Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration.
Shimrit KeddemMarissa MaierCarolyn GardellaJoleen BorgerdingElliott LowyMaggie ChartierSally HaskellRonald G HauserLauren A BestePublished in: Journal of general internal medicine (2022)
Among women under age 25, 21.3% were tested for gonorrhea or chlamydia in 2019. After adjusting for demographic and other health factors, correlates of testing in women under age 25 included Black race (aOR: 2.11, CI: 1.89, 2.36), rural residence (aOR: 0.84, CI: 0.74, 0.95), and cervical cancer screening (aOR: 5.05, CI: 4.59, 5.56). Women under age 25 had the highest infection rates, with an incidence of chlamydia and gonorrhea of 1,950 and 267 cases/100,000, respectively. Incidence of gonorrhea and chlamydia was higher for women with a history of military sexual trauma (MST) (chlamydia case rate: 265, gonorrhea case rate: 97/100,000) and those with mental health diagnoses (chlamydia case rate: 263, gonorrhea case rate: 72/100,000.) CONCLUSIONS: Gonorrhea and chlamydia testing remains underutilized among women in VHA care, and infection rates are high among younger women. Patient-centered, system-level interventions are urgently needed to address low testing rates.
Keyphrases
- cervical cancer screening
- polycystic ovary syndrome
- men who have sex with men
- mental health
- healthcare
- pregnancy outcomes
- public health
- breast cancer risk
- risk factors
- physical activity
- palliative care
- pregnant women
- climate change
- metabolic syndrome
- health information
- insulin resistance
- social media
- pain management
- south africa
- adipose tissue