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International Journal of STD & AIDS

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Int J STD AIDS 2008;19:51-52
doi:10.1258/ijsa.2007.007104
© 2008 Royal Society of Medicine Press

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AUDIT REPORT

Impact of National Chlamydia Screening Programme on sexual health of children under the age of 16 years

M Kawsar MRCP and R Richards RGN

Department of Genito-Urinary Medicine, Luton and Dunstable Hospital, Luton, Bedfordshire, UK

Correspondence to: Dr M Kawsar Email: mokawsar{at}hotmail.com

The objectives of the study were to investigate the rates of sexually transmitted infections (STIs), uptake of full STI screening and contraceptive use during pre- and post National Chlamydia Screening Programme (NCSP) periods and to determine the prevalence of sexual abuse/assault. The method used was a retrospective case notes audit of children aged <16 years. STIs were found in 20% (n = 264) of children; 10% had genital chlamydia. 157 (59%) of 264 children had an assessment for non-consensual sexual activity; of those, 34% had a history of past or continuing sexual abuse/assault. An uptake of ‘full STI screening’ and contraceptive use were similar in both pre- and post-NCSP periods. Overall STIs and chlamydia rates were higher during post-NCSP period. In conclusion, NCSP has not yet made any significant impact on sexual health of under-16-year-olds and the prevalence of past or ongoing sexual abuse/assault was high.

Key Words: chlamydia • children • screening • STIs • under-16


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