Which population does the USPSTF recommend gonorrhea screening for?

Which population does the USPSTF recommend gonorrhea screening for?

• A. Screen all sexually active women 24 years or younger
• B. Screen all sexually active women 25 years or older at increased risk
• C. Screen all sexually active women 24 years or younger and 25 years or older who are at increased risk
• D. Screen only men who have sex with men

Answer: (C)

Gonorrhea screening is guided by age and risk: the USPSTF recommends screening all sexually active women 24 years or younger, and screening women 25 years or older only if they are at increased risk for infection. The option that combines these two criteria—screening all sexually active women 24 years or younger and screening sexually active women 25 years or older who are at increased risk—best matches this approach. It ensures high-prevalence groups are routinely checked while still targeting older women who have risk factors such as new or multiple partners or inconsistent condom use. The other choices are incomplete: screening only the younger group misses older at-risk women; screening only older at-risk women misses the younger, higher-prevalence group; and focusing only on men who have sex with men ignores the established female screening recommendations.

Gonorrhea screening is guided by age and risk: the USPSTF recommends screening all sexually active women 24 years or younger, and screening women 25 years or older only if they are at increased risk for infection. The option that combines these two criteria—screening all sexually active women 24 years or younger and screening sexually active women 25 years or older who are at increased risk—best matches this approach. It ensures high-prevalence groups are routinely checked while still targeting older women who have risk factors such as new or multiple partners or inconsistent condom use. The other choices are incomplete: screening only the younger group misses older at-risk women; screening only older at-risk women misses the younger, higher-prevalence group; and focusing only on men who have sex with men ignores the established female screening recommendations.