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Impact of Significant Decreases Over Time in the Proportion of Sexually Active Medicaid Women Who Had Papanicolaou Testing or Were Pregnant on Trends of Overall Chlamydia Testing Rates

Tao, Guoyu, PhD; Kreisel, Kristen, PhD; Gift, Thomas L., PhD

doi: 10.1097/OLQ.0000000000000895
Notes

We examined Medicaid claims data during 2004 to 2013. The proportion of sexually active females aged 15 to 25 years who had Papanicolaou testing or were pregnant significantly decreased during 2004 to 2013 (67.0% to 43.9%, P < 0.05), resulting in a slowed increasing trend in overall chlamydia screening rates. Structural-level interventions for improving chlamydia screening are urgently needed.

The proportion of young sexually active women who had Papanicolaou testing or were pregnant significantly decreased during 2004 to 2013, potentially resulting in a slowed increasing trend in overall chlamydia screening rates.

From the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA

Conflict of Interest and Sources of Funding: None declared.

OMB/CDC Disclaimer: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Correspondence: Guoyu Tao, PhD, Division of STD Prevention, NCHHSTP, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS-E80, Atlanta, GA 30333. E-mail: gat3@cdc.gov.

Received for publication April 23, 2018, and accepted July 2, 2018.

© Copyright 2018 American Sexually Transmitted Diseases Association