Healthcare utilization by women in a comprehensive managed care population subsequent to diagnosis of a sexually transmitted disease.
Healthcare utilization by women in a comprehensive managed care population subsequent to diagnosis of a sexually transmitted disease.
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综合管理护理人群中女性在诊断出性传播疾病后对医疗保健的利用情况。
DOI：
10.1097/00007435-200211000-00011
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发表时间：
2002
影响因子：
3.1
通讯作者：
Lavori,PhilipW
中科院分区：
文献类型：
--
作者：
Wilson,SandraR;Brown,NancyL;Leyden,WendyA;Manos,MMichele;Chin,Victor;Levin,David;Braverman,Paula;Shapiro,Stanley;Lavori,PhilipW
研究设计我们比较了一组年龄在 18 至 45 岁之间、诊断为 STD 的 Kaiser Permanente 医疗计划成员女性 (n= 1205) 和同一时间段内接受非 STD 诊断的医疗中心和年龄组匹配的女性样本 (n= 4820) 的 HCU，并在适当的情况下控制了年龄、医疗中心和慢性病状况。 结果 STD 诊断与后续因 STD 就诊的可能性显着增加相关（相对风险[RR]= 3.8）、盆腔炎/子宫内膜炎（RR= 2.9）、念珠菌病（RR= 2.0）、阴道炎（RR= 2.4）、宫颈发育不良（RR= 1.7）、月经失调/异常出血（RR= 1.3）、高危/复杂/宫外孕（RR= 1.5）以及行为/心理健康问题（RR= 1.3) 比接受非 STD 诊断的女性要高。结论 STD 的有害后遗症反映在 STD 诊断后近期 HCU 大幅升高。
Study DesignWe compared HCU between a group of females aged 18 to 45 years who were Kaiser Permanente Medical Program members with a diagnosed STD (n= 1205) and a medical center–and age group–matched sample of women seen for a non-STD diagnosis in the same time period (n= 4820), with controlling where appropriate for age, medical center, and chronic disease status.ResultsAn STD diagnosis was associated with significantly greater likelihood of subsequent visits for STDs (relative risk [RR]= 3.8), pelvic inflammatory disease/endometritis (RR= 2.9), candidiasis (RR= 2.0), vaginitis (RR= 2.4), cervical dysplasia (RR= 1.7), menstrual disorders/abnormal bleeding (RR= 1.3), high risk/complicated/ectopic pregnancy (RR= 1.5), and behavioral/mental health problems (RR= 1.3) than for women seen for a non-STD diagnosis.ConclusionDetrimental sequelae of STDs are reflected in substantially elevated near-term HCU following an STD diagnosis.