{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:24:36Z","timestamp":1777865076748,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of School Nursing"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>During the 2015\u20132016 school year, the Florida Department of Health in Duval County hosted Teen Health Centers (TeenHC) at five high schools of Jacksonville providing HIV\/STD screening and pregnancy testing. The purpose of this study was to assess the cost-effectiveness of the TeenHC chlamydia screening program and determine at what student participation level, the program can be cost-effective. We assessed the costs and effectiveness of the chlamydia screening program compared with \u201cno TeenHC\u201d. Cost-effectiveness was measured as cost per quality-adjusted life years (QALY) gained. At a program cost of US$61,001 and 3% participation rate, the cost\/QALY gained was $124,328 in the base-case analysis and $81,014\u2013$264,271 in 95% of the simulation trials, all greater than the frequently citied $50,000\/QALY benchmark. The cost\/QALY gained could be &lt;$50,000\/QALY if student participation rate was &gt;7%. The TeenHC chlamydia screening has the potential to be cost-effective. Future program efforts should focus on improving student participation.<\/jats:p>","DOI":"10.1177\/1059840519890026","type":"journal-article","created":{"date-parts":[[2019,12,2]],"date-time":"2019-12-02T08:11:36Z","timestamp":1575274296000},"page":"195-201","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Cost-Effectiveness of a School-Based Chlamydia Screening Program, Duval County, FL"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5081-5035","authenticated-orcid":false,"given":"Li Yan","family":"Wang","sequence":"first","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwame","family":"Owusu-Edusei","sequence":"additional","affiliation":[{"name":"Program and Performance Improvement Office, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Terry","family":"Parker","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Wilson","sequence":"additional","affiliation":[{"name":"Florida Department of Health in Duval County, Jacksonville, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,12,1]]},"reference":[{"key":"bibr1-1059840519890026","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31816a43d3"},{"key":"bibr2-1059840519890026","first-page":"1","volume":"55","author":"Centers for Disease Control and Prevention","year":"2006","journal-title":"MMWR Recommendations and Reports"},{"key":"bibr3-1059840519890026","unstructured":"Centers for Disease Control and Prevention. (2014). Program 1308 guidance: Supporting state and local education agencies to reduce adolescent sexual risk behaviors and adverse health outcomes associated with HIV, other STD, and teen pregnancy. Retrieved from http:\/\/www.cdc.gov\/healthyyouth\/fundedpartners\/1308\/pdf\/program_guidance_final.pdf"},{"key":"bibr4-1059840519890026","unstructured":"Centers for Disease Control and Prevention. (2018). Sexually transmitted disease surveillance 2017. Retrieved from Atlanta, GA, http:\/\/www.cdc.gov\/std\/stats"},{"key":"bibr5-1059840519890026","unstructured":"Centers for Disease Control and Prevention. (2019). 1991-2017 High school youth risk behavior survey data. 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