Details:

Alternative Title:
Sex Transm Dis
Publisher's site:
http://dx.doi.org/10.1097/OLQ.0000000000000023
Personal Author:
Gopalappa, Chaitra ; Huang, Ya-Lin A. ; Gift, Thomas L. ; Owusu-Edusei, Kwame ; Taylor, Melanie ; ... More +
Gopalappa, Chaitra ; Huang, Ya-Lin A. ; Gift, Thomas L. ; Owusu-Edusei, Kwame ; Taylor, Melanie ; Gales, Vincent ; Less -
Description:
Background Chlamydia and gonorrhea infections can lead to serious and costly sequelae in women, but sequelae in men are rare. In accordance with the Centers for Disease Control and Prevention guidelines, female jail inmates in Maricopa County (Phoenix area), Arizona, are screened for these infections. Owing to lack of evidence of screening benefits in men, male inmates are tested and treated based on symptoms only. Methods We developed a probabilistic simulation model to simulate chlamydia and gonorrhea infections in Maricopa County jail male inmates and transmissions to female partners per year. We estimated the cost-effectiveness of screening as the cost per infection averted. Costs were estimated from the perspective of the Maricopa County Department of Public Health and the Correctional Health Services. Results Compared with symptom-based testing and treating strategy, screening male arrestees of all ages and only those 35 years or younger yielded the following results: averted approximately 556 and 491 cases of infection in women at a cost of approximately US $1240 and $860 per case averted, respectively, if screened during physical examination (between days 8 and 14 from entry to jail), and averted approximately 1100 and 995 cases of infections averted at a cost of US $1030 and $710 per infection averted, respectively, if screened early, within 2 to 3 days from entry to jail. Conclusions Screening of male inmates incurs a modest cost per infection averted in women compared with symptom-based testing. Screening in correctional settings can be used by public health programs to reduce disease burden, sequelae, and associated costs.
Subject:
[+]
Adolescent
Adult
Article
Chlamydia Infections
Cost-Benefit Analysis
Female
Gonorrhea
Humans
Male
Mass Screening
Pilot Projects
Prisoners
Prisons
Sexual Behavior
Sexual Partners
Women's Health

Source:
Sex Transm Dis. 40(10):776-783. ;
Pubmed ID:
24275727
Pubmed Central ID:
PMC4591034
Document Type:
Journal Article ;
Funding:
1000698418/Intramural CDC HHS/United States ;
Place as Subject:
Arizona ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:2f14dc3a8068fe7cff7fe9ae09490b8d28e15bda241df5b64b2360591cbf41a3
File Type:

Supporting Files

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