A Cost-Effectiveness Evaluation of a Jail-Based Chlamydia Screening Program for Men and Its Impact on Their Partners in the Community

Gift, Thomas L.; Lincoln, Thomas; Tuthill, Robert W.; Whelan, Michael; Briggs, Lisa; Conklin, Thomas J.; Irwin, Kathleen L.

doi:10.1097/01.olq.0000235169.45680.7c

Cited by 27 publications

(15 citation statements)

References 38 publications

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“…Although a handful of published cost-effectiveness analyses of correctional screening have shown the cost-effectiveness of screening in this venue, 66–68 they were based on theoretical cohorts. In our review, programmatic cost data were lacking across the venues examined.…”

Section: Discussionmentioning

confidence: 99%

Bacterial Sexually Transmitted Disease Screening Outside the Clinic—Implications for the Modern Sexually Transmitted Disease Program

Bernstein

Chow

Pathela

et al. 2016

Sexually Transmitted Diseases

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Background The development of noninvasive nucleic acid amplification tests for chlamydia and gonorrhea has facilitated innovation in moving sexually transmitted disease (STD) screening to nonclinical settings. However, limited data are available to inform local STD programs on evidence-based approaches to STD screening in nonclinical settings in the United States. Methods We conducted a systematic review of the literature published since 2000 related to chlamydia, gonorrhea, and syphilis screening in US correctional settings, bathhouses and sex venues, self-collected at-home testing, and other nonclinical sites. Results Sixty-four articles met eligibility criteria and were reviewed. Although data on testing volume and positivity were available, there were scarce data on the proportion of new positives treated and the programmatic costs for the various screening programs. Screening in correctional settings identified a sizable amount of asymptomatic infections. The value and sustainability of screening in the other nonclinical settings examined was not clear from the published literature. Conclusions Local and state health departments should explore the development of sustainable jail and juvenile detention screening programs for STDs. Furthermore, local programs should pilot outreach and home-based STD screening programs to determine if they are identifying asymptomatic persons who would not have otherwise been found. Local programs are encouraged to present and publish their findings related to non–clinic-based screening to enhance the limited body of literature; data on the proportion of new infections treated and the local program costs are needed.

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Section: Discussionmentioning

confidence: 99%

Bacterial Sexually Transmitted Disease Screening Outside the Clinic—Implications for the Modern Sexually Transmitted Disease Program

Bernstein

Chow

Pathela

et al. 2016

Sexually Transmitted Diseases

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“…However, given the available data, this would not seem to be the case in many jurisdictions. In an earlier study, Gift et al [18] concluded that age-based chlamydia screening of male jail inmates (i.e. screening only men less than 30 years old) would identify almost as many cases as universal screening but at half the cost.…”

Section: Sexually Transmitted Disease Screening and Testingmentioning

confidence: 99%

Sexually transmitted diseases and incarceration

Hammett¹

2009

Current Opinion in Infectious Diseases

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“…Selectively testing only women at the highest risk for gonorrhea may diminish the risk of false-positive results and provide cost savings [17].…”

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confidence: 99%

Selective Testing Criteria for Gonorrhea among Young Women Screened for Chlamydial Infection: Contribution of Race and Geographic Prevalence

Manhart

Marrazzo

Fine³

et al. 2007

J INFECT DIS

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A Cost-Effectiveness Evaluation of a Jail-Based Chlamydia Screening Program for Men and Its Impact on Their Partners in the Community

Abstract: Age-based screening could lower costs without substantially sacrificing effectiveness. Notifying partners of infected inmates was a cost-effective adjunct to screening inmates.

Cited by 27 publications

References 38 publications

Bacterial Sexually Transmitted Disease Screening Outside the Clinic—Implications for the Modern Sexually Transmitted Disease Program

Bacterial Sexually Transmitted Disease Screening Outside the Clinic—Implications for the Modern Sexually Transmitted Disease Program

Sexually transmitted diseases and incarceration

Selective Testing Criteria for Gonorrhea among Young Women Screened for Chlamydial Infection: Contribution of Race and Geographic Prevalence

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