Healthcare Utilization by Women in a Comprehensive Managed Care Population Subsequent to Diagnosis of a Sexually Transmitted Disease

Background: Healthcare utilization (HCU) following a sexually transmitted disease (STD) diagnosis is poorly characterized. Goal: The goal was to quantify HCU for new/recurrent STDs and other relevant Ob-Gyn and mental health problems in the 18 months subsequent to an STD diagnosis. Study Design: We...

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Bibliographic Details
Published in:Sexually transmitted diseases 2002-11, Vol.29 (11), p.678-688
Main Authors: WILSON, SANDRA R., BROWN, NANCY L., LEYDEN, WENDY A., MANOS, M. MICHELE, CHIN, VICTOR, LEVIN, DAVID, BRAVERMAN, PAULA, SHAPIRO, STANLEY, LAVORI, PHILIP W.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cohort Studies
Comprehensive Health Care - statistics & numerical data
Female
Health Resources - statistics & numerical data
Health services utilization
Humans
Incidence
Logistic Models
Managed Care Programs - statistics & numerical data
Medical diagnosis
Medical sciences
Pregnancy
Pregnancy Complications, Infectious - epidemiology
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Specific populations (family, woman, child, elderly...)
STD
United States - epidemiology
Women
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Summary:Background: Healthcare utilization (HCU) following a sexually transmitted disease (STD) diagnosis is poorly characterized. Goal: The goal was to quantify HCU for new/recurrent STDs and other relevant Ob-Gyn and mental health problems in the 18 months subsequent to an STD diagnosis. Study Design: We compared HCU between a group of females aged 18 to 45 years who were Kaiser Permanente Medical Program members with a diagnosed STD (n = 1205) and a medical center- and age group-matched sample of women seen for a non-STD diagnosis in the same time period (n = 4820), with controlling where appropriate for age, medical center, and chronic disease status. Results: An STD diagnosis was associated with significantly greater likelihood of subsequent visits for STDs (relative risk [RR] = 3.8), pelvic inflammatory disease/endometritis (RR = 2.9), candidiasis (RR = 2.0), vaginitis (RR = 2.4), cervical dysplasia (RR = 1.7), menstrual disorders/abnormal bleeding (RR = 1.3), high risk/complicated/ectopic pregnancy (RR = 1.5), and behavioral/mental health problems (RR = 1.3) than for women seen for a non-STD diagnosis. Conclusion: Detrimental sequelae of STDs are reflected in substantially elevated near-term HCU following an STD diagnosis.
ISSN:0148-5717
1537-4521
DOI:10.1097/00007435-200211000-00011