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July 2004, Vol 94, No. 7 | American Journal of Public Health 1081-1084
© 2004 American Public Health Association

FIELD ACTION REPORT

"Street Medicine": Collaborating With a Faith-Based Organization to Screen At-Risk Youths for Sexually Transmitted Diseases

Nicholas J. Moss, BA, Alonzo Gallaread, Jacqueline Siller, MPH and Jeffrey D. Klausner, MD, MPH

The authors are with the San Francisco Department of Public Health, STD Prevention and Control Services, San Francisco, Calif.

Correspondence: Requests for reprints should be sent to Jeffrey D. Klausner, MD, MPH, 1360 Mission St, Suite 401, San Francisco, CA 94103 (e-mail: jeff.klausner{at}sfdph.org).

Chlamydia and gonorrhea rates among African American youths in San Francisco are far higher than those among young people of the city’s other racial and ethnic groups.

A geographically targeted sexually transmitted disease education and screening intervention performed in collaboration with a local faith-based organization was able to screen hundreds of at-risk youths. The screened individuals included friends and sex partners from an extensive social-sexual network that transcended the boundaries of the target population. The intervention also provided an excellent opportunity to practice "street medicine," in which all screening and treatment was effectively conducted in the field.




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