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

Patel, Chirag G.; DePadilla, Lara; Cuffe, Kendra M.; Tao, Guoyu; Gift, Thomas L.

doi:10.1097/OLQ.0000000000001966

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CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners. As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.

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

7 01 2024
By Patel, Chirag G. ; DePadilla, Lara ; Cuffe, Kendra M. ; ...
Source: Sex Transm Dis. 51(7):472-479

Public Access Version Available on: July 01, 2025, 12:00 AM

Please check back on the date listed above.

English

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Details:

Alternative Title:

Sex Transm Dis
Personal Author:

Patel, Chirag G. ; DePadilla, Lara ; Cuffe, Kendra M. ; Tao, Guoyu ; Gift, Thomas L.

Patel, Chirag G. ; DePadilla, Lara ; Cuffe, Kendra M. ; Tao, Guoyu ; Gift, Thomas L. Less -
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:

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Adolescent Adult Female Gonorrhea HIV Infections HIV Testing Humans Male Mass Screening Opioid-Related Disorders Sexually Transmitted Diseases United States Young Adult
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
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