ArticleSexually transmitted diseases2017
US Public Sexually Transmitted Disease Clinical Services in an Era of Declining Public Health Funding: 2013-14.
Article in Sexually transmitted diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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.
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.
Who cites it
35 citing papers in PubMed.
- Predictors of Recent Incidence Trends in Sexually Transmitted Infections: A Systematic Review Protocol.HRB open research · 2025Article
- Lifetime prevalence of syphilis infection among predominantly Black sexual and gender minorities living with HIV in Atlanta, Georgia: a cross-sectional analysis.Ethnicity & health · 2023Article
- Examining associations in congenital syphilis infection and socioeconomic factors between California's small-to-medium and large metro counties.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Analytic approaches to assess the impact of local spending on sexually transmitted diseases.Health services research · 2022Article
- Improving Sexual Health in U.S. Rural Communities: Reducing the Impact of Stigma.AIDS and behavior · 2022Article
- Demographic, Behavioral, and Clinical Characteristics of Persons Seeking Care at Sexually Transmitted Disease Clinics - 14 Sites, STD Surveillance Network, United States, 2010-2018.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2021Article
- Congenital syphilis with hydrops fetalis: report of four cases in a general referral hospital in Bogota, Colombia between 2016- 2020Revista colombiana de obstetricia y ginecologia · 2021Review
- Bacterial sexually transmitted infection testing and diagnoses among men who have sex with men and report prescription opioid misuse--American Men's Internet Survey, 2017-2018.Annals of epidemiology · 2021Article
- Performance of a tool to identify different types of self-reported sexual risk among women attending a contraception and sexual health clinic: results of a cross-sectional survey.BMJ sexual & reproductive health · 2021Article
- Laboratory Perspective on Racial Disparities in Sexually Transmitted Infections.The journal of applied laboratory medicine · 2021Review
- Implementing Insurance Billing in Local Health Department Sexually Transmitted Disease Clinics in Virginia, 2017.Sexually transmitted diseases · 2020Article
- Gonorrhea Prevalence Among Young Women and Men Entering the National Job Training Program, 2000-2017.American journal of public health · 2020Article
- Availability of Safety-net Sexually Transmitted Disease Clinical Services in the U.S., 2018.American journal of preventive medicine · 2020Article
- Partner Services Among HIV-Positive Adults Receiving Medical Care in the United States: Medical Monitoring Project, 2013-2014.AIDS patient care and STDs · 2020Article
- Status and Challenges of Public Health Emergency Management in China Related to COVID-19.Frontiers in public health · 2020Review
- An Analysis of User Survey Data for an Internet Program for Testing for Sexually Transmitted Infections, I Want the Kit, in Maryland and Washington, DC.Sexually transmitted diseases · 2019Article
- Self-Reported Extragenital Chlamydia and Gonorrhea Testing in the Past 12 Months Among Men Who Have Sex with Men in the United States-American Men's Internet Survey, 2017.Sexually transmitted diseases · 2019Article
- Changes in Patient Visits After the Implementation of Insurance Billing at a Sexually Transmitted Diseases Clinic in a Medicaid Expansion State.Sexually transmitted diseases · 2019Article
- Medicaid Coverage of Sexually Transmitted Disease Service Visits.American journal of preventive medicine · 2019Article
- Pre-exposure Prophylaxis for HIV Infection: Preventing Disease or Promoting Sexual Health?Journal of community health · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe examined the infrastructure for US public sexually transmitted disease (STD) clinical services.
methodsIn 2013 to 2014, we surveyed 331 of 1225 local health departments (LHDs) who either reported providing STD testing/treatment in the 2010 National Profile of Local Health Departments survey or were the 50 local areas with the highest STD cases or rates. The sample was stratified by jurisdiction population size. We examined the primary referral clinics for STDs, the services offered and the impact of budget cuts (limited to government funding only). Data were analyzed using SAS, and analyses were weighted for nonresponse.
resultsTwenty-two percent of LHDs cited a specialty STD clinic as their primary referral for STD services; this increased to 53.5% of LHDs when combination STD-family planning clinics were included. The majority of LHDs (62.8%) referred to clinics providing same-day services. Sexually transmitted disease clinics more frequently offered extragenital testing for chlamydia and/or gonorrhea (74.7%) and gonorrhea culture (68.5%) than other clinics (52.9%, 46.2%, respectively; P < 0.05). The majority of LHDs (61.5%) reported recent budget cuts. Of those with decreased budgets, the most common impacts were fewer clinic hours (42.8%; 95% confidence interval [CI], 24.4-61.2), reduced routine screening (40.2%; 95% CI, 21.7-58.8) and reductions in partner services (42.1%; 95% CI, 23.6-60.7). One quarter of those with reduced STD budgets increased fees or copays for clients.
conclusionsFindings demonstrate gaps and reductions in US public STD services including clinical services that play an important role in reducing disease transmission. Furthermore, STD clinics tended to offer more specialized STD services than other public clinics.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.