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P026 Frequency of STD testing services among commercially-insured patients with high risk sexual behaviors
  1. Sagar Kumar1,
  2. Chirag Patel2,
  3. Guoyu Tao2
  1. 1Centers for Disease Control and Prevention, Division of STD Prevention, Atlanta, USA
  2. 2Centers for Disease Control and Prevention, Atlanta, USA


Background High-risk sexual behavior (HRSB) is associated with an increased burden of sexually transmitted diseases (STDs); therefore, CDC recommends those at high risk are screened more frequently than persons without HRSB. Because providers are able to document patients as having 3 types of HRSB: heterosexual, homosexual, or bisexual, using the International Classification of Disease Tenth Revision (ICD-10), this study assessed STD/HIV screening frequencies among patients with HRSB diagnoses.

Methods A large commercial claims database for outpatient visits for 2016 was analyzed. We included in the analysis patients diagnosed with any HRSB based on ICD-10 codes. The initial diagnosis for HRSB was considered as the index date for each patient. Testing frequencies for chlamydia, gonorrhea, syphilis, and HIV were assessed by 3 types of HRSB. For those diagnosed with HRSB from January 1-June 30, 2016, an additional 6 month follow-up testing period was also assessed.

Results 52,160 patients were diagnosed with HRSB in 2016: 90.3% were heterosexual, 7.7% homosexual, and 2.1% bisexual HRSB. Testing for chlamydia, gonorrhea, syphilis, and HIV was 65.3%, 65.2%, 38.1%, and 43.6% for heterosexual, 49.9%, 49.8%, 51.5%, and 57.8% for homosexual, and 57.7%, 56.6%, 41.6%, and 48.2% for bisexual HRSB patients at the initial diagnosis date. 35.5%, 20.9%, and 36.5% of heterosexual, homosexual, and bisexual HRSB patients were found to have follow-up claims within 6 months after the index date, respectively. Of those who had follow-up claims, follow-up testing for chlamydia, gonorrhea, syphilis, and HIV was 77.2%, 77.6%, 50.6%, and 56.4% for heterosexual, 71.8%, 72.7%, 74.5%, and 80.4% for homosexual, and 69.7%, 71.1%, 58.2%, and 66.7% for bisexual HRSB patients. STD/HIV follow-up testing rates were higher among patients who were screened at the index date than those who were not.

Conclusion STD/HIV screening and follow-up screenings among HRSB patients are sub-optimal. Most HRSB patients do not have timely follow-up visits.

Disclosure No significant relationships.

  • diagnosis
  • risk factors
  • sexual behaviour

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