Evidence map›Paper›PMID 26846572›Full record

ArticleThe Journal of pediatrics2016

Universal Screening for Sexually Transmitted Infections among Asymptomatic Adolescents in an Urban Emergency Department: High Acceptance but Low Prevalence of Infection.

Monika K Goyal, Stephen J Teach, Gia M Badolato, Maria Trent, James M Chamberlain

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
14.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04120376 nacompletednot on this mapstarted 2019, after this paper: background citation

An Emergency Department-Based Study to Reduce Adolescent Pregnancy

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2019 to 2021Enrolled144ConditionsPregnancy in Adolescence, Counseling, Contraception BehaviorArmsContraception Counseling
NCT04417426 completednot on this mapstarted 2019, after this paper: background citation

Sexual Behavior: Challenges in Prevention and Control Among Medical Students in Mexico

TypeobservationalSponsorInstituto Mexicano del Seguro SocialRan2019 to 2020Enrolled519ConditionsSexually Transmitted DiseasesArmsSurvey
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 41 citations in OpenAlex.

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  11. Expanding Contraceptive Access for Teens-Leveraging the Pediatric Emergency Department.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
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  16. Sex Without Contraceptives in a Multicenter Study of Adolescent Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020
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  17. A Research Agenda for Emergency Medicine-based Adolescent Sexual and Reproductive Health.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019
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  18. Observational
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  20. Sexually Transmitted Infection Testing in Adolescents: Current Practices in the Hospital Setting.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Monika K GoyalChildren's National Health System, Washington, DC; Departments of Pediatrics and Emergency Medicine, the George Washington University School of Medicine and Health Sciences, Washington, DC. Electronic address: mgoyal@childrensnational.org.
Stephen J TeachChildren's National Health System, Washington, DC; Departments of Pediatrics and Emergency Medicine, the George Washington University School of Medicine and Health Sciences, Washington, DC.
Gia M BadolatoChildren's National Health System, Washington, DC.
Maria TrentDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.
James M ChamberlainChildren's National Health System, Washington, DC; Departments of Pediatrics and Emergency Medicine, the George Washington University School of Medicine and Health Sciences, Washington, DC.
Children's National · USGeorge Washington University · USJohns Hopkins University · US

Funding

Clinical and Translational Science Institute at Children's NationalUL1TR000075 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI GUAY-WOODFORD, LISA MARIE · 2012 to 2015
$13.7M
Improvement of STI Detection in Adolescent Emergency Department PatientsK23HD070910 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI GOYAL, MONIKA KUMARI · 2012 to 2016
$622k
NCATS NIH HHS UL1 TR000075NCATS NIH HHS UL1TR000075NICHD NIH HHS K23 HD070910NICHD NIH HHS K23HD070910
6 · The paper itself

Abstract

objectivesTo evaluate acceptance of sexually transmitted infection (STI) screening and measure STI prevalence in an asymptomatic adolescent emergency department (ED) population. STUDY

designThis was a prospectively enrolled cross-sectional study of 14- to 21-year-old patients who sought care at an urban pediatric ED with non-STI related complaints. Participants completed a computer-assisted questionnaire to collect demographic and behavioral data and were asked to provide a urine sample to screen for Chlamydia trachomatis and Neisseria gonorrhoeae infection. We calculated STI screening acceptance and STI prevalence. We used logistic regression to identify factors associated with screening acceptance and presence of infection.

resultsOf 553 enrolled patients, 326 (59.0%) agreed to be screened for STIs. STI screening acceptability was associated with having public health insurance (aOR 1.7; 1.1, 2.5) and being sexually active (sexually active but denying high risk activity [aOR 1.7; 1.1, 2.5]; sexually active and reporting high risk activity [aOR 2.6; 1.5, 4.6]). Sixteen patients (4.9%; 95% CI 2.6, 7.3) had an asymptomatic STI. High-risk sexual behavior (aOR 7.2; 1.4, 37.7) and preferential use of the ED rather than primary care for acute medical needs (aOR 4.0; 1.3, 12.3) were associated with STI.

conclusionsSTI screening is acceptable to adolescents in the ED, especially among those who declare sexual experience. Overall, there was a low prevalence of asymptomatic STI. Risk of STI was higher among youth engaging in high-risk sexual behavior and those relying on the ED for acute health care access. Targeted screening interventions may be more efficient than universal screening for STI detection in the ED.

Indexed as

AdolescentAdolescent BehaviorAttitude to HealthChlamydia InfectionsChlamydia trachomatisCross-Sectional StudiesDistrict of ColumbiaEmergency Service, HospitalFemaleGonorrheaHumansInsurance, HealthLogistic ModelsMaleMass ScreeningNeisseria gonorrhoeae

Identifiers

PMID26846572
PMCPMC4808598
OpenAlexW2250616558

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.