Chlamydia Prevalence In Colleges/Universities in Georgia

Background:
In 1988, the CDC and Office of Population Affairs funded a Chlamydia demonstration project that introduced a regional model for STD control and prevention. Georgia, as a participant in the National Infertility Prevention Project (IPP) provides services under Region IV administration. A major focus of the Infertility Prevention Project involves screenings, with a major component being the Chlamydia Awareness Campaign (CAC).

Objective:
The goal and objective of this initiative is to provide screening for Chlamydia and Gonorrhea to youths at various colleges/universities throughout the state. Additionally, treatment for those students who test positive and their identifiable partners is facilitated, and education and awareness about the prevalence, prevention and treatment of Chlamydia (CT), Gonorrhea (GC), and other STDs is provided.

Method:
Using the Gen-Probe Aptima II Combo test (urine) staff provide CT/GC screenings and treatment when indicated. Additionally, trained staff provide counseling and education about the prevention and treatment of CT/GC and other STDs.

Result:
A total of 1,594 individuals were screened between the months of February and April 2007. There was a 10% positivity rate for Chlamydia (n = 160) and a 1.4% positivity rate for Gonorrhea (n = 22). The majority of those testing positive were between the ages of 20-25 (55% and 59% respectively) and were African American (95%, and 100% respectively).

Conclusion:
In recent years, the prevalence of Sexually Transmitted Diseases (STDs) has dramatically increased and has become a serious public health issue. These astounding trends should drive healthcare officials to address concerns of responsible sexual behavior.

Implications:
Results suggest that continued screening and education efforts should be aimed at decreasing risky behaviors amongst young adults, especially in high morbidity areas. Additionally, policies and partnerships with colleges that offer routine screenings for STDs should be implemented.