Association between Chlamydia and routine place for healthcare in the United States: NHANES 1999-2016.

<h4>Background</h4>The United States is experiencing a surge in Chlamydia trachomatis (CT) infections representing a critical need to improve sexually transmitted infection (STI) screening and treatment programs. To understand where patients with STIs seek healthcare, we evaluated the re...

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Autores principales:	Cornelius D Jamison, Margaret Greenwood-Ericksen, Caroline R Richardson, Hwajung Choi, Tammy Chang
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3c0db534a2664d26a80352a8b66d2422
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spelling	oai:doaj.org-article:3c0db534a2664d26a80352a8b66d24222021-12-02T20:11:23ZAssociation between Chlamydia and routine place for healthcare in the United States: NHANES 1999-2016.1932-620310.1371/journal.pone.0251113https://doaj.org/article/3c0db534a2664d26a80352a8b66d24222021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251113https://doaj.org/toc/1932-6203<h4>Background</h4>The United States is experiencing a surge in Chlamydia trachomatis (CT) infections representing a critical need to improve sexually transmitted infection (STI) screening and treatment programs. To understand where patients with STIs seek healthcare, we evaluated the relationship between CT infections and the place where individuals report usually receiving healthcare.<h4>Methods</h4>Our study used a nationally representative sample from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2016. The study population is adult patients, aged 18 to 39 years in whom a urine CT screen was obtained. Logistic regression models were used to determine if location of usual healthcare was predictive of a positive urine CT screen result. Models were adjusted for known confounders including age, gender, race/ethnicity, education, and insurance status.<h4>Results</h4>In this nationally representative sample (n = 19,275; weighted n = 85.8 million), 1.9% of individuals had a positive urine CT result. Participants reported usually going to the doctor's office (70.3%), "no place" (24.8%), Emergency Department (ED) (3.3%), or "other" place (1.7%) for healthcare. In adjusted models, the predicted probability of having a positive urine CT result is higher (4.9% vs 3.2%, p = 0.022; OR = 1.58) among those that reported the ED as their usual place for healthcare compared to those that reported going to a doctor's office or clinic.<h4>Conclusions</h4>Individuals having a positive urine CT screen are associated with using the ED as a usual source for healthcare. Understanding this association has the potential to improve STI clinical and policy interventions as the ED may be a critical site in combatting the record high rates of STIs.Cornelius D JamisonMargaret Greenwood-EricksenCaroline R RichardsonHwajung ChoiTammy ChangPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251113 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Cornelius D Jamison Margaret Greenwood-Ericksen Caroline R Richardson Hwajung Choi Tammy Chang Association between Chlamydia and routine place for healthcare in the United States: NHANES 1999-2016.
description	<h4>Background</h4>The United States is experiencing a surge in Chlamydia trachomatis (CT) infections representing a critical need to improve sexually transmitted infection (STI) screening and treatment programs. To understand where patients with STIs seek healthcare, we evaluated the relationship between CT infections and the place where individuals report usually receiving healthcare.<h4>Methods</h4>Our study used a nationally representative sample from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2016. The study population is adult patients, aged 18 to 39 years in whom a urine CT screen was obtained. Logistic regression models were used to determine if location of usual healthcare was predictive of a positive urine CT screen result. Models were adjusted for known confounders including age, gender, race/ethnicity, education, and insurance status.<h4>Results</h4>In this nationally representative sample (n = 19,275; weighted n = 85.8 million), 1.9% of individuals had a positive urine CT result. Participants reported usually going to the doctor's office (70.3%), "no place" (24.8%), Emergency Department (ED) (3.3%), or "other" place (1.7%) for healthcare. In adjusted models, the predicted probability of having a positive urine CT result is higher (4.9% vs 3.2%, p = 0.022; OR = 1.58) among those that reported the ED as their usual place for healthcare compared to those that reported going to a doctor's office or clinic.<h4>Conclusions</h4>Individuals having a positive urine CT screen are associated with using the ED as a usual source for healthcare. Understanding this association has the potential to improve STI clinical and policy interventions as the ED may be a critical site in combatting the record high rates of STIs.
format	article
author	Cornelius D Jamison Margaret Greenwood-Ericksen Caroline R Richardson Hwajung Choi Tammy Chang
author_facet	Cornelius D Jamison Margaret Greenwood-Ericksen Caroline R Richardson Hwajung Choi Tammy Chang
author_sort	Cornelius D Jamison
title	Association between Chlamydia and routine place for healthcare in the United States: NHANES 1999-2016.
title_short	Association between Chlamydia and routine place for healthcare in the United States: NHANES 1999-2016.
title_full	Association between Chlamydia and routine place for healthcare in the United States: NHANES 1999-2016.
title_fullStr	Association between Chlamydia and routine place for healthcare in the United States: NHANES 1999-2016.
title_full_unstemmed	Association between Chlamydia and routine place for healthcare in the United States: NHANES 1999-2016.
title_sort	association between chlamydia and routine place for healthcare in the united states: nhanes 1999-2016.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/3c0db534a2664d26a80352a8b66d2422
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Association between Chlamydia and routine place for healthcare in the United States: NHANES 1999-2016.

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