{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:33:02Z","timestamp":1767166382332,"version":"build-2238731810"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,18]],"date-time":"2013-01-18T00:00:00Z","timestamp":1358467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>\n                      This article describes a school\u2010wide sexually transmitted infection (\n                      <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content>\n                      ) screening to identify adolescent high\u2010risk sexual behaviors,\n                      <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content>\n                      history\/incidence, and presence of chlamydia and gonorrhea, and examines relationships between high\u2010risk behaviors and screening positive for chlamydia and gonorrhea in an alternative high school setting.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>\n                      School\u2010wide chlamydia and gonorrhea education and screening was provided to 869 adolescents; 226 males and 282 females 14\u201020\u2009years (mean age\u2009=\u200917.07) consented to urine screening. Relationships were examined between screening positive, history of\n                      <jats:styled-content style=\"fixed-case\">STIs<\/jats:styled-content>\n                      , and high\u2010risk sexual behaviors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      A majority (69%) of the adolescents consented to screening: 17.76% (92) had a history of\n                      <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content>\n                      ; 8.83% (46) tested positive at screening. More females than males tested positive (p\u2009=\u2009.001). Significant relationships existed between history of\n                      <jats:styled-content style=\"fixed-case\">STIs<\/jats:styled-content>\n                      and\u2009\u2265\u20094 sexual partners (p\u2009=\u2009.0022), no condom use (p\u2009=\u2009.06), and sexual intercourse in last 3\u2009months (p\u2009=\u2009.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>\n                      School\u2010Based Health Center (\n                      <jats:styled-content style=\"fixed-case\">SBHC<\/jats:styled-content>\n                      ) screening was well accepted by students and staff. Sexually transmitted infection history was correlated with all identified high\u2010risk sexual behaviors supporting the need for in\u2010depth assessment, counseling, and testing of adolescents wherever they present for care. This study also provides an example of the role\n                      <jats:styled-content style=\"fixed-case\">SBHCs<\/jats:styled-content>\n                      can play in the national strategy to control chlamydia and gonorrhea in adolescents.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.12004","type":"journal-article","created":{"date-parts":[[2013,1,18]],"date-time":"2013-01-18T03:41:16Z","timestamp":1358480476000},"page":"99-104","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Identifying Relationships Between High\u2010Risk Sexual Behaviors and Screening Positive for Chlamydia and Gonorrhea in School\u2010Wide Screening Events"],"prefix":"10.1111","volume":"83","author":[{"given":"Jennifer","family":"Salerno","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy","family":"Darling\u2010Fisher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole M.","family":"Hawkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Fraker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,18]]},"reference":[{"issue":"6","key":"e_1_2_6_2_1","first-page":"1","article-title":"Sexual and reproductive health of persons aged 10\u201324\u2009years\u2010United States, 2000\u20132007","volume":"58","author":"Gavin L","year":"2009","journal-title":"MMWR Surveill Summ"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-2-200707170-00007"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-0694"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.161.1.30"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2008.08.015"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000216010.43296.42"},{"key":"e_1_2_6_8_1","unstructured":"2009 Sexually Transmitted Disease Surveillance: STDs in Adolescents and Young Adults. 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