STI and HIV Testing and Diagnosis Among 15–44 Years Old Patients with and without Opioid Use Disorder

Details

• Alternative Title:
  Sex Transm Dis
• Personal Author:
  Patel, Chirag G. ; DePadilla, Lara ; Cuffe, Kendra M. ; Tao, Guoyu ; Gift, Thomas L.
• Description:
  Background:
  
  The association between illicit opioid use and prescription opioid misuse and sexually transmitted infections (STIs) has not been examined recently. Our study aims to explore differences in STI/HIV care, delivery of recommended testing and diagnoses among patients with and without opioid use disorder (OUD).
  
  Methods:
  
  Using 2019 MarketScan commercial claims data, we identified 15–44 years old male and female patients, to assess the percentages of STI/HIV diagnoses (using ICD10-CM) and screening (using Current Procedure Terminology codes) among patients with or without OUD diagnoses codes. We further assessed STI/HIV testing and diagnoses by demographic factors.
  
  Results:
  
  We identified 24,724 patients with OUD codes among 7.31 million patients. Both STI/HIV testing and diagnoses were significantly (p<0.05) higher among patients with OUD codes versus without: testing percentages were 16.81% versus 12.93% for chlamydia, 22.31% versus 16.62% for gonorrhea, 15.26% versus 7.61% for syphilis and 18.18% versus 7.60% for HIV and diagnoses were 0.80% versus 0.35% for chlamydia, 0.30% versus 0.11% for gonorrhea, 0.23% versus 0.07% for syphilis and 0.74% versus 0.33% for HIV. Similarly, among 0.53 million 15–24 years old females who received services suggestive of sexual activity, chlamydia testing was significantly (p<0.05) higher among patients with OUD codes versus without (59.78% versus 55.66%).
  
  Conclusions:
  
  Patients with OUD codes have higher percentages of STI/HIV testing and diagnoses codes compared to those without OUD codes. Clinicians may want to consider a comprehensive multidisciplinary (OUD and STI prevention) approach in patient care and provide recommended STI/HIV screening among patients with OUD if not performed.
  
  
• Subjects:
  Adolescent Adult Female Gonorrhea HIV Infections HIV Testing Humans Male Mass Screening Opioid-Related Disorders Sexually Transmitted Diseases United States Young Adult

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• Keywords:
  Chlamydia Commercially-insured Diagnoses Gonorrhea Opioid Use Disorder STI Syphilis And HIV Testing Testing
• Source:
  Sex Transm Dis. 51(7):472-479
• Pubmed ID:
  38829928
• Pubmed Central ID:
  PMC11182728
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  51
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:5b7fead90b5d67924612094f11b330eba86972d782221c68ac095b2047955d542e6412c97523ba9d5b3a7cbb00f3247ce237bc3d96c48f21680de6c6aeb56c65
• Download URL:
  https://stacks.cdc.gov/view/cdc/157997/cdc_157997_DS1.pdf
• File Type:
  [PDF - 204.78 KB ]