A Novel Public Library-Based Sexually Transmitted Infection Screening Program for Younger High-Risk Groups in Omaha, Nebraska, USA

Shirley F. Delair, Elizabeth R. Lyden, Anne L. O’Keefe, Kari A Simonsen, Sherri R. Nared, Elizabeth A. Berthold, Shinobu Watanabe-Galloway

Research output: Contribution to journalArticle

Abstract

Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) are the two most commonly reported sexually transmitted infections (STIs) in the United States (U.S.) and Douglas County, Nebraska has STI rates consistently above the U.S. average. The Douglas County Health Department (DCHD) developed an outreach CT and NG screening program in public libraries to address the problem beyond the traditional STI clinic setting. This study evaluates the effectiveness of the program and identifies factors predictive of CT and NG infections. A retrospective review of surveys of library patrons and DCHD traditional STI clinic clients who submitted urine tests for CT and NG from June 2010 through April 2014 was done. Chi square, Fisher exact, Student’s t tests, univariate and multivariate logistic regression were conducted. A total of 977 library records and 4871 DCHD clinic records were reviewed. The percent positive was lower in the library than in the traditional clinic for CT (9.9 vs. 11.2 %) and NG (2.74 vs. 5.3 %) (p = 0.039 and p < 0.001, respectively). Library clients were more likely to be 19 years and younger (OR 6.14, 95 % CI: 5.0, 7.5), Black (OR 3.4, 95 % CI: 2.8, 4.1), and asymptomatic (OR 12.4, 95 % CI: 9.9, 15.5) compared to traditional clinic clients. The library STI screening program effectively reaches a younger, asymptomatic, and predominantly Black population compared to a traditional health department clinic site.

Original languageEnglish (US)
Pages (from-to)289-295
Number of pages7
JournalJournal of Community Health
Volume41
Issue number2
DOIs
StatePublished - Apr 1 2016

Fingerprint

Chlamydia trachomatis
Sexually Transmitted Diseases
Libraries
Health
Group
Library Surveys
health
Gonorrhea
Program Evaluation
Logistic Models
Urine
Students
logistics
regression
Infection
Population
student

Keywords

  • Chlamydia trachomatis
  • Health disparity
  • Neisseria gonorrhoeae
  • Sexual health
  • Sexually transmitted infections

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

A Novel Public Library-Based Sexually Transmitted Infection Screening Program for Younger High-Risk Groups in Omaha, Nebraska, USA. / Delair, Shirley F.; Lyden, Elizabeth R.; O’Keefe, Anne L.; Simonsen, Kari A; Nared, Sherri R.; Berthold, Elizabeth A.; Watanabe-Galloway, Shinobu.

In: Journal of Community Health, Vol. 41, No. 2, 01.04.2016, p. 289-295.

Research output: Contribution to journalArticle

Delair, Shirley F. ; Lyden, Elizabeth R. ; O’Keefe, Anne L. ; Simonsen, Kari A ; Nared, Sherri R. ; Berthold, Elizabeth A. ; Watanabe-Galloway, Shinobu. / A Novel Public Library-Based Sexually Transmitted Infection Screening Program for Younger High-Risk Groups in Omaha, Nebraska, USA. In: Journal of Community Health. 2016 ; Vol. 41, No. 2. pp. 289-295.
@article{5b1e0e085b0349c6b84c8388508377f6,
title = "A Novel Public Library-Based Sexually Transmitted Infection Screening Program for Younger High-Risk Groups in Omaha, Nebraska, USA",
abstract = "Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) are the two most commonly reported sexually transmitted infections (STIs) in the United States (U.S.) and Douglas County, Nebraska has STI rates consistently above the U.S. average. The Douglas County Health Department (DCHD) developed an outreach CT and NG screening program in public libraries to address the problem beyond the traditional STI clinic setting. This study evaluates the effectiveness of the program and identifies factors predictive of CT and NG infections. A retrospective review of surveys of library patrons and DCHD traditional STI clinic clients who submitted urine tests for CT and NG from June 2010 through April 2014 was done. Chi square, Fisher exact, Student’s t tests, univariate and multivariate logistic regression were conducted. A total of 977 library records and 4871 DCHD clinic records were reviewed. The percent positive was lower in the library than in the traditional clinic for CT (9.9 vs. 11.2 {\%}) and NG (2.74 vs. 5.3 {\%}) (p = 0.039 and p < 0.001, respectively). Library clients were more likely to be 19 years and younger (OR 6.14, 95 {\%} CI: 5.0, 7.5), Black (OR 3.4, 95 {\%} CI: 2.8, 4.1), and asymptomatic (OR 12.4, 95 {\%} CI: 9.9, 15.5) compared to traditional clinic clients. The library STI screening program effectively reaches a younger, asymptomatic, and predominantly Black population compared to a traditional health department clinic site.",
keywords = "Chlamydia trachomatis, Health disparity, Neisseria gonorrhoeae, Sexual health, Sexually transmitted infections",
author = "Delair, {Shirley F.} and Lyden, {Elizabeth R.} and O’Keefe, {Anne L.} and Simonsen, {Kari A} and Nared, {Sherri R.} and Berthold, {Elizabeth A.} and Shinobu Watanabe-Galloway",
year = "2016",
month = "4",
day = "1",
doi = "10.1007/s10900-015-0095-0",
language = "English (US)",
volume = "41",
pages = "289--295",
journal = "Journal of Community Health",
issn = "0094-5145",
publisher = "Springer Netherlands",
number = "2",

