Health insurance coverage, health care-seeking behaviors, and genital chlamydial infection prevalence in sexually active young adults

Sexually Transmitted Diseases
William M GeislerE W Hook

Abstract

Genital chlamydial infection remains prevalent in young adults. Differential access to health care and thus the opportunity for testing, treatment, sexual partner services, and risk reduction counseling may be among the factors contributing to variation in chlamydial prevalence. We investigated associations of health insurance coverage and health care-seeking behaviors, both indicators of healthcare access, to chlamydial infection in a nationally representative sample of young adults. Weighted logistic regression techniques were used to examine associations between indicators of healthcare access and chlamydial infection as determined using Chlamydia trachomatis ligase chain reaction among a subset of sexually active young adults ages 18 to 27 interviewed at wave III of the National Longitudinal Study of Adolescent Health (N = 9347). Analyses were stratified by gender and controlled for age and race/ethnicity. Having continuous health insurance coverage in the preceding 12 months was associated with a lower risk of chlamydial infection in both men and women. Usual site of health care was also associated with chlamydial infection. Men who reported emergency rooms as their usual site of care had a higher risk of infection, wherea...Continue Reading

References

May 23, 1996·The New England Journal of Medicine·D ScholesW E Stamm
Mar 1, 1997·Sexually Transmitted Diseases·K J MertzK J Dorian
Oct 23, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·D M YealyG D Hobbs
Mar 28, 1998·The American Journal of Emergency Medicine·G J KuhnB J O'Neil
Mar 10, 2001·American Journal of Public Health·C S ToddB P Stoner
Nov 29, 2001·Sexually Transmitted Diseases·W E Stamm
Mar 11, 2004·Journal of General Internal Medicine·Rachel L JohnsonLisa A Cooper
May 13, 2004·JAMA : the Journal of the American Medical Association·William C MillerJ Richard Udry

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Citations

Feb 8, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Murray Penner, Peter A Leone
Mar 24, 2010·Obstetrics and Gynecology·Anna S GraseckJeffrey F Peipert
May 18, 2012·Sexually Transmitted Diseases·Anuradha GanesanUNKNOWN Infectious Disease Clinical Research Program HIV Working Group
Mar 23, 2013·Journal of Pediatric and Adolescent Gynecology·William VolckJill S Huppert
May 28, 2008·Annals of Epidemiology·Cheryl R SteinWilliam C Miller
Feb 16, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Alia A Al-TayyibRichard E Rothman
Feb 26, 2008·American Journal of Obstetrics and Gynecology·William M Geisler, Adelbert B James
Dec 24, 2009·International Journal of STD & AIDS·S R MorrisG Bolan
Aug 23, 2017·World Journal of Clinical Pediatrics·Megan E MaraynesShahriar Zehtabchi
Oct 22, 2008·Sexually Transmitted Diseases·Matthew Hogben, Jami S Leichliter
Oct 24, 2008·Sexually Transmitted Diseases·Deidra D Parrish, Charlotte K Kent
May 8, 2008·Sexually Transmitted Diseases·Trang Quyen NguyenWilliam C Miller
Jan 7, 2010·Sexually Transmitted Diseases·Michele K BohmHillard S Weinstock
Jul 21, 2010·Sexually Transmitted Diseases·Sarah E WieheJ Dennis Fortenberry
May 31, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Melissa K MillerCynthia J Mollen
Jul 19, 2013·Sexually Transmitted Diseases·Judith C ShlaySusan Dreisbach
Mar 15, 2013·Sexually Transmitted Diseases·Elizabeth A TorroneHillard S Weinstock
Jul 15, 2015·Maternal and Child Health Journal·Diane Y DongVijaya Kancherla
Dec 29, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Molly R PetersenAaron A R Tobian
Jun 11, 2021·Sexually Transmitted Diseases·Kanupriya GuptaWilliam M Geisler

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