Minority Health Archive

Do Clinicians Screen Medicaid Patients for Syphilis or HIV When They Diagnose Other Sexually Transmitted Diseases?

Rust, George and Minor, Patrick and Jordan, Neil and Mayberry, Robert and Satcher, David (2003) Do Clinicians Screen Medicaid Patients for Syphilis or HIV When They Diagnose Other Sexually Transmitted Diseases? Sexually Transmitted Diseases, 30 (9). pp. 723-727.

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Abstract

Background: Patients diagnosed with gonorrhea or chlamydia are at high risk for HIV and syphilis, and should be offered screening for both. Goal: This study measures HIV and syphilis screening rates among Medicaid patients diagnosed with another sexually transmitted disease (STD). Study Design: Using 1998 Medicaid claims data from 4 states, we identified individuals diagnosed with gonorrhea, urogenital chlamydia, or pelvic inflammatory disease, and then measured the proportion receiving screening tests for HIV and syphilis. Results: Only 25% of STD-diagnosed Medicaid patients received screening tests for syphilis and only 15% for HIV. We found significant state-to-state variability in screening rates. Conclusion: Medicaid patients diagnosed with a nonbloodborne STD represent a high-risk group that is not adequately screened for syphilis and HIV despite repeated contact with medical professionals. Interventions should focus on eliminating missed opportunities for screening these high-risk individuals.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: gonorrhea, chlamydia, HIV, syphilis, screening, Medicaid patients, sexually transmitted disease, STD
Subjects: Health > Public Health
Health > Public Health > Chronic Illness & Diseases
Health > Public Health > Chronic Illness & Diseases > HIV/Aids
Practice
Research
Related URLs:
Depositing User: Kismet Loftin-Bell
Date Deposited: 18 May 2006
Last Modified: 28 Jun 2011 11:41
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/444

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