Institutional members access full text with Ovid®

Share this article on:

Trends in Receipt of Sexually Transmitted Disease Services Among Women 15 to 44 Years Old in the United States, 2002 to 2006–2010

Haderxhanaj, Laura T. MPH, MS; Gift, Thomas L. PhD; Loosier, Penny S. PhD, MPH; Cramer, Ryan C. JD, MPH; Leichliter, Jami S. PhD

Sexually Transmitted Diseases: January 2014 - Volume 41 - Issue 1 - p 67–73
doi: 10.1097/OLQ.0000000000000058
The Real World of STD Prevention

Background To describe recent trends in the receipt of sexually transmitted disease (STD) services among women (age, 15–44 years) from 2002 to 2006–2010 using the National Survey of Family Growth.

Methods We analyzed trends in demographics, health insurance, and visit-related variables of women reporting receipt of STD services (counseling, testing, or treatment) in the past 12 months. We also analyzed trends in the source of STD services and the payment method used.

Results Receipt of STD services reported by women in the past 12 months increased from 2002 (12.6%) to 2006–2010 (16.0%; P < 0.001). Receipt of services did not increase among adolescents (P = 0.592). Among women receiving STD services from a private doctor/HMO, the percentage with private insurance decreased over time (74.6%–66.8%), whereas the percentage with Medicaid increased (12.8%–19.7%; P = 0.020). For women receiving STD services at a public clinic or nonprimary care facility, there were no statistically significant differences by demographics, except that fewer adolescents but more young adults reported using a public clinic over time (P = 0.038). Among women who reported using Medicaid as payment, receipt of STD services at a public clinic significantly decreased (36.8%–25.4%; P = 0.019). For women who paid for STD services with private insurance, the only significant difference was an increase in having a copay over time (61.3%–70.1%; P = 0.012).

Conclusions Despite a significant increase in receipt of STD services over time, many women at risk for STDs did not receive services including adolescents. In addition, we identified important shifts in payment methods during this time frame.

Although self-reported receipt of sexually transmitted disease (STD) services significantly increased from 2002 to 2006–2010, many women at potential risk for STD infection did not receive STD services in the past 12 months.

From the Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA

Acknowledgment: This research was supported, in part, by an appointment to the Research Participation Program at the Centers for Disease Control and Prevention (CDC) administered by the Oak Ridge Institute for Science and Education through an interagency agreement between the US Department of Energy and CDC.

Disclosure: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the CDC.

Conflict of interest: None declared.

Correspondence: Laura T. Haderxhanaj, MPH, MS, Division of STD Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd, Mailstop E-02, Atlanta, GA 30333. E-mail:

Received for publication August 7, 2013, and accepted October 3, 2013.

© Copyright 2014 American Sexually Transmitted Diseases Association