Trends in Receipt of Sexually Transmitted Disease Services Among Women 15 to 44 Years Old in the United States, 2002 to 2006–2010

Details

• Alternative Title:
  Sex Transm Dis
• Personal Author:
  Haderxhanaj, Laura T. ; Gift, Thomas L. ; Loosier, Penny S. ; Cramer, Ryan C. ; Leichliter, Jami S.
• 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.
  
  
• Subjects:
  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

  More +
• 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
• Volume:
  41
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f9b4ab1d908be8639b0da15f4780677923f8c4a359e15e25904165d9da00cd00
• Download URL:
  https://stacks.cdc.gov/view/cdc/51419/cdc_51419_DS1.pdf
• File Type:
  [PDF - 350.04 KB ]