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Sex Transm Dis. 2003 Sep;30(9):723-7.

Do clinicians screen Medicaid patients for syphilis or HIV when they diagnose other sexually transmitted diseases?

Author information

1
National Center for Primary Care at Morehouse School of Medicine, Atlanta, Georgia 30310, USA. RustG@msm.edu

Abstract

BACKGROUND:

Patients diagnosed with gonorrhea or chlamydia are at high risk for HIV and syphilis, and should be offered screening for both.

GOAL:

This study measures HIV and syphilis screening rates among Medicaid patients diagnosed with another sexually transmitted disease (STD).

STUDY DESIGN:

Using 1998 Medicaid claims data from 4 states, we identified individuals diagnosed with gonorrhea, urogenital chlamydia, or pelvic inflammatory disease, and then measured the proportion receiving screening tests for HIV and syphilis.

RESULTS:

Only 25% of STD-diagnosed Medicaid patients received screening tests for syphilis and only 15% for HIV. We found significant state-to-state variability in screening rates.

CONCLUSION:

Medicaid patients diagnosed with a nonbloodborne STD represent a high-risk group that is not adequately screened for syphilis and HIV despite repeated contact with medical professionals. Interventions should focus on eliminating missed opportunities for screening these high-risk individuals.

[Indexed for MEDLINE]

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