Comparison of STD burden and risk among men with and without regular doctors attending a southern urban STD clinic

James M Sizemore1, Willa M Sanders, Phillip C Lackey

  • 1Division of Infectious Diseases, University of Alabama at Birmingham, 703 19th Street South, 242 Ziegler Research Building, Birmingham, AL 35294-0007, USA.

Insights

Men with regular doctors were older and more educated, but both groups had significant rates of sexually transmitted diseases (STDs). Public health clinics are crucial for STD management, even for those with a regular physician.

Area of Science:

  • Public Health
  • Epidemiology
  • Men's Health

Background:

  • Limited research exists on health-seeking behaviors among men at risk for sexually transmitted diseases (STDs).
  • Understanding factors influencing STD risk and prevalence in men is crucial for targeted public health interventions.

Purpose of the Study:

  • To investigate the demographic, sexual, and health-seeking characteristics of men attending STD clinics.
  • To determine if having a regular doctor influences STD risk-taking behaviors or prevalence among men.

Main Methods:

  • A questionnaire was administered to randomly selected men attending an STD clinic.
  • Participants were stratified based on whether they reported having a regular doctor.

Main Results:

  • 32% of 467 men reported having a regular doctor; these men were older, better educated, and more likely to seek care from their doctor.
  • No significant differences were found in STD history or prostitute exposure between groups.
  • Men without a regular doctor showed a higher likelihood of having urethritis and STDs, though men with doctors also had substantial STD rates.

Conclusions:

  • Public health clinics serve as a vital safety net for managing STDs.
  • Even men with regular doctors utilize public health clinics for STD management, highlighting their continued importance.
Abstract

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