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NCC News
The National Chlamydia Coalition Newsletter
 
 
 
Issue 14: July 30, 2010
 
In This Issue
Interim Rules Issued for Preventive Care and Screening
Research Article of the Month
AHRQ Preventive Services Selector Available
Please send items you would like to have included in future issues of NCC News to: award@prevent.org.
Dear Colleague,

Welcome to NCC News. This online newsletter was created to keep you up-to-date on all things chlamydia, and related areas of interest. We hope you will find it useful and informative. Please feel free to share this with your colleagues who may also find it of use.
 
Interim Rules Issued for Preventive Care and Screening
  
The Affordable Care Act (health reform law) calls for health plans to provide coverage for clinical preventive services and requires that recommended services be provided without patient cost-sharing, such as deductibles or co-payments. Pertinent federal agencies have drafted interim rules to guide implementation of this provision of the law, which applies to group and individual plans issued after September 23, 2010. 
 
Covered services include those that have received a grade of A or B from the U.S. Preventive Services Task Force and recommendations from the Advisory Committee on Immunization Practices. At a future date, the Health Resources and Health Services Administration (HRSA) will issue additional evidence-informed recommendations for women, infants, children and adolescents.
 
Presently included are recommendations for chlamydia screening, as well as screening for gonorrhea, syphilis, HIV, Hepatitis B, and STI counseling for persons at risk. Pap smears for women, screening for tobacco use, depression and other screening and counseling services are also included. The complete listing of services covered in the rules can be found here. The full text of the rules and the mechanism to provide public comments (due September 17, 2010) can be found here.
Women and the Affordable Care Act
 
The Commonwealth Fund issued a report on how the Affordable Care Act will benefit health care for women over the next decade, including expanding coverage to about 15 million women who are currently uninsured and improving benefits or reducing costs for an additional 14.5 million women.
CDC Commentary: Chlamydia Prevention
 
Catherine Satterwhite, epidemiologist for the Infertility Prevention Project at CDC, provides an expert commentary video, CDC Commentary: Preventing Chlamydia. Satterwhite discusses chlamydia screening recommendations and steps providers can take to make chlamydia testing a routine part of their medical practice.
NCC Mini-Grants in the Media 
 

 
Minnesota Department of Health (MDH) project director Candy Hadsall recently sat down for a video interview with Three Sixty Journalism, a group of Minnesota teen journalists. In the interview, Hadsall describes the high prevalence of chlamydia, especially among young women in Minnesota. To address these disparities, MDH is using NCC mini-grant funds to support the Minnesota Chlamydia Partnership Summit on August 3, 2010. The Summit will facilitate the development of a statewide coalition and the creation of a long-term, strategic chlamydia action plan.
 
Three local television stations in Yakima, Washington ran news stories on Planned Parenthood of Greater Washington and North Idaho, which received NCC mini-grant funding for its "Promotoras de Salud" or "Promoters of Health" peer mentoring program. Yakima County has the highest chlamydia rate in the state of Washington. The promotoras deliver reproductive health information in a culturally sensitive manner to the predominantly migrant populations in the region and encourage people to seek chlamydia screening.
Research Update 
 

Research Article of the Month
Chlamydia prevalence among women and men entering the National Job Training Program: United States, 2003-2007
Satterwhite et al. analyzed chlamydia (CT) prevalence trends from 2003 through 2007 for adolescents and young adults entering the National Job Training Program. After accounting for age, race/ethnicity, test technology and region, CT prevalence for female enrollees actually declined 4% per year and 19% overall from 2003 to 2007. The major factor in this downward trend was adjustment for test technology. For a detailed review, click here
 

Study Investigates the Influence of Stigma on Young Women's Acceptance of Opportunistic Chlamydia Screening
A qualitative study conducted in Ireland investigated young women's opinions on opportunistic chlamydia screening. Semi-structured interviews were conducted with 35 young women aged 18 to 29. Although most respondents indicated that they would accept chlamydia screening if it were offered, many indicated a concern they would be stigmatized if they accepted. Findings showed that younger respondents and those from lower socio-economic backgrounds had the greatest stigma-related concerns.
Resource Corner
 
Clinicans Electronic Preventive Services Selector Available
 
The electronic Preventive Services Selector (ePSS) is an application designed to help primary care clinicians identify the USPSTF recommended screening, counseling, and preventive medication services that are appropriate for each patient. The free ePSS widget allows clinicians to enter patient data in five fields (age, sex, pregnancy status, tobacco user, sexually active) and then delivers a list of the recommended preventive services for a typical patient with specified characteristics. We are pleased that sexual activity is one of the primary screening criteria, as CDC, Partnership for Prevention, and others had suggested.  
 
State Data Center Now Available from the Guttmacher Institute
Guttmacher's new online State Data Center allows researchers, advocates, policymakers, journalists and others working on reproductive health issues at the national or state level to build, download and print custom tables, graphs and maps on a range of abortion, pregnancy and family planning-related issues. It includes demographic facts and state-specific information on topics such as insurance coverage of contraceptives, substance abuse during pregnancy and sex education.