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Related Concept Videos

Sexually Transmitted Infections01:26

Sexually Transmitted Infections

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Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Universal Screening for Prevention of Reading, Writing, and Math Disabilities in Spanish
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Cost-Effectiveness of a School-Based Chlamydia Screening Program, Duval County, FL.

Li Yan Wang1, Kwame Owusu-Edusei2, J Terry Parker1

  • 1Division of Adolescent and School Health, 1242Centers for Disease Control and Prevention, Atlanta, GA, USA.

The Journal of School Nursing : the Official Publication of the National Association of School Nurses
|December 3, 2019
PubMed
Summary

The Teen Health Center (TeenHC) chlamydia screening program in Duval County was not cost-effective at a 3% participation rate. Increasing student participation to over 7% could make this vital public health initiative cost-effective.

Keywords:
chlamydiacost-effectivenessschool-based STD screeningstudent participation

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Area of Science:

  • Public Health
  • Health Economics
  • Adolescent Health

Background:

  • Teen Health Centers (TeenHC) provide essential health services, including HIV/STD screening and pregnancy testing, in high schools.
  • Chlamydia screening is a critical component of adolescent sexual health programs.

Purpose of the Study:

  • To evaluate the cost-effectiveness of the TeenHC chlamydia screening program.
  • To identify the student participation threshold for program cost-effectiveness.

Main Methods:

  • Cost-effectiveness analysis comparing the TeenHC program to no intervention.
  • Measurement of cost per quality-adjusted life years (QALY) gained.
  • Sensitivity analysis based on varying participation rates.

Main Results:

  • At a 3% participation rate, the cost per QALY gained was $124,328, exceeding the $50,000 benchmark.
  • Cost-effectiveness (<$50,000/QALY) is achievable with a student participation rate greater than 7%.

Conclusions:

  • The TeenHC chlamydia screening program demonstrates potential for cost-effectiveness.
  • Enhancing student participation is crucial for optimizing the program's value and public health impact.