Nili Amir, Kathleen E O'Brien, Susan J Woolford, Cheyney C Dobson, Harlan McCaffery, Niko A Kaciroti, Richard Eikstadt, Monica W Rosen
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引用次数: 0
Abstract
Background: Individuals with disabilities experience a higher prevalence of sexually transmitted infections (STIs) compared to their counterparts without disabilities; however, there is limited data on whether they are screened for STIs at the same rate. The aim of this study was to determine whether adolescents and young adults with disabilities undergo routine screening for STIs at lower rates than individuals without disabilities.
Methods: We performed a retrospective cohort study of female patients aged 16-21 years who were seen between July 2021 and August 2023 by pediatrics, internal medicine/pediatrics, or family medicine at a single institution. Disability status was determined via ICD-10 codes. STI testing information was obtained by chart review. Data were analyzed using multiple logistic regression, and adjusted odds ratios were reported for race, ethnicity, age, and disability.
Results: Among 6906 eligible patients, 90 (1.3%) had a disability. Individuals with disabilities underwent STI screening at lower rates (60% vs 77.2%, p<.001). There were lower odds of STI screening for individuals with any disability (aOR 0.38, 95% CI 0.24-0.61, p<.001), a physical disability (aOR 0.26, 95% CI 0.09-0.72, p=.008), or an intellectual disability (aOR 0.37, 95% CI 0.21-0.64, p<.001) when adjusting for race, ethnicity, and age.
Conclusions: The rate of STI screening among adolescents and young adults with disabilities was lower compared to those without disabilities. Universal testing may help normalize STI screening so that individuals with a higher risk of STIs are not missed. Further research is indicated to identify and mitigate factors that lead to lower rates of screening.
背景：与非残疾人相比，残疾人的性传播感染（STIs）患病率更高；然而，关于他们是否以同样的比率接受性传播感染筛查的数据有限。本研究的目的是确定残疾青少年和年轻人接受性传播感染常规筛查的比率是否低于非残疾个体。方法：我们对在2021年7月至2023年8月期间在单一机构接受儿科、内科/儿科或家庭医学治疗的16-21岁女性患者进行了回顾性队列研究。通过ICD-10代码确定残疾状态。通过图表回顾获得STI测试信息。使用多元逻辑回归分析数据，并报告种族、民族、年龄和残疾的校正优势比。结果：在6906例符合条件的患者中，90例（1.3%）有残疾。残障人士接受性传播感染筛查的比例较低（60% vs 77.2%）。结论：残障青少年和年轻人的性传播感染筛查率低于非残障人士。普遍检测可能有助于使性传播感染筛查正常化，从而使性传播感染风险较高的个体不会被遗漏。进一步的研究表明，以确定和减轻因素，导致较低的筛查率。
期刊介绍：
Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology.
The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.
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