The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.
Opt-out screening for Chlamydia trachomatis and Neisseria gonorrhoeae in female detainees at Cook County jail in Chicago, IL.
Abstract
BACKGROUND: In April of 2011, the Cook County Jail initiated opt-out screening of all women for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) at the time of intake. In this retrospective review, we assess the impact of opt-out protocol on rates of testing, diagnoses, and successful treatment. METHODS: We collected the results of all CT and GC tests ordered during intake from April 2011 through December 2012 and reviewed the medical chart of every patient with a positive result for documentation of treatment. Univariable and multivariable analyses were performed to examine the factors associated with receipt of treatment. RESULTS: Opt-out screening increased the number of diagnoses by more than 4-fold (from 9.3 to 40.8 cases/mo). Among 17,065 women eligible for screening, 3729 (22%) women opted out of screening, and screening was completed in 9265 (54.2%). There were 235 (2.5%) gonococcal infections and 702 (7.6%) chlamydial infections. Of 866 women with a positive test result, 602 (69.5%) received treatment while in jail. In multivariable analysis, older age (adjusted odds ratio [aOR], 1.73; 95% confidence interval [CI], 1.14-2.63), pregnancy (aOR, 2.51; 95% CI, 1.22-5.18), and longer length of stay in jail (aOR, 18.1; 95% CI, 11.7-28.1) were associated with greater likelihood of treatment. CONCLUSIONS: Women entering the Cook County Jail have high prevalence of GC/CT infections. Opt-out screening increased the number of GC and CT diagnoses made, and a high proportion of women were treated while incarcerated. Significant challenges remain in ensuring that screening is completed for all women who do not opt out and in providing treatment to women with short duration of incarceration.
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“Opt-out screening has the potential to substantially increase the number tested and the number of chlamydia and gonorrhea infections detected (381–385).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [381]
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Cites
Sexually Transmitted Diseases Treatment Guidelines, 2006
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Centers for Disease Control and Prevention Sexually Transmitted Diseases Treatment Guidelines
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Findings From STD Screening of Adolescents and Adults Entering Corrections Facilities
Mertz, K. J., Voigt, R., Hutchins, K., & Levine, W. C. (2002) · Sexually Transmitted Diseases · doi:10.1097/00007435-200212000-00016 · Cited by 138
Screening Women in Jails for Chlamydial and Gonococcal Infection Using Urine Tests
Mertz, K. J., Schwebke, J. R., Gaydos, C. A., Beidinger-Burnett, H. A., Tulloch, S., & Levine, W. C. (2002) · Sexually Transmitted Diseases · doi:10.1097/00007435-200205000-00004 · Cited by 75
Cost-Effectiveness of Universal Screening for Chlamydia and Gonorrhea in US Jails
Kraut-Becher, J. R. (2004) · Journal of Heredity · doi:10.1093/jurban/jth130 · Cited by 63
Routine Opt-Out HIV Testing Strategies in a Female Jail Setting: A Prospective Controlled Trial
Kavasery, R., Maru, D., Cornman‐Homonoff, J., Sylla, L. N., Smith, D., & Altice, F. L. (2009) · PLoS ONE · doi:10.1371/journal.pone.0007648 · Cited by 49
A Collaborative Effort to Enhance HIV/STI Screening in Five County Jails
Arriola, K. J., Braithwaite, R. L., Kennedy, S., Hammett, T., Tinsley, M., Wood, P., & Arboleda, C. (2001) · Public Health Reports · doi:10.1093/phr/116.6.520 · Cited by 48
Joesoef, M. R., Weinstock, H. S., Kent, C. K., Chow, J. M., Boudov, M. R., Parvez, F. M., Cox, T., Lincoln, T., Miller, J. L., & Sternberg, M. (2009) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e31815d6de8 · Cited by 40
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Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
Tavoschi, L., Vroling, H., Madeddu, G., Babudieri, S., Monarca, R., Noordegraaf‐Schouten, M. V., Beer, N., Dias, J. G., O’Moore, É., Hedrich, D., et al. (2018) · Epidemiologic Reviews · doi:10.1093/epirev/mxy001 · Cited by 50
Spaulding, A. C., Rabeeah, Z., González-Montalvo, M. D. M., Akiyama, M. J., Baker, B. J., Bauer, H. M., Gibson, B. R., Nijhawan, A. E., Parvez, F. M., Wangu, Z., et al. (2022) · Clinical Infectious Diseases · doi:10.1093/cid/ciac122 · Cited by 37
Francis‐Graham, S., Ekeke, N. A., Nelson, C. A., Lee, T. Y., Haj, S. E., Rhodes, T., Vindrola‐Padros, C., Colbourn, T., & Rosenberg, W. M. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-3970-z · Cited by 37
Cost-effectiveness of opt-out chlamydia testing for high-risk young women in the U.S.
Owusu-Edusei, K., Hoover, K. W., & Gift, T. L. (2016) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2016.01.007 · Cited by 31
Metadata
- Authors
- Cole, J., Hotton, A., Zawitz, C., & Kessler, H.
- Affiliations
- Rush University Medical Center (US)
- John H. Stroger, Jr. Hospital of Cook County (US)
- Corresponding author
- Cole, Joanna
- Kessler, Harold
- Venue
- Sexually Transmitted Diseases
- Published
- 2014-03
- Volume
- 41
- Issue
- 3
- Pages
- 161-165
- ISSN
- 0148-5717 (ISSN-L)
- OpenAlex
- W2332321782
- Cited by
- 21
- References
- 14
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2022: 2 · 2021: 4 · 2019: 3 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 1
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sexually Transmitted Diseases (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (P30AI082151)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Keywords
- opt-out screening, Chlamydia trachomatis, Neisseria gonorrhoeae, sexually transmitted infections, women prisoners, treatment receipt, pregnancy, length of hospital stay, Cook County Jail
- MeSH terms
- Adolescent, Adult, Aged, Attitude to Health, Chicago, Chlamydia Infections, Chlamydia trachomatis, Decision Making, Female, Gonorrhea, Humans, Informed Consent, Mass Screening, Middle Aged, Neisseria gonorrhoeae, Patient Acceptance of Health Care, Pregnancy, Prisoners, Prisons, Retrospective Studies, Prevalence
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