Chlamydia Retesting Among Safety-Net Clinic Patients: Infertility Prevention Project.
J Womens Health (Larchmt)
; 27(9): 1135-1141, 2018 09.
Article
en En
| MEDLINE
| ID: mdl-29694796
ABSTRACT
BACKGROUND:
Due to high reinfection rates, the Centers for Disease Control and Prevention (CDC) recommend retesting everyone diagnosed with chlamydia after treatment. However, retesting rates are often low, and research on retesting is limited.METHODS:
Infertility Prevention Project (IPP) was a national chlamydia screening and treatment project in the United States. We completed a retrospective longitudinal analysis using IPP testing data from 8,266 women with at least 1 positive test result from 2010 to 2013. We calculated the proportion of women retested 2-12 months after a chlamydia diagnosis and used Cox proportional hazards models to explore associated factors.RESULTS:
Only 32% of women had evidence of retesting by 12 months of follow-up. Being younger (multivariate hazard ratio [mHR] 0.96; 95% confidence interval [CI] 0.95-0.96), black (mHR 1.29; 95% CI 1.12-1.50), or attending a county sexually transmitted diseases (STD; mHR 1.91; 95% CI 1.68-2.17), county family planning (mHR 1.53; 95% CI 1.39-1.69), or school-based (mHR 2.34; 95% CI 2.07-2.65) clinic relative to a nonprofit community health clinic were associated with increased retesting rates.CONCLUSIONS:
Less than one-third of women are retested. Our results show that some clinic settings may have systematic differences which facilitate retesting, such as use of automated reminders, closed patient populations, and makeup of patient populations. Investigation of clinical environments through site visits and further data analyses may be keys to improving retesting rates.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Recurrencia
/
Actitud del Personal de Salud
/
Tamizaje Masivo
/
Proveedores de Redes de Seguridad
/
Infertilidad
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Womens Health (Larchmt)
Asunto de la revista:
GINECOLOGIA
/
SAUDE DA MULHER
Año:
2018
Tipo del documento:
Article