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RESEARCH ARTICLE

Significant difference in HEDIS annual chlamydia testing rates between women who had given birth and those who had not among young Medicaid women

Guoyu Tao A B , Kwame Owusu-Edusei A , Eleanor Friedman A , Maria Aslam A , Abigail H. Viall A , Patricia Dietz A and Thomas L. Gift A
+ Author Affiliations
- Author Affiliations

A National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.

B Corresponding author. Email: gat3@cdc.gov

Sexual Health 15(4) 374-375 https://doi.org/10.1071/SH18003
Submitted: 8 January 2018  Accepted: 14 February 2018   Published: 4 June 2018

Abstract

We used the 2013 Medicaid Analytic eXtract (MAX) database to estimate chlamydia testing rates separately for sexually active women aged 15–25 years who had, or had not, given birth in 2013. Approximately 9.2% of sexually active women aged 15–25 years gave birth in 2013. The Healthcare Effectiveness Data Information Set (HEDIS) annual chlamydia testing rate was significantly higher among women who had given birth than women who had not in 2013 (59.7 vs 29.4%, P < 0.05). Our findings suggest a need for more research to understand how differences in population mix changes and preventive screening practices for pregnant and non-pregnant women affect publicly reported chlamydia screening rates.


References

[1]  National Committee for Quality Assurance (NCQA). The 2016 State of Health Care Quality Report. Washington, DC: National Committee for Quality Assurance; 2016.

[2]  Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. Morbidity and mortality weekly report (MMWR) 2015; 64(RR-03): 1–137. Available online at: https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6403a1.htm [verified 9 May 2018].

[3]  American College of Obstetricians and Gynecologists. Guidelines for women’s health care, a resource manual, 3rd edn. Washington, DC: American College of Obstetricians and Gynecologists; 2007.

[4]  Hoover KW, Tao G, Nye MB, Body BA. Suboptimal adherence to repeat testing recommendations for men and women with positive chlamydia tests in the United States, 2008–2010. Clin Infect Dis 2013; 56 51–7.
Suboptimal adherence to repeat testing recommendations for men and women with positive chlamydia tests in the United States, 2008–2010.Crossref | GoogleScholarGoogle Scholar |

[5]  National Committee for Quality Assurance (NCQA). HEDIS 2013: technical specifications. Washington, DC: National Committee for Quality Assurance; 2013.

[6]  Curtin SC, Abma JC, Ventura SJ. Pregnancy rates for US women continue to drop. NCHS Data Brief 2013; 136 1–8.