دورية أكاديمية
Diagnosed Gonorrhea Among Privately Insured Women: Analysis of United States Claims Data.
| العنوان: | Diagnosed Gonorrhea Among Privately Insured Women: Analysis of United States Claims Data. |
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| المؤلفون: | Groene EA; Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA., Norby FL; Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, California, USA., Eaton AA; Divisions of Biostatistics and University of Minnesota School of Public Health, Minneapolis, Minnesota, USA., Mason SM; Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA., Enns EA; Divisions of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA., Kulasingam S; Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA., Vock DM; Divisions of Biostatistics and University of Minnesota School of Public Health, Minneapolis, Minnesota, USA. |
| المصدر: | Journal of women's health (2002) [J Womens Health (Larchmt)] 2023 Sep; Vol. 32 (9), pp. 942-949. Date of Electronic Publication: 2023 Jun 29. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 101159262 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1931-843X (Electronic) Linking ISSN: 15409996 NLM ISO Abbