{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T15:10:49Z","timestamp":1744211449407,"version":"3.37.3"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,7,10]],"date-time":"2018-07-10T00:00:00Z","timestamp":1531180800000},"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":[[2018,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Barriers to health care service utilization contribute to the spread of sexually transmitted infections (STIs) among teens. School\u2010based STI screening programs reach adolescents outside of the clinic\u2010based health care model and schools with school\u2010based health centers (SBHCs) may expedite treatment because of their proximity to the population. This study examined whether students who tested positive for STIs in a school\u2010based screening program had differing times to treatment based on treatment location.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>All positive cases of chlamydia and gonorrhea from the 2012\u20102013 school year in a Chicago Department of Public Health (CDPH) and Chicago Public Schools school\u2010based STI screening program were reviewed. Median time to treatment was compared for those treated at an SBHC versus those treated elsewhere (CDPH STI clinic, community health center, private physician).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Overall, 540 students had positive results. The median age was 17\u2009years, 427 had chlamydia (79.1%), 59 had gonorrhea (10.9%), and 54 had dual infections (10.0%); 144 were tested in a school with a SBHC on site (26.7%). Of the 483 students who received treatment (89.4%), those treated at a SBHC had a faster time to treatment compared to CDPH STI clinics (median 17\u2009days versus 28\u2009days, respectively, p\u2009&lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>For students testing positive in the Chicago school\u2010based STI program, time to treatment is accelerated in locations with SBHCs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.12648","type":"journal-article","created":{"date-parts":[[2018,7,11]],"date-time":"2018-07-11T04:51:26Z","timestamp":1531284686000},"page":"590-595","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Examining Time to Treatment and the Role of School\u2010Based Health Centers in a School\u2010Based Sexually Transmitted Infection Program"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3588-0429","authenticated-orcid":false,"given":"Mallika","family":"Sabharwal","sequence":"first","affiliation":[{"name":"University of Louisville School of Medicine, 500 South Preston Street, Louisville, KY 40202."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Masinter","sequence":"additional","affiliation":[{"name":"Chicago Department of Public Health, 333 South State Street, Suite 200, Chicago, IL 60604."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kingsley N.","family":"Weaver","sequence":"additional","affiliation":[{"name":"Chicago Department of Public Health, 333 South State Street, Suite 200, Chicago, IL 60604."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,7,10]]},"reference":[{"volume-title":"Sexually Transmitted Disease Surveillance 2013","year":"2014","author":"US Centers for Disease Control and Prevention","key":"e_1_2_6_2_1"},{"first-page":"2014","volume-title":"HIV\/STI Surveillance Report 2014","author":"Chicago Department of Public Health","key":"e_1_2_6_3_1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200207000-00001"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200212000-00016"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c1642"},{"volume-title":"Incidence, Prevalence, and Cost of Sexually Transmitted Infections in the United States","year":"2013","author":"Centers for Disease Control and Prevention","key":"e_1_2_6_7_1"},{"volume-title":"Adolescent Health: Coverage and Access to Care","year":"2011","author":"Kaiser Family Foundation","key":"e_1_2_6_8_1"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2601"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.4338"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.01.002"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000216010.43296.42"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.101.1.e1"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2013.02.011"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2011.01.018"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.186825"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200212000-00001"},{"volume-title":"Stats and facts","year":"2014","author":"Chicago Public Schools","key":"e_1_2_6_18_1"},{"volume-title":"Section of Family Planning and Contraceptive Research Policy Brief. School\u2010based health centers: implications for adolescent reproductive health","year":"2013","author":"University of Chicago","key":"e_1_2_6_19_1"},{"key":"e_1_2_6_20_1","unstructured":"410 ILCS 210\/4; 77 III. Admin. Code \u00a7 693.130. Consent by Minors to Medical Procedures Act. Available at:http:\/\/www.ilga.gov\/legislation\/ilcs\/ilcs3.asp?ActID=1539&ChapterID=35. Accessed September 16 2017."},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000194584.80513.4a"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199809000-00001"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-2314"},{"issue":"1","key":"e_1_2_6_24_1","first-page":"21","article-title":"Meeting the sexual and reproductive health needs of adolescents in school\u2010based health centers","volume":"18","author":"Boonstra H","year":"2015","journal-title":"Guttmacher Policy Rev"},{"volume-title":"Status Update: Youth Voice","year":"2012","author":"Oregon Health Authority","key":"e_1_2_6_25_1"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.152.8.763"},{"volume-title":"Reproductive Health: Teen Pregnancy. 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