Gonorrhea Screening: What Do the Data Tell Us?

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Gonorrhea ScreeningWhat Do the Data Tell Us?

• Region II IPP Advisory Meeting
• May 31, 2006
• Kelly Opdyke, MPH
• Cicatelli Associates Inc.

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Region II IPPStrategic Plan 2005-2009

• PRIORITY 1 Target/Expand Chlamydia Screening to
  Young Sexually Active Women and Men at Risk for
  Infection in Public and Private Settings.
• GOAL All at risk men and women under the age of
  25 will be screened at least annually.
• OBJECTIVE 1B By December 2006, decrease routine
  Ct and GC screening by 50 in women 30 years of
  age in FP clinics where the prevalence of Ct is
  less than 2

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Gonorrhea Positivity by Sex
N 162,003 N 172,116
N 209,421
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Female Positivity for Gonorrhea byAge Group and
Provider Type
N 1,065 N 35,625 N 54,099 N
32,183 N 37,777
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FP Female GC Testing Positivity by Project Area
and Age Group
Region II IPP CY2005
Project Area lt 25 Yrs lt 25 Yrs 25-29 Yrs 25-29 Yrs 30 Yrs 30 Yrs Total Total
Project Area Tests Pos Tests Pos Tests Pos Tests Pos
NJ 18,357 1.18 4,810 0.40 5,468 0.29 28,635 0.88
NYC 9,003 0.48 5,400 0.17 6,452 0.02 20,855 0.25
NYS 35,734 0.68 11,983 0.45 10,707 0.26 58,424 0.56
PR 3,034 0.40 1,303 0.08 1,223 0.16 5,560 0.27
USVI 547 2.93 179 0.00 243 0.00 969 1.65
Region II Total 66,675 0.80 23,675 0.35 24,093 0.20 114,443 0.58
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STD Female GC Testing Positivity by Project
Area and Age
Region II IPP CY2005
Project Area lt 30 Yrs lt 30 Yrs 30 Yrs 30 Yrs Total Total
Project Area Tests Pos Tests Pos Tests Pos
NJ 2,636 4.06 703 2.42 3,339 3.71
NYC 9,548 2.97 4,673 2.03 14,221 2.67
NYS n/a n/a n/a n/a n/a n/a
PR 2,356 0.81 1,066 1.03 3,422 0.88
USVI 181 3.31 66 3.03 247 3.24
Region II Total 14,721 2.83 6,508 1.92 21,229 2.55
No GC tests reported by NYS STD sites for
females in CY2005
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Female Positivity for Gonorrhea by Race/Ethnicity
N 43,202 N 40,235 N 2,320
N 559 N 7,084 N 64,443
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Male Positivity for Gonorrhea byAge Group and
Provider Type
N 915 N 8,175 N 11,681 N
8,734 N 17,366
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STD Male GC Testing Positivity by Project Area
and Age
Region II IPP CY2005
Project Area lt 30 Yrs lt 30 Yrs 30 Yrs 30 Yrs Total Total
Project Area Tests Pos Tests Pos Tests Pos
NJ 2,186 7.23 907 5.51 3,093 6.72
NYC 10,465 4.98 9,170 4.10 19,635 4.57
NYS n/a n/a 6 0.00 6 0.00
PR 1,464 3.89 1,056 4.83 2,520 4.29
USVI 153 7.84 62 6.45 215 7.44
Region II Total 14,268 5.24 11,201 4.29 25,469 4.83
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Male Positivity for Gonorrhea by Race/Ethnicity
N 7,183 N 18,536 N 600
N 334 N 3,007 N
12,189