Teen Clinics: Missing the Mark? Comparing Pregnancy and Sexually Transmitted Infections Rates Among Enrolled and Non-Enrolled Adolescents

Shaw, Souradet Y., Colleen Metge, Carole Taylor, Mariette Chartier, Catherine Charette, Lisa Lix, Rob Santos et al. "Teen clinics: missing the mark? Comparing pregnancy and sexually transmitted infections rates among enrolled and non-enrolled adolescents." International Journal for Equity in Health

Posted: 31 Jul 2016

See all articles by Souradet Shaw

Souradet Shaw

University of Manitoba - Department of Community Health Sciences (CHS)

Colleen J Metge

University of Manitoba - Manitoba Centre for Health Policy

Carole Taylor

University of Manitoba - Manitoba Centre for Health Policy

Mariette Chartier

University of Manitoba - Max Rady College of Medicine

Catherine Charette

Independent

Lisa Lix

University of Manitoba - Max Rady College of Medicine

Rob Santos

University of Manitoba - Department of Community Health Sciences (CHS)

Joykrishna Sarkar

University of Manitoba - Manitoba Centre for Health Policy

Nathan Nickel

University of Manitoba - Department of Community Health Sciences (CHS); University of Manitoba - Manitoba Centre for Health Policy

Elaine Burland

University of Manitoba - Manitoba Centre for Health Policy

Dan Chateau

University of Manitoba - Department of Community Health Sciences (CHS); University of Manitoba - Manitoba Centre for Health Policy

Alan Katz

University of Manitoba - Department of Community Health Sciences (CHS); University of Manitoba - Manitoba Centre for Health Policy

Marni D. Brownell

University of Manitoba - Department of Community Health Sciences (CHS); University of Manitoba - Manitoba Centre for Health Policy

Patricia Martens

University of Manitoba - Department of Community Health Sciences (CHS); University of Manitoba - Manitoba Centre for Health Policy

Date Written: June 2016

Abstract

Background: In Manitoba, Canada, school-based clinics providing sexual and reproductive health services for adolescents have been implemented to address high rates of sexually transmitted infections (STIs) and pregnancies.

Methods: The objectives of this population-based study were to compare pregnancy and STI rates between adolescents enrolled in schools with school-based clinics, those in schools without clinics, and those not enrolled in school. Data were from the PATHS Data Resource held in the Population Health Research Data Repository housed at the Manitoba Centre for Health Policy. Adolescents aged 14 to 19 between 2003 and 2009 were included in the study. Annualized rates of pregnancies and positive STI tests were estimated and Poisson regression models were used to test for differences in rates amongst the three groups.

Results: As a proportion, pregnancies among non-enrolled female adolescents accounted for 55 % of all pregnancies in this age group during the study period. Pregnancy rates were 2–3 times as high among non-enrolled female adolescents. Compared to adolescents enrolled in schools without school-based clinics, age-adjusted STI rates were 3.5 times (p < .001) higher in non-enrolled males and 2.3 times (p < .001) higher in non-enrolled females.

Conclusions: The highest rates for pregnancies and STIs were observed among non-enrolled adolescents. Although provision of reproductive and health services to in-school adolescents should remain a priority, program planning and design should consider optimal strategies to engage out of school youth.

Keywords: school-based clinics, teen pregnancies, STIs, out of school youth

Suggested Citation

Shaw, Souradet and Metge, Colleen J and Taylor, Carole and Chartier, Mariette and Charette, Catherine and Lix, Lisa and Santos, Rob and Sarkar, Joykrishna and Nickel, Nathan and Burland, Elaine and Chateau, Dan and Katz, Alan and Brownell, Marni D. and Martens, Patricia, Teen Clinics: Missing the Mark? Comparing Pregnancy and Sexually Transmitted Infections Rates Among Enrolled and Non-Enrolled Adolescents (June 2016). Shaw, Souradet Y., Colleen Metge, Carole Taylor, Mariette Chartier, Catherine Charette, Lisa Lix, Rob Santos et al. "Teen clinics: missing the mark? Comparing pregnancy and sexually transmitted infections rates among enrolled and non-enrolled adolescents." International Journal for Equity in Health . Available at SSRN: https://ssrn.com/abstract=2815582

Souradet Shaw (Contact Author)

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

Colleen J Metge

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

Carole Taylor

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

Mariette Chartier

University of Manitoba - Max Rady College of Medicine ( email )

Winnipeg
Canada

Catherine Charette

Independent ( email )

No Address Available

Lisa Lix

University of Manitoba - Max Rady College of Medicine ( email )

Winnipeg
Canada

Rob Santos

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

Joykrishna Sarkar

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

Nathan Nickel

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

Elaine Burland

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

Dan Chateau

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

Alan Katz

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

Marni D. Brownell

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

Patricia Martens

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

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