Screening for STIs among criminal legal system involved youth of color in community settings.

IF 3 Q1 CRIMINOLOGY & PENOLOGY Health and Justice Pub Date : 2024-09-18 DOI:10.1186/s40352-024-00288-3
Alwyn Cohall, Renee Cohall, Laura Staeheli, Curtis Dolezal, Stephanie Campos, Sin Lee, Megan O'Grady, Susan Tross, Patrick Wilson, Katherine Elkington
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Abstract

Background: Sexually transmitted infections are a significant, and growing, public health problem in this country - particularly among youth. Innovative strategies are needed to reduce the community burden of infection. Preliminary studies indicate that individuals involved in the criminal legal system have high rates of infection. While gaps exist in providing screening for incarcerated individuals, there are minimal efforts that have been initiated to screen individuals diverted from incarceration. In this study, we examined the STI risk profile and feasibility of screening for sexually transmitted infections for youth who were attending an alternative sentencing program after arrest for a minor offense. Youth were screened for chlamydia and gonorrhea using urine-based nucleic acid amplification tests.

Results: Of the 307 participants engaged in a program providing supportive services for criminal legal system involved youth at the Brooklyn Court House in New York City, 186 agreed to screening for sexually transmitted infections, and 8% were positive for chlamydia, gonorrhea, or both.

Conclusions: Screening programs within carceral settings have proven effective in identifying individuals with STIs. However, with policy changes diverting more young people away from incarceration and into community-based programs, innovative programs are needed to identify STIs among youth in these settings. Our findings indicate that it is feasible to conduct venue-based screening in these settings, and, doing so may identify youth in need of treatment and further evaluation.

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在社区环境中对涉及刑事法律系统的有色人种青少年进行性传播疾病筛查。
背景:在我国,性传播感染是一个严重的公共卫生问题,而且这一问题还在不断加剧,尤其是在青少年中。我们需要创新的策略来减轻社区的感染负担。初步研究表明,涉及刑事法律系统的个人感染率很高。虽然在为被监禁者提供筛查方面存在差距,但在筛查刑满释放人员方面所做的努力却微乎其微。在这项研究中,我们调查了因轻微犯罪而被捕后参加替代刑罚计划的青少年的性传播感染风险概况以及性传播感染筛查的可行性。我们使用基于尿液的核酸扩增测试对青少年进行了衣原体和淋病筛查:在纽约市布鲁克林法院为涉及刑事法律系统的青少年提供支持性服务的项目中,有 307 名参与者,其中 186 人同意接受性传播感染筛查,8% 的人衣原体、淋病或两者均呈阳性:事实证明,囚禁环境中的筛查计划能有效识别性传播感染者。然而,随着政策的变化,越来越多的年轻人被从监禁场所转到社区项目中,因此需要创新的项目来识别这些环境中的年轻人是否患有性传播疾病。我们的研究结果表明,在这些环境中进行基于场所的筛查是可行的,而且这样做可以识别出需要治疗和进一步评估的青少年。
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来源期刊
Health and Justice
Health and Justice Social Sciences-Law
CiteScore
4.10
自引率
8.60%
发文量
34
审稿时长
13 weeks
期刊介绍: Health & Justice is open to submissions from public health, criminology and criminal justice, medical science, psychology and clinical sciences, sociology, neuroscience, biology, anthropology and the social sciences, and covers a broad array of research types. It publishes original research, research notes (promising issues that are smaller in scope), commentaries, and translational notes (possible ways of introducing innovations in the justice system). Health & Justice aims to: Present original experimental research on the area of health and well-being of people involved in the adult or juvenile justice system, including people who work in the system; Present meta-analysis or systematic reviews in the area of health and justice for those involved in the justice system; Provide an arena to present new and upcoming scientific issues; Present translational science—the movement of scientific findings into practice including programs, procedures, or strategies; Present implementation science findings to advance the uptake and use of evidence-based practices; and, Present protocols and clinical practice guidelines. As an open access journal, Health & Justice aims for a broad reach, including researchers across many disciplines as well as justice practitioners (e.g. judges, prosecutors, defenders, probation officers, treatment providers, mental health and medical personnel working with justice-involved individuals, etc.). The sections of the journal devoted to translational and implementation sciences are primarily geared to practitioners and justice actors with special attention to the techniques used.
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