Details:

Alternative Title:
Sex Transm Dis
Publisher's site:
http://dx.doi.org/10.1097/OLQ.0000000000000058
Personal Author:
Haderxhanaj, Laura T. ; Gift, Thomas L. ; Loosier, Penny S. ; Cramer, Ryan C. ; Leichliter, Jami S.
Haderxhanaj, Laura T. ; Gift, Thomas L. ; Loosier, Penny S. ; Cramer, Ryan C. ; Leichliter, Jami S. Less -
Description:
Background

To describe recent trends in the receipt of sexually transmitted disease (STD) services among women (age, 15–44 years) from 2002 to 2006–2010 using the National Survey of Family Growth.

Methods

We analyzed trends in demographics, health insurance, and visit-related variables of women reporting receipt of STD services (counseling, testing, or treatment) in the past 12 months. We also analyzed trends in the source of STD services and the payment method used.

Results

Receipt of STD services reported by women in the past 12 months increased from 2002 (12.6%) to 2006–2010 (16.0%; P < 0.001). Receipt of services did not increase among adolescents (P = 0.592). Among women receiving STD services from a private doctor/HMO, the percentage with private insurance decreased over time (74.6%–66.8%), whereas the percentage with Medicaid increased (12.8%–19.7%; P = 0.020). For women receiving STD services at a public clinic or nonprimary care facility, there were no statistically significant differences by demographics, except that fewer adolescents but more young adults reported using a public clinic over time (P = 0.038). Among women who reported using Medicaid as payment, receipt of STD services at a public clinic significantly decreased (36.8%–25.4%; P = 0.019). For women who paid for STD services with private insurance, the only significant difference was an increase in having a copay over time (61.3%–70.1%; P = 0.012).

Conclusions

Despite a significant increase in receipt of STD services over time, many women at risk for STDs did not receive services including adolescents. In addition, we identified important shifts in payment methods during this time frame.


Subject:
[+]
Adolescent
Adult
Ambulatory Care Facilities
Delivery Of Health Care
Female
Health Care Surveys
Humans
Insurance, Health
Mass Screening
Patient Acceptance Of Health Care
Sexually Transmitted Diseases
Women's Health
Young Adult

Source:
Sex Transm Dis. 41(1):67-73.
Pubmed ID:
24335746
Pubmed Central ID:
PMC5795626
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:f9b4ab1d908be8639b0da15f4780677923f8c4a359e15e25904165d9da00cd00
File Type:

Supporting Files

• nihms934139.nxml

  xml

More +