Evidence map›Paper›PMID 21262889›Full record

Trial reportPediatrics2011

Chlamydia screening among young women: individual- and provider-level differences in testing.

Sarah E Wiehe, Marc B Rosenman, Jane Wang, Barry P Katz, J Dennis Fortenberry

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Racial and Ethnic Differences in Chlamydia and Gonorrhea Testing Locations Among Medicaid-Insured Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Article
  7. Article
  8. Chlamydia Trachomatis/Neisseria Gonorrhea Retesting Among Adolescents and Young Adults in a Primary Care Network.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022
    Article
  9. Article
  10. Variability in Sexual History Documentation in a Primary Care Electronic Health Record System.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022
    Article
  11. Inequities inAmerican journal of public health · 2022
    Article
  12. Article
  13. Physician Adherence to Sexually Transmitted Infection Screening Guidelines in an OB/GYN Teaching Clinic in Hawai'i.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2017
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Factors associated with screening for sexually transmitted infections.American journal of obstetrics and gynecology · 2012
    Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Sarah E WieheDivisions of Children's Health Services Research and dAdolescent Medicine, Department of Pediatrics, School of Medicine, Indiana University, Indianapolis, Indiana 46202, USA. swiehe@iupui.edu
Marc B Rosenman
Jane Wang
Barry P Katz
J Dennis Fortenberry

Funding

University of Washington STI-TM Cooperative Research CtrU19AI031448 · NIAID · UNIVERSITY OF WASHINGTON · PI HOLMES, KING K. · 1995 to 2010
$15.2M
VIRAL DETERMINANTS OF HSV DISEASE IN MICEU19AI031494 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI SPINOLA, STANLEY M. · 1995 to 2009
$13.6M
UNIVERSITY OF WASHINGTON STD COOPERATIVE RESEARCH CENTERU01AI031448 · NIAID · UNIVERSITY OF WASHINGTON · PI HOLMES, KING KENNARD · 1991 to 1994
–
VARIABILITY IN HERPES SIMPLEX VIRUS GLYCOPROTEINS AND INFECTIVITYU01AI031494 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI BLYTHE, MARGARET J · 1991 to 1994
–
NIAID NIH HHS AI31448NIAID NIH HHS AI31494NIAID NIH HHS U19 AI031448NIAID NIH HHS U19 AI031494
6 · The paper itself

Abstract

objectiveWe assessed differences in chlamydia screening rates according to race/ethnicity, insurance status, age, and previous sexually transmitted infection (STI) or pregnancy.

methodsA retrospective cohort study was performed using electronic medical record and billing data for women 14 to 25 years of age in 2002-2007, assessing differences in the odds of a chlamydia test being performed at that visit.

resultsAdjusted odds of a chlamydia test being performed were lower among women 14 to 15 years of age (odds ratio: 0.83 [95% confidence interval: 0.70-1.00]) and 20 to 25 years of age (20-21 years, odds ratio: 0.78 [95% confidence interval: 0.70-0.89]; 22-23 years, odds ratio: 0.76 [95% confidence interval: 0.67-0.87]; 24-25 years, odds ratio: 0.64 [95% confidence interval: 0.57-0.73]), compared with women 18 to 19 years of age. Black women had 3 times increased odds (odds ratio: 2.96 [95% confidence interval: 2.66-3.28]) and Hispanic women nearly 13 times increased odds (odds ratio: 12.89 [95% confidence interval: 10.85-15.30]) of testing, compared with white women. Women with public (odds ratio: 1.74 [95% confidence interval: 1.58-1.91]) and public pending (odds ratio: 6.85 [95% confidence interval: 5.13-9.15]) insurance had increased odds of testing, compared with women with private insurance. After first STI diagnosis, differences according to race/ethnicity persisted but were smaller; after first pregnancy, differences persisted.

conclusionsDespite recommendations to screen all sexually active young women for chlamydia, providers screened women differently according to age, race/ethnicity, and insurance status, although differences were reduced after first STI or pregnancy.

Indexed as

AdolescentAdultChlamydia InfectionsCohort StudiesEthnicityFemaleHealth PersonnelHumansInsurance CoverageLongitudinal StudiesMass ScreeningPregnancyRetrospective StudiesRisk FactorsSexually Transmitted DiseasesYoung Adult

Identifiers

PMID21262889
PMCPMC3025420

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.