Availability of Safety-net Sexually Transmitted Disease Clinical Services in the U.S., 2018

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Leichliter, Jami S. ; O’Donnell, Kari ; Kelley, Kat ; Cuffe, Kendra M. ; Weiss, Gretchen ; Gift, Thomas L.
• Description:
  Introduction:
  
  Safety-net sexually transmitted disease services can prevent transmission of sexually transmitted disease. This study assesses the availability of safety-net sexually transmitted disease clinical services across the U.S.
  
  Methods:
  
  A 2018 survey of U.S. local health departments examined the availability of safety-net providers and the availability of specific sexually transmitted disease clinical services, including point-of-care testing and treatment. In 2019, Rao−Scott chi-square tests were used to compare service availability by clinic type (sexually transmitted disease clinic versus other clinics).
  
  Results:
  
  A total of 326 local health departments completed the survey (49% response rate). Of respondents, 64.4% reported that a clinic in their jurisdiction provided safety-net sexually transmitted disease services. Having a safety-net clinic that provided sexually transmitted disease services was more common in medium and large jurisdictions. Sexually transmitted disease clinics were the primary provider in 40.5% of jurisdictions. A wide range of specific sexually transmitted disease services was offered at the primary safety-net clinic for sexually transmitted diseases. Most clinics offered human papillomavirus vaccination and appropriate point-of-care treatment for gonorrhea and syphilis. Fewer than one-quarter of clinics offered point-of-care rapid plasma reagin or dark-field microscopy syphilis testing. Compared with other clinics, services more commonly offered at sexually transmitted disease clinics included same-day services, hepatitis B vaccination, rapid plasma reagin testing (syphilis), any point-of-care testing for gonorrhea, point-of-care trichomonas testing, and extragenital chlamydia or gonorrhea testing.
  
  Conclusions:
  
  One-third of local health departments reported no safety-net sexually transmitted disease services or were not aware of the services, and availability of specific services varied. With-out an expansion of resources, local health departments might explore collaborations with healthcare systems and innovations in testing to expand sexually transmitted disease services.
  
  
• Subjects:
  Adult Article Family Planning Services Female Gonorrhea Humans Male Papillomavirus Infections Papillomavirus Vaccines Point-of-Care Testing Safety-net Providers Sexually Transmitted Diseases Surveys And Questionnaires United States

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• Source:
  Am J Prev Med. 58(4):555-561
• Pubmed ID:
  32001050
• Pubmed Central ID:
  PMC10088361
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  58
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:511d2b943fccebd6bb1f5ce34141ad9b3ec1cc1c629fb23d1e43727ad2c4f857
• Download URL:
  https://stacks.cdc.gov/view/cdc/126891/cdc_126891_DS1.pdf
• File Type:
  [PDF - 352.95 KB ]