2022年商业保险索赔数据中18至49岁妇女怀孕期间的梅毒筛查。

IF 1.7 4区 医学 Q3 INFECTIOUS DISEASES
Sexually transmitted diseases Pub Date : 2025-05-01 Epub Date: 2025-03-04 DOI:10.1097/OLQ.0000000000002089
Brian Emerson, Guoyu Tao, Kaitlin Hufstetler, Ryan Cramer, William S Pearson
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引用次数: 0

摘要

背景:美国的梅毒病例持续攀升,2018年至2022年间,女性梅毒病例增加了159%。先天性梅毒(CS)病例也沿着同样的轨迹继续增长,同期增长了183%。遵守筛查指南可能有助于减少这一趋势。我们的分析旨在确定在怀孕期间接受梅毒筛查的商业保险妇女的比例:我们分析了 2022 年 Merative™ MarketScan® 数据库,其中包含商业保险医疗索赔,以确定分娩前 8 个月内 18-49 岁投保孕妇的梅毒筛查率。筛查事件分为三类:第一类(1-13 周)、第二类(14-27 周)和第三类(28 周以上)。按年龄类别、孕期、医疗保险和医疗补助服务中心(CMS)地区、就业情况和医疗保险类型计算怀孕类别的百分比和几率比:在170 005名样本孕妇中,79.6%的孕妇至少接受过一次梅毒筛查,95.1%的孕妇居住在要求在孕期进行梅毒检测的州。在怀孕第 3 个月接受筛查的孕妇比例最高,大多数接受筛查的孕妇在怀孕期间至少接受了 2 次梅毒检测。在制定了相关法律的州,妇女在怀孕期间接受任何筛查的几率要高出14%:讨论:尽管美国疾病控制与预防中心(CDC)推荐进行梅毒筛查,但在投保人群中只有 79.6% 接受了筛查。向所有医疗服务提供者及其患者有效宣传梅毒筛查的重要性,可以提高筛查率,降低CS发病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Syphilis Screening During Pregnancy in 18- to 49-Year-Old Women in Commercially Insured Claims Data, 2022.

Background: Syphilis cases continue to climb in the United States, with a 159% increase among women between 2018 and 2022. Congenital syphilis (CS) cases continued along the same trajectory, with a 183% increase over the same time frame. Adherence to the screening guidelines may assist in reducing this trend. Our analysis aimed to determine the proportion of commercially insured women receiving syphilis screening during pregnancy.

Materials and methods: We analyzed the 2022 Merative MarketScan Database containing commercially insured medical claims to determine syphilis screening rates among insured pregnant women aged 18 to 49 years, insured for 8 months before childbirth. Screening events were classified into 3 categories: first (1-13 weeks), second (14-27 weeks), and third (28+ weeks). Percentages and odds ratios were calculated for pregnancy categories by age category, trimester, Centers for Medicare & Medicaid Services regions, employment, and type of health insurance.

Results: Of the 170,005 pregnant women in the sample, 79.6% were screened for syphilis at least once, and 95.1% resided in a state requiring syphilis testing during pregnancy. The highest percentage of pregnant women was screened during the third trimester, and the majority of those screened received at least 2 tests during pregnancy. Women in states with laws had 14% greater odds for receiving any screening during pregnancy.

Discussion: Despite Centers for Disease Control and Prevention syphilis screening recommendations, only 79.6% received screening among this insured population. Effective communication on the importance of syphilis screening for all medical providers and their patients may increase the screening rates and decrease the incidence of CS.

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来源期刊
Sexually transmitted diseases
Sexually transmitted diseases 医学-传染病学
CiteScore
4.00
自引率
16.10%
发文量
289
审稿时长
3-8 weeks
期刊介绍: ​Sexually Transmitted Diseases, the official journal of the American Sexually Transmitted Diseases Association​, publishes peer-reviewed, original articles on clinical, laboratory, immunologic, epidemiologic, behavioral, public health, and historical topics pertaining to sexually transmitted diseases and related fields. Reports from the CDC and NIH provide up-to-the-minute information. A highly respected editorial board is composed of prominent scientists who are leaders in this rapidly changing field. Included in each issue are studies and developments from around the world.
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