Gonorrhea Screening: What Do the Data Tell Us? Region II IPP Advisory Meeting May 31, 2006 Kelly Opdyke, MPH Cicatelli Associates Inc.

Region II IPP Strategic Plan 2005-2009 PRIORITY 1: Target/Expand Chlamydia Screening to Young Sexually Active Women and Men at Risk for Infection in Public and Private Settings. GOAL: All at risk men and women under the age of 25 will be screened at least annually. OBJECTIVE 1B: By December 2006, decrease routine Ct and GC screening by 50% in women ≥30 years of age in FP clinics where the prevalence of Ct is less than 2%

Gonorrhea Positivity by Sex N = 162,003 N = 172,116 N = 209,421

Female Positivity for Gonorrhea by Age Group and Provider Type N = 1,065 N = 35,625 N = 54,099 N = 32,183 N = 37,777

FP Female GC Testing & Positivity by Project Area and Age Group Region II IPP CY2005 Project Area < 25 Yrs 25-29 Yrs 30+ Yrs Total # Tests % Pos NJ 18,357 1.18% 4,810 0.40% 5,468 0.29% 28,635 0.88% NYC 9,003 0.48% 5,400 0.17% 6,452 0.02% 20,855 0.25% NYS 35,734 0.68% 11,983 0.45% 10,707 0.26% 58,424 0.56% PR 3,034 1,303 0.08% 1,223 0.16% 5,560 0.27% USVI 547 2.93% 179 0.00% 243 969 1.65% Region II Total 66,675 0.80% 23,675 0.35% 24,093 0.20% 114,443 0.58%

STD Female GC Testing & Positivity by Project Area and Age Region II IPP CY2005 Project Area < 30 Yrs 30+ Yrs Total # Tests % Pos NJ 2,636 4.06% 703 2.42% 3,339 3.71% NYC 9,548 2.97% 4,673 2.03% 14,221 2.67% NYS* n/a PR 2,356 0.81% 1,066 1.03% 3,422 0.88% USVI 181 3.31% 66 3.03% 247 3.24% Region II Total 14,721 2.83% 6,508 1.92% 21,229 2.55% *No GC tests reported by NYS STD sites for females in CY2005

Female Positivity for Gonorrhea by Race/Ethnicity N = 43,202 N = 40,235 N = 2,320 N = 559 N = 7,084 N = 64,443

Male Positivity for Gonorrhea by Age Group and Provider Type N = 915 N = 8,175 N = 11,681 N = 8,734 N = 17,366

STD Male GC Testing & Positivity by Project Area and Age Region II IPP CY2005 Project Area < 30 Yrs 30+ Yrs Total # Tests % Pos NJ 2,186 7.23% 907 5.51% 3,093 6.72% NYC 10,465 4.98% 9,170 4.10% 19,635 4.57% NYS* n/a 6 0.00% PR 1,464 3.89% 1,056 4.83% 2,520 4.29% USVI 153 7.84% 62 6.45% 215 7.44% Region II Total 14,268 5.24% 11,201 25,469

Male Positivity for Gonorrhea by Race/Ethnicity N = 7,183 N = 18,536 N = 600 N = 334 N = 3,007 N = 12,189