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Chlamydia trachomatis infections are the most common reportable sexually transmitted infections (STIs) in the U.S. Annual screening of sexually active adolescents and young adults is recommended, but only about 20% of 18- to 19-year-olds report any STI testing. One obstacle to screening is that most adolescents use urgent care or same-day appointments for medical care rather than scheduled preventive health visits. Investigators evaluated the effectiveness of an intervention to increase chlamydia screening rates in sexually active adolescent girls during acute care visits at a large HMO in California.
Five pediatric clinics were randomly assigned to the intervention, and five clinics served as controls. Each clinic in the intervention group…