Evidence map›Paper›PMID 27242080›Full record

ArticleAmerican journal of preventive medicine2016

Continued Importance of Sexually Transmitted Disease Clinics in the Era of the Affordable Care Act.

Nicky J Mehtani, Christina M Schumacher, Luke E Johnsen, Joneigh S Khaldun, C Patrick Chaulk, Khalil G Ghanem, Jacky M Jennings, Kathleen R Page

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
6.4field-weighted citation impact, top 4% of its field
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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Medicaid Coverage of Sexually Transmitted Disease Service Visits.American journal of preventive medicine · 2019
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Nicky J MehtaniJohns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: nicky.mehtani@jhmi.edu.
Christina M SchumacherJohns Hopkins University School of Medicine, Baltimore, Maryland.
Luke E JohnsenJohns Hopkins University School of Medicine, Baltimore, Maryland.
Joneigh S KhaldunBaltimore City Health Department, Baltimore, Maryland.
C Patrick ChaulkBaltimore City Health Department, Baltimore, Maryland.
Khalil G GhanemJohns Hopkins University School of Medicine, Baltimore, Maryland.
Jacky M JenningsJohns Hopkins University School of Medicine, Baltimore, Maryland.
Kathleen R PageJohns Hopkins University School of Medicine, Baltimore, Maryland.
Johns Hopkins Medicine · USJohns Hopkins University · USBaltimore City Health Department · US

Funding

Institute for Clinical and Translational ResearchTL1TR001078 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$1.9M
NCATS NIH HHS TL1 TR001078
6 · The paper itself

Abstract

introductionFollowing the 2014 expansions of Medicaid and private health insurance through the Affordable Care Act, municipal sexually transmitted disease (STD) clinics-which have historically served predominantly uninsured patients-have been threatened with budget cuts nationwide. This study was conducted to evaluate the impact of the insurance expansions on the demand for STD clinic services.

methodsThe proportion of total incident sexually transmitted infections in Baltimore City that were diagnosed at STD clinics was compared between 2013 and 2014, and a multivariate analysis was conducted to determine factors associated with diagnosis at an STD clinic. Analyses were conducted in July 2015.

resultsThere was no change in the overall proportion of sexually transmitted infection diagnoses made at STD clinics from 2013 to 2014 (relative rate, 1.03; 95% CI=0.95, 1.11). Hispanic ethnicity, black race, male sex, and age >24 years were associated with an increased likelihood of STD clinic utilization (p<0.0001).

conclusionsDespite the Affordable Care Act's insurance expansion measures, the demand for STD clinics remained stable. These safety net clinics serve patients likely to face barriers to accessing traditional health care and their preservation should remain a priority.

Indexed as

AdultAmbulatory Care FacilitiesFemaleHealth Services AccessibilityHumansInsurance, HealthMaleMarylandMedically UninsuredPatient Protection and Affordable Care ActSafety-net ProvidersSexually Transmitted DiseasesUnited StatesYoung Adult

Identifiers

PMID27242080
PMCPMC4992609
OpenAlexW2401512425

What OpenQuestion holds

Textmetadata
LicenceTDM
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.