Ambulatory STD management in an inner-city emergency department: descriptive epidemiology, care utilization patterns, and patient perceptions of local public STD clinics.
Background and Objectives: In conjunction with a lack of primary and preventive care, many patients are treated in emergency departments (EDs) for sexually transmitted diseases (STDs).Goal: To epidemiologically characterize patients accessing an inner-city ED for treatment of STDs.Design: One hundre...
| Publicado en: | Sexually Transmitted Diseases Vol. 27; no. 3; pp. 154 - 159 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Mar2000
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105977768&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105977768 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485717 STD jtl: Sexually Transmitted Diseases issn: 01485717 maglogo: N pubinfo: dt: Mar2000 vid: 27 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 105977768 105977768 NLM10726649 2009783850 10.1097/00007435-200003000-00007 NLM10726649 105977768 ppf: 154 ppct: 5 formats: tig: atl: Ambulatory STD management in an inner-city emergency department: descriptive epidemiology, care utilization patterns, and patient perceptions of local public STD clinics. aug: au: Mehta SD Shahan J Zenilman JM Mehta, S D Shahan, J Zenilman, J M affil: Department of Epidemiology, Johns Hopkins School of Public Health and Hygiene, Baltimore, Maryland, USA sug: subj: Ambulatory Care Psychosocial Factors Ambulatory Care Utilization Attitude to Health Emergency Care Psychosocial Factors Emergency Care Utilization Emergency Service Utilization Sexually Transmitted Diseases Diagnosis Sexually Transmitted Diseases Therapy Urban Health Services Utilization Adult Ambulatory Care Standards Emergency Care Standards Emergency Service Standards Female Health Services Accessibility Standards Male Maryland Prospective Studies Questionnaires Risk Factors Self Care Psychosocial Factors Self Care Statistics and Numerical Data Sexually Transmitted Diseases Epidemiology Sexually Transmitted Diseases Psychosocial Factors Time Factors Urban Health Services Standards Human Adult: 19-44 years Female Male ab: Background and Objectives: In conjunction with a lack of primary and preventive care, many patients are treated in emergency departments (EDs) for sexually transmitted diseases (STDs).Goal: To epidemiologically characterize patients accessing an inner-city ED for treatment of STDs.Design: One hundred patients 17 years or older who were treated for an STD or who had conditions that were given syndromic or presumptive diagnoses of an STD participated in this prospective case series. Cases were identified on the basis of history and physical examination. Patients were interviewed to collect information on demographics, drug and alcohol use, current symptoms, self-medication, and health care access.Results: A total of 98% of patients who were approached participated. Two thirds of the participants were female. Women were more likely than men to have health insurance, Medical Assistance, and a regular source of health care. Injecting drug use was associated with a 5.3 increase in the odds ratio of delayed treatment seeking (P = 0.038). Effort to self-treat was associated with a 3.2 increase in the odds of delayed treatment seeking (P = 0.015). Being female was associated with a 4.1 increase in the odds of self-treatment (P = 0.009).Conclusion: This study identifies several potential barriers to appropriate health care access and use. The study also identifies the ED as a potential source of intervention for more comprehensive health care and an entry into the health care system for a difficult-to-reach patient population. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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