}

TY - JOUR

T1 - A Novel Public Library-Based Sexually Transmitted Infection Screening Program for Younger High-Risk Groups in Omaha, Nebraska, USA

AU - Delair, Shirley F.

AU - Lyden, Elizabeth R.

AU - O’Keefe, Anne L.

AU - Simonsen, Kari A

AU - Nared, Sherri R.

AU - Berthold, Elizabeth A.

AU - Watanabe-Galloway, Shinobu

PY - 2016/4/1

Y1 - 2016/4/1

N2 - Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) are the two most commonly reported sexually transmitted infections (STIs) in the United States (U.S.) and Douglas County, Nebraska has STI rates consistently above the U.S. average. The Douglas County Health Department (DCHD) developed an outreach CT and NG screening program in public libraries to address the problem beyond the traditional STI clinic setting. This study evaluates the effectiveness of the program and identifies factors predictive of CT and NG infections. A retrospective review of surveys of library patrons and DCHD traditional STI clinic clients who submitted urine tests for CT and NG from June 2010 through April 2014 was done. Chi square, Fisher exact, Student’s t tests, univariate and multivariate logistic regression were conducted. A total of 977 library records and 4871 DCHD clinic records were reviewed. The percent positive was lower in the library than in the traditional clinic for CT (9.9 vs. 11.2 %) and NG (2.74 vs. 5.3 %) (p = 0.039 and p < 0.001, respectively). Library clients were more likely to be 19 years and younger (OR 6.14, 95 % CI: 5.0, 7.5), Black (OR 3.4, 95 % CI: 2.8, 4.1), and asymptomatic (OR 12.4, 95 % CI: 9.9, 15.5) compared to traditional clinic clients. The library STI screening program effectively reaches a younger, asymptomatic, and predominantly Black population compared to a traditional health department clinic site.

AB - Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) are the two most commonly reported sexually transmitted infections (STIs) in the United States (U.S.) and Douglas County, Nebraska has STI rates consistently above the U.S. average. The Douglas County Health Department (DCHD) developed an outreach CT and NG screening program in public libraries to address the problem beyond the traditional STI clinic setting. This study evaluates the effectiveness of the program and identifies factors predictive of CT and NG infections. A retrospective review of surveys of library patrons and DCHD traditional STI clinic clients who submitted urine tests for CT and NG from June 2010 through April 2014 was done. Chi square, Fisher exact, Student’s t tests, univariate and multivariate logistic regression were conducted. A total of 977 library records and 4871 DCHD clinic records were reviewed. The percent positive was lower in the library than in the traditional clinic for CT (9.9 vs. 11.2 %) and NG (2.74 vs. 5.3 %) (p = 0.039 and p < 0.001, respectively). Library clients were more likely to be 19 years and younger (OR 6.14, 95 % CI: 5.0, 7.5), Black (OR 3.4, 95 % CI: 2.8, 4.1), and asymptomatic (OR 12.4, 95 % CI: 9.9, 15.5) compared to traditional clinic clients. The library STI screening program effectively reaches a younger, asymptomatic, and predominantly Black population compared to a traditional health department clinic site.

KW - Chlamydia trachomatis

KW - Health disparity

KW - Neisseria gonorrhoeae

KW - Sexual health

KW - Sexually transmitted infections

UR - http://www.scopus.com/inward/record.url?scp=84959493011&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959493011&partnerID=8YFLogxK

U2 - 10.1007/s10900-015-0095-0

DO - 10.1007/s10900-015-0095-0

M3 - Article

C2 - 26442504

AN - SCOPUS:84959493011

VL - 41

SP - 289

EP - 295

JO - Journal of Community Health

JF - Journal of Community Health

SN - 0094-5145

IS - 2

ER -