HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (2) Citing Articles via Google Scholar Google Scholar Articles by Tebb, K. P. Articles by Shafer, M.-A. B. Search for Related Content PubMed PubMed Citation Articles by Tebb, K. P. Articles by Shafer, M.-A. B. Related Collections Quality of Care Adolescent Health Screening Sexual Health

Kathleen P. Tebb, PhD, Robert H. Pantell, MD, Charles J. Wibbelsman, MD, John M. Neuhaus, PhD, Ann C. Tipton, MD, Samantha C. Pecson, BS, Meaghan Pai-Dhungat, BS, Timothy H. Ko, DrPH, MPH and Mary-Ann B. Shafer, MD

Kathleen P. Tebb, Samantha C. Pecson, Meaghan Pai-Dhungat, and Mary-Ann B. Shafer are with the Division of Adolescent Medicine, Department of Pediatrics, University of California, San Francisco. Robert H. Pantell is with the Department of Pediatrics, University of California, San Francisco. Charles J. Wibbelsman is with Kaiser Permanente, San Francisco. John M. Neuhaus is with the Department of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco. Ann C. Tipton and Timothy H. Ko are with Kaiser Permanente, Oakland, Calif.

Correspondence: Requests for reprints should be sent to Kathleen P. Tebb, PhD, University of California, San Francisco, School of Medicine, Department of Pediatrics, Division of Adolescent Medicine, Box 0503, San Francisco, CA 94143-0503 (e-mail: tebb{at}itsa.ucsf.edu).

Objectives. We sought to determine the effectiveness of a systems-based intervention designed to increase Chlamydia trachomatis (CT) screening among adolescent boys.

Methods. An intervention aimed at increasing CT screening among adolescent girls was extended to adolescent boys (14–18 years). Ten pediatric clinics in a health maintenance organization with an ethnically diverse population were randomized. Experimental clinics participated in a clinical practice improvement intervention; control clinics received traditional information on screening.

Results. The intervention significantly increased CT screening at the experimental sites from 0% (baseline) to 60% (18-month posttest); control sites evidenced a change only from 0% to 5%. The overall prevalence of CT was 4%.

Conclusions. Although routine CT screening is currently recommended only for young sexually active women, the present results show that screening interventions can be successful in the case of adolescent boys, among whom CT is a moderate problem.

This article has been cited by other articles:

				J. C. Frye, L. Wallace, R. S. Chavez, and D. A. Luce Screening and Treatment Guidelines for Chlamydia trachomatis in Incarcerated Adolescents: A Review Journal of Correctional Health Care, April 1, 2008; 14(2): 89 - 98. [Abstract] [PDF]

				M. J. Park and D. Breland Starting on a Healthy Path: Promotion of Young Men's Sexual Health American Journal of Men's Health, June 1, 2007; 1(2): 148 - 153. [Abstract] [PDF]