Acceptability of Urine Screening for Neisseria gonorrheae and Chlamydia trachomatis in Adolescents at an Urban Emergency Department

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ObjectiveThe objective of this study was to determine the acceptability of urine screening for Neisseria gonorrhoeae and Chlamydia trachomatis in adolescents in a pediatric emergency department.Study DesignWe used a prospective enrollment of adolescents aged 14–20 visiting an urban pediatric emergency department.Main Outcome MeasuresThe main outcome measure was acceptance of urine STD screening rates.ResultsOf 1231 potential participants, 879 (71%) agreed to participate and 352 (29%) declined screening. Participants were similar to those refusing to participate in terms of gender. In multivariate analysis, age, race/ethnicity, and insurance status were associated with variation in sexually transmitted disease (STD) test acceptance, whereas the presence of a parent was not. Despite similar training, 1 of 3 recruiters had significantly lower acceptance rates than her peers. Overall, 10% of patients enrolled were found to have one or both infections.ConclusionUrine screening for STDs can be efficiently conducted in an emergency department setting. This screening appears to be acceptable to most patients.

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