epidemiology
  • Sexually Transmitted Diseases / prevention & control
  • Urban Population / statistics & numerical data*