STI and HIV Testing and Diagnosis Among 15–44 Years Old Patients with and without Opioid Use Disorder
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7 01 2024
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Source: Sex Transm Dis. 51(7):472-479
Details:
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Alternative Title:Sex Transm Dis
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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.
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Pubmed ID:38829928
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Pubmed Central ID:PMC11182728
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