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Patterns in Prenatal Syphilis Screening Among Florida Medicaid Enrollees

Wilson, Ellen K. PhD, MPH*; Gavin, Norma I. PhD*; Adams, E Kathleen PhD; Tao, Guoyu PhD; Chireau, Monique MD, MPH§

Sexually Transmitted Diseases: June 2007 - Volume 34 - Issue 6 - p 378-383
doi: 10.1097/01.olq.0000245908.23629.b8

Objective: The objective of this study was to assess the rate of prenatal syphilis screening and compliance with clinical guidelines on the receipt of early and repeat screening in a Medicaid population before and after implementation of the National Plan to Eliminate Syphilis.

Study Design: Rates of office- and clinic-based prenatal syphilis screening among pregnant women with Medicaid-covered deliveries in Florida in fiscal years (FYs) 1995 and 2000 are analyzed using Medicaid claims data.

Results: The proportions of women receiving any, early, and repeat prenatal syphilis screening increased sharply between FY 1995 and FY 2000 but remain well below recommended levels. Screening is highly correlated with timing of prenatal care and Medicaid enrollment duration.

Conclusions: Further efforts to improve screening rates will need to both increase the proportion of women who receive timely prenatal care and ensure that providers comply with guidelines to provide syphilis screening as a component of prenatal care for all women.

The proportions of pregnant Medicaid enrollees in Florida receiving prenatal syphills screening increased sharply between 1995 and 2000, but remained well below recommended levels.

From *RTI International, Research Triangle Park, North Carolina; †Emory University, Atlanta, Georgia; ‡Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia; and §Duke University, Durham, North Carolina

This publication was made possible through the Centers for Disease Control and Prevention (CDC) and the Association for Prevention Teaching and Research (APTR) Cooperative Agreement No. U50/CCU300860. The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention or the Association for Prevention Teaching and Research.

Correspondence: Ellen K. Wilson, PhD, MPH, RTI International, 3040 Cornwallis Rd., Research Triangle Park, NC 27709. E-mail:

Received for publication February 24, 2006, and accepted August 27, 2006.

© Copyright 2007 American Sexually Transmitted Diseases Association