• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of straninfSexually Transmitted InfectionsVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
Sex Transm Infect. Dec 2004; 80(6): 488–491.
PMCID: PMC1744946

Differences in demographics and risk factors among men attending public v non-public STD clinics in Baltimore, Maryland


Objective: To compare the demographics and risk factors of men who utilise the services of a municipal public sexually transmitted disease (STD) clinic with those who utilise the services provided by a non-public men's STD clinic operated by a not for profit primary care clinic.

Methods: A record based review of the characteristics and STD prevalence of men who visited a non-public STD clinic in Baltimore, Maryland, compared with those of a random sample of male attendees of a public STD clinic. Data abstracted from the records included information on age, race/ethnicity, self reported risk behaviours, and STD tests and results. We used χ2 analysis as well as bivariate and multivariate modelling to compare differences in categorical factors between clinics groups.

Results: Men who utilised the services at the non-public STD clinic were more often white (71% v 3%, p<0.001), MSM (65% v 2%, p<0.001), and presented for general screening (52% v 15%, p<0.001) compared to those at the public clinic. In addition, they more frequently reported [gt-or-equal, slanted]3 partners (22% v 11%, p = 0.005), and having an HIV positive partner (10% v 3%, p = 0.005). Factors independently associated with attendance at non-public clinic in multivariate analysis were general screening as reason for visit (OR = 11.0, p<0.001), having 3+ partners in past month (OR = 10.5, p = 0.002), and "sometimes" using condoms (OR = 3.6, p = 0.033).

Conclusions: Non-public STD clinics can reach a distinct segment of the male population with high risk sexual behaviours that might not attend public STD clinics.

Full Text

The Full Text of this article is available as a PDF (62K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • St Lawrence Janet S, Montaño Daniel E, Kasprzyk Danuta, Phillips William R, Armstrong Keira, Leichliter Jami S. STD screening, testing, case reporting, and clinical and partner notification practices: a national survey of US physicians. Am J Public Health. 2002 Nov;92(11):1784–1788. [PMC free article] [PubMed]
  • Celum CL, Bolan G, Krone M, Code K, Leone P, Spaulding C, Henry K, Clarke P, Smith M, Hook EW., 3rd Patients attending STD clinics in an evolving health care environment. Demographics, insurance coverage, preferences for STD services, and STD morbidity. Sex Transm Dis. 1997 Nov;24(10):599–605. [PubMed]
  • Erbelding EJ, Chung S, Zenilman JM. Following-up for HIV test results: what limits return in an STD clinic population? Int J STD AIDS. 2004 Jan;15(1):29–32. [PubMed]
  • Gunn RA, Rolfs RT, Greenspan JR, Seidman RL, Wasserheit JN. The changing paradigm of sexually transmitted disease control in the era of managed health care. JAMA. 1998 Mar 4;279(9):680–684. [PubMed]
  • Erbelding Emily J, Chung Shang-En, Kamb Mary L, Irwin Kathleen L, Rompalo Anne M. New sexually transmitted diseases in HIV-infected patients: markers for ongoing HIV transmission behavior. J Acquir Immune Defic Syndr. 2003 Jun 1;33(2):247–252. [PubMed]
  • Kohl Katrin S, Markowitz Lauri E, Koumans Emilia H. Developments in the screening for Chlamydia trachomatis: a review. Obstet Gynecol Clin North Am. 2003 Dec;30(4):637–658. [PubMed]
  • Blake Diane R, Gaydos Charlotte A, Quinn Thomas C. Cost-effectiveness analysis of screening adolescent males for Chlamydia on admission to detention. Sex Transm Dis. 2004 Feb;31(2):85–95. [PubMed]
  • Sutton Thomas L, Martinko Thomas, Hale Steven, Fairchok Mary P. Prevalence and high rate of asymptomatic infection of Chlamydia trachomatis in male college Reserve Officer Training Corps cadets. Sex Transm Dis. 2003 Dec;30(12):901–904. [PubMed]
  • Wasserheit JN. Epidemiological synergy. Interrelationships between human immunodeficiency virus infection and other sexually transmitted diseases. Sex Transm Dis. 1992 Mar-Apr;19(2):61–77. [PubMed]

Articles from Sexually Transmitted Infections are provided here courtesy of BMJ Group


Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...


  • MedGen
    Related information in MedGen
  • PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...