Applying capture recapture methods to estimate the burden of chlamydial and gonococcal infections using Indian Health Service Medical Records, 2016-2021.
American Indian and Alaska Native persons in the United States experience high rates of chlamydia and gonorrhea (CT/GC) infections, but the burden among persons receiving healthcare through the Indian Health Service (IHS) has not been recently described. Currently, there is no surveillance system to...
| Published in: | American Journal of Epidemiology Vol. 196; no. 7; pp. 1984 - 1993 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
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Oxford University Press / USA
Jul2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195281096&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195281096 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00029262 1X1 jtl: American Journal of Epidemiology issn: 00029262 maglogo: N pubinfo: dt: Jul2026 vid: 196 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195281096 195281096 195281096 10.1093/aje/kwag031 195281096 ppf: 1984 ppct: 9 formats: tig: atl: Applying capture recapture methods to estimate the burden of chlamydial and gonococcal infections using Indian Health Service Medical Records, 2016-2021. aug: au: Haberling, Dana L Ge, Lin Pondo, Tracy Taylor, Melanie M Nuorti, J Pekka Apostolou, Andria affil: Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA, United StatesHealth Sciences Unit, Faculty of Social Sciences, Tampere University, Tampere, Finland sug: subj: Chlamydia Infections Epidemiology Gonorrhea Epidemiology Chlamydia Infections Trends Gonorrhea Trends Medical Records Utilization Health Services, Indigenous Native Americans Alaska Natives United States Human Female Male Adolescence Adult Middle Age Descriptive Statistics Confidence Intervals Health Facilities Random Sample International Classification of Diseases Data Analysis Software Diagnostic Tests, Routine Diagnosis, Laboratory Medical Record Linkage Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: American Indian and Alaska Native persons in the United States experience high rates of chlamydia and gonorrhea (CT/GC) infections, but the burden among persons receiving healthcare through the Indian Health Service (IHS) has not been recently described. Currently, there is no surveillance system to regularly monitor IHS-specific CT/GC burden and trends. We used two capture recapture (CRC) methods with two IHS medical records sources: diagnostic codes and laboratory test results linked by person within 30 days among persons ≥15 years during 2016 to 2021. Capture recapture estimates were used with the IHS population to create prevalence rates and compared to the medical records counts. CRC estimated 88 680 (1189 per 100 000) and 83 884 CT infections (1125) and 36 713 (492) and 35 930 GC infections (482). Diagnostic codes were 60% and 63% of CT and 54% and 56% of GC CRC estimates and combined with laboratory test results were 88% and 94% of CT and 86% and 88% of GC CRC estimates. These findings underscore the value of IHS medical records for estimating CT/GC infections and measuring undercounting of single source CT/GC medical records. These sources can be leveraged to provide surveillance estimates for monitoring trends; strategic outreach; and supporting testing, treatment, and staffing needs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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