Patients attending STD clinics in an evolving health care environment: demographics, insurance coverage, preferences for STD services, and STD morbidity

Article Abstract:

Sexually transmitted diseases (STD) clinics may be indispensable in the care of high risk patients. A total of 2,490 visitors to five different STD clinics were interviewed before being medically examined. STDs were diagnosed in 66% of the participants. It was found that overall they tended to be young, nonwhite, poor, and largely uninsured. If given an unlimited choice of care, 68% said they would return to the STD clinic. Many of the clients seeking attention at the clinics cited appointment availability, lower costs, and confidentiality as reasons for choosing care at the STD clinic.

Services, Ambulatory care facilities, Medical examination, Poor, Sexually transmitted disease diagnosis, Ethnic groups, Clinics

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Tuberculosis screening in a sexually transmitted diseases clinic

Article Abstract:

Inner city residents with a sexually transmitted disease (STD) may have an increased risk for acquiring tuberculosis (TB). Researchers screened 525 STD patients for TB at an inner-city STD clinic and found that 34% had a positive skin test for TB. The clinic promised an incentive packet including condoms, candy, and information on TB to patients who returned to have their TB skin test read. This incentive seemed to increase the number of return visits. More of the older patients made return visits than younger patients, so a strategy should be devised to reach the younger group.

Usage, Complications and side effects, Tuberculosis

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Positive screening tests for gonorrhea and chlamydial infection fail to lead consistently to treatment of patients attending a sexually transmitted disease clinic

Article Abstract:

Many people who are tested at a sexually transmitted disease (STD) clinic do not return for treatment. Over an 18-month period, one STD clinic tested 24,823 people for gonorrhea and 14,162 people for chlamydia infection. Over 10% of those tested for either disease did not receive treatment at the time of the test and 20% did not return to the clinic for treatment within 30 days. One-third of those who did return waited several weeks before returning. Many of these patients could continue transmitting the disease.

Care and treatment, Evaluation, Gonorrhea, Chlamydia infections

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