Disparities in chlamydia testing among young women with sexually transmitted infection symptoms

Sexually Transmitted Diseases
Sarah E WieheJ Dennis Fortenberry

Abstract

Diagnostic chlamydia testing is recommended for all young women demonstrating sexually transmitted infection (STI) symptoms. Differential testing among symptomatic women may contribute to disparities in chlamydia rates. Our objective was to determine whether providers test young women with STI symptoms for chlamydia differently by age, race/ethnicity, or insurance status, and whether testing patterns differ by documentation of previous STI. Retrospective cohort analysis using electronic medical records and billing data of women 14 to 25 years old with one or more diagnostic or procedure codes indicative of STI symptoms (N = 61,498 women). Random effects logistic regression analysis was performed to assess the odds of chlamydia testing given a woman presented for a nonpregnancy-related visit with STI symptoms. All analyses controlled for history of STI, setting, and year, and adjusted for within-person correlation. A chlamydia test was performed in 38% of visits with codes indicating STI symptoms. Women aged <18 or >19 were less likely to be tested than women aged 18 to 19, with young women aged 14 to 15 having the lowest odds of being tested (Odd Ratio [OR]: 0.52). Providers were more likely to test minority (ORblack: 2.87; ORL...Continue Reading

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Citations

May 19, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Monika K GoyalCynthia J Mollen
Nov 5, 2020·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Jennifer L ReedJessica A Kahn

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