"

N
T
O TO E
I
U OT D NC

O OM

E E
N ID D IN
G C N S
R
I
P S IN A S
E
E
A
H
I
D
E D
N
LT M
H Y
E
A A
T
R
E R E
M
A S
H G S
A
W N
L
A E
A O
A H
E C E E
R
S T
P CR F
E O EA
D
R
C
I N BY: SHELBY DUNCAN, SHARON

O
N
K

K
C

MCKEE, TASHANA MOISE, &

JESSICA RICHBURG

AN INFECTIOUS EPIDEMIC
In the United States, sexually transmitted diseases
(STDs) are a major health concern that has given rise
to a multitude of tribulations
Half of the top ten reported infections to the Center
for Disease Control and Prevention (CDC) are STDs:
chlamydia, gonorrhea, AIDS, syphilis, and hepatitis B

An estimated 110.2 million people in the U.S. living

with a STD with approximately 20 million new cases
occurring each year

9.1 million of these cases affect young people

between the ages of 15-24 although this group only
comprises 25% of the sexually active population
Without diagnosis and treatment some of the most
common of these infections can lead to chronic pain,
endangered pregnancy, infertility, and notable
diseases such as cancer

D
Y

M
A
L
H
A
C AT
D

IA
Chlamydia is one of the most
reported notifiable diseases
in the United States
In the Southern US the
greatest incidence occurs in
young people ages 15-24
Incidence rate of 2136.2 per
100,000 Statewide
Current rate of infections in
Duval County is 606 per
100,000 of the population

LOCAL IMPLICATIONS
Compared to statewide data,
teens in Duval County initiate
sexual activity at an earlier age
or have been found to have
more sexual partners
3 out of 10 high school
students are currently sexually
active and condom use is not
performed by 1 of those 3
Due to these behaviors teens in
Duval County have seen high
rates of STDs among their
population
According to the High School
YRBS data between the years
of 2009-2013 Health Zone 4
(HZ4), which is located on the
Southwest corner of Duval
County, is significantly the only
health zone to see an increase
in sexual behaviors

GOALS AND OBJECTIVES

Goal: To reduce the incidence rate of Chlamydia
infections in adolescents ages 15-19 in Duval County,
Health Zone 4.
Objectives:

Process- At the end of the program implementation,

facilitators will receive a response of very satisfied
on feedback for the educational segment from 80%
of the program participants.

Impact/Learner- At the end of the program, 80% of

participants will effectively list 3 risk factors
affecting STD/STI incidence rates.

Impact/Behavioral- Three months after the program,

80% of sexually active participants will report
condom use at last sexual intercourse.

Outcome/Program- By the year 2020, incidence rates of

Chlamydia in Health Zone 4 in Jacksonville, FL will
have decreased by 10% (from Healthy People2020).

TARGET POPULATION

Young adolescents (aged 15-19) who attend high

school in HZ4, Jacksonville, FL.

4 specific schools will be targeted: Edward White

High School, Robert E. Lee High School, Frank H.
Peterson High School, and Murray Hill High School.

We will select our sample by having 50 freshman

students from all 4 high schools take our needs
assessment survey. The 2 schools that show the
greatest need will be selected for our program.
One school will be the intervention group and the
other will be our control group.

CONTROL GROUP
to be tested for STDs. All persons who have
more than one sex partner, especially
women under 25 years of age, should get
tested for chlamydial infection regularly, even
if they have no symptoms.

Ijusthadamedicalexam.DoIhavetosee
thedoctoragain?

Sourcesforthisbrochure
http://www.ashastd.org/press/tm082697.html
Nat ional Cent er of HIV, STD and TB
Pr event ion
http://www.cdc.gov/nchstp/od/nchstp.html

Yes, unless you were tested for STDs. If

you're not sure, call your doctor's office and
ask. STDs without symptoms are not
detected during routine medical exams. In
women, Pap smears do not test for STDs.

HowcanIgetmoreinformation?
If you have personal issues concerning
Sexually Transmitted Diseases (STDs) and
wish to speak to an information specialist to
discuss risk factors and how to prevent STD
transmission, you may call the Centers for
Disease Control and Prevention's Nat ional
STD Hot line answered 24 hours a day, 7
days a week.

Chlamydia

1-800-227-8922
1-800-243-7889 TTY
1-800-344-7432 Spanish
Monday - Friday,
8AM - 2AM

Three million people are infected with

Chlamydia every year. Are you at risk?
Reviewed by Sandy Iiamis, RN, CIC
Copyright 2005 by The Association for Professionals in
Infection Control and Epidemiology, 1275 K Street NW, Suite
1000, Washington, DC 20005-4006.

CONTROL GROUP

KNOCK OUT CHLAMYDIA WITH WRAP

IT
Team Knock Out has one goal, to knock out Chlamydia in the youth
of HZ4.
-Our program is a small scale health fair that will provide students
a variety of Health Stations at which they will learn
prevention, risk factors, symptoms, treatments options, local
resources, and also be provided an anonymous question station.
-Team Knock Out has tailored this to our population by creating a
diverse atmosphere with entertainment and incentive for our
participants. Our Wrap It health fair will also provide the
opportunity for students to interact with local professional
athletes from the Jacksonville Jaguars, who will be endorsers of
a Healthy Lifestyle, as well as community role models.
-The key component of our health fair is the anonymous question
station, I Heard This is key in reaching students because
they are provided a completely anonymous avenue to ask any
question or debunk any myth they may have about sex, sex
practices, or STDs. The questions will be deposited in a sealed
box. All will then be answered by a health professional, and
shared with the students via flyers.

EVALUATION:
-Both the Impact and the Outcome levels will be assessed
with a post test survey.
-The Impact level is assessed at the conclusion of the
intervention activities, students will answer post test
survey.
-A further impact level will be assessed 3 months after the
initial intervention, students will answer the post test
survey again.
-The Outcome level will be assessed in 2020 by comparing
the data of Chlamydia rates in HZ4 to the rates from 2015.
-The results will be reviewed internally, as well as externally
to limit bias and maintain insight to the intervention.

KNOCK OUT: BUDGET