Racial and Ethnic Differences in Chlamydia and Gonorrhea Testing Locations Among Medicaid-Insured Youth.
Racial and Ethnic Differences in Chlamydia and Gonorrhea Testing Locations Among Medicaid-Insured Youth.
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医疗补助保险青年中衣原体和淋病检测地点的种族和民族差异。
DOI：
10.1016/j.jadohealth.2023.08.032
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Coker,TumainiR
中科院分区：
文献类型：
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作者：
Douglas,ClaudiaM;Ahrens,Kym;Dombrowski,JuliaC;Rodean,Jonathan;Coker,TumainiR
目的沙眼衣原体（CT）和淋病奈瑟菌（GC）感染在15- 24岁人群中很常见，黑人和西班牙裔青年受感染的比例更高。了解青少年接受CT/GC测试是必要的，以解决CT/GC护理的差距。我们的目标是确定是否存在差异CT/GC测试地点的种族和ethnication.MethodsWe使用2019 MarketScan医疗补助数据检查CT/GC测试地点的青年种族和ethnication.ResultsThere是418，623 CT/GC测试在研究期间。所有种族和民族的医疗办公室最常订购测试，尽管黑人（37.6%）和西班牙裔（37.3%）的频率低于白色青年（49.3%）。黑人青年经常在急诊科（19.6%），而西班牙裔青年经常在联邦合格的健康中心（19.0%）进行测试。DiscussionWe发现显着的种族和民族差异的CT/GC测试的位置之间的医疗保险的青年，这些研究结果应用于指导战略，解决不公平的CT/GC护理。
PurposeChlamydia trachomatis(CT) andNeisseria gonorrhea(GC) infections are common among 15- to 24-year-olds, with Black and Hispanic youth disproportionately affected. Understanding where youth receive CT/GC testing is necessary to address disparities in CT/GC care. Our objective was to identify if differences exist in CT/GC testing locations by race and ethnicity.MethodsWe used 2019 MarketScan Medicaid data to examine CT/GC testing location by youth race and ethnicity.ResultsThere were 418,623 CT/GC tests during the study period. Tests were most frequently ordered at medical offices for all races and ethnicities, although less frequently for Black (37.6%) and Hispanic (37.3%) than for White youth (49.3%). Black youth were frequently tested in emergency departments (19.6%), while Hispanic youth were frequently tested in Federally Qualified Health Centers (19.0%).DiscussionWe found significant racial and ethnic disparities in the location of CT/GC testing among Medicaid-insured-youth; these findings should be used to guide strategies that address inequities in CT/GC care.