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Chlamydia Retesting Among Safety-Net Clinic Patients: Infertility Prevention Project
Breanna J McArdle1, Genevieve L Buser1, Katrina Hedberg1
1HIV/STD/TB Program, Center for Public Health Practice , Oregon Public Health Division, Portland, Oregon.
Journal of Women'S Health (2002)
|April 26, 2018
Summary
Only 32% of women were retested for chlamydia after diagnosis. Factors like younger age and attending specific clinics increased retesting rates, highlighting the need to improve screening adherence.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Sexual Health
Background:
- High chlamydia reinfection rates necessitate retesting after treatment, as recommended by the Centers for Disease Control and Prevention (CDC).
- Current chlamydia retesting rates remain low, with limited research exploring factors associated with adherence to retesting guidelines.
Purpose of the Study:
- To determine the proportion of women retested for chlamydia within 12 months of diagnosis.
- To identify factors associated with chlamydia retesting among women in the Infertility Prevention Project (IPP).
Main Methods:
- Retrospective longitudinal analysis of testing data from 8,266 women diagnosed with chlamydia between 2010-2013.
- Calculation of retesting proportions and use of Cox proportional hazards models to assess associated factors.
Main Results:
- Only 32% of women were retested for chlamydia within 12 months of diagnosis.
- Younger age, Black race, and attendance at county sexually transmitted diseases (STD), family planning, or school-based clinics were associated with higher retesting rates.
Conclusions:
- Chlamydia retesting rates are suboptimal, with significant variations observed across different clinic settings.
- Factors facilitating retesting may include automated reminders, closed patient populations, and specific patient demographics, warranting further investigation to improve adherence.
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