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Download - Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

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Page 1: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Using Technology in Adolescent STI Prevention

Presented at eCDC SeminarFocus on Users: Adolescents

Atlanta, GAJune 12, 2008

Kees Rietmeijer, MD, PhD

Internet and STD Center of ExcellenceDenver Public Health Department

Page 2: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Why Do We Care?

Page 3: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department
Page 4: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Chlamydia — Age- and sex-specific rates: United States, 2006

Men Rate (per 100,000 population) Women

Age3000 2400 1800 1200 600 0 0 600 1200 1800 2400 3000

11.6 121.510-14

545.1 2862.715-19

856.9 2797.020-24

480.8 1141.225-29

222.2 415.730-34

120.8 174.235-39

65.1 69.040-44

27.8 25.645-54

9.1 6.855-64

2.8 2.265+

173.4 517.0Total

Page 5: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Gonorrhea — Age- and sex-specific rates: United States, 2006

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

6.3 35.110-14

279.1 647.915-19

454.1 605.720-24

320.9 294.925-29

185.7 125.530-34

130.8 65.735-39

93.5 33.940-44

53.0 12.945-54

18.4 2.955-64

4.2 0.765+

117.1 124.6Total

Page 6: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Communication Technology and STI among Adolescents:

What’s the Risk?

Page 7: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

McFarlane et al. J Adol Health 2002;31:11.

Page 8: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

McFarlane et al. J Adol Health 2002;31:11.

Page 9: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Using Technology for STI Services and Prevention

1. Adjunct to Clinical Services

Page 10: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Denver Metro Health Clinic - HealthDoc

Includes:-Consent to text messaging-ID and Pass code to obtain online results

Page 11: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department
Page 12: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department
Page 13: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department
Page 14: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department
Page 15: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Cell Phone & Text Messaging Use Among STD Clinic Patients

Clinic Survey Results

Do you use a cell phone? 84.7%

Do you use text messaging on your cell phone?

90.2%

Is it OK to contact you via text message?

93.5%

Presented at ISSTDR, 2007

Page 16: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Text Messaging ProjectsDenver Metro Health Clinic

• Project 1

Send text message to those testing positive for gonorrhea or chlamydia to call the clinic to receive their results (if they haven’t called back after 7 days)

Page 17: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Text Messaging ProjectsDenver Metro Health Clinic

• Project 2

Send text message to those treated for gonorrhea or chlamydia to return to the clinic for re-testing after 3 months

Page 18: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Using Technology for STI Services and Prevention

2. Stand Alone Clinical Services

Page 19: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

HIV/STI Testing

Page 20: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Using Technology for STI Services and Prevention

3. Partner Services

Page 21: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Available at www.ncsddc.org and at www.stdpreventiononline.org

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Online PN - InSpot

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Page 24: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

Using Technology for STI Services and Prevention

4. STI Prevention

Page 25: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department
Page 26: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department
Page 27: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department
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Page 29: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department
http://www.youtube.com/watch?v=OQblGUj2qIc
Page 30: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department
Page 31: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

The Internet and STI/HIV Prevention Providers

Get With The Program!!

Page 32: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department
Page 33: Kees Rietmeijer, MD, PhD Internet and STD Center of Excellence Denver Public Health Department

STDPreventionOnline


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