ArticlePediatrics open science2025
Mitigation of Racial and Ethnic Differences in Chlamydia and Gonorrhea Testing.
Article in Pediatrics open science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
11 authors.
Funding
Abstract
BACKGROUND AND
objectivesMinoritized adolescents have higher proportions of chlamydia (CT) and gonorrhea (GC) testing compared with their white peers. Interventions to mitigate bias in care delivery are needed. The objective of this study was to determine whether electronic health record (EHR)-integrated clinical decision support (CDS) mitigates differential testing of patients based on their race and ethnicity.
methodsThis planned secondary analysis of a prospective pragmatic parent trial at 6 pediatric emergency departments compared targeted vs universally offered CT/GC testing in patients aged 15-21 years. Adolescents completed a tablet-based sexual health screen to determine CT/GC risk. During the targeted phase, CDS was based on the CT/GC risk assessment. During the universally offered phase, a patient's desire for CT/GC testing triggered EHR-embedded CDS. Racial and ethnic differences with respect to CT/GC testing were compared between phases using a logistic regression model.
resultsDuring the baseline phase, almost all racial and ethnic groups were more likely to have CT/GC testing compared with non-Hispanic white patients, with the largest difference in non-Hispanic Black patients (adjusted odds ratio, 2.10; 95% CI, 1.83-2.41). Despite the CDS, there was no change in testing during the targeted phase, meaning differential CT/GC testing in minoritized groups persisted (
conclusionsUniversally offered CT/GC testing using an EHR-embedded CDS can mitigate racial and ethnic differences in CT/GC testing among adolescents in a pediatric emergency department.
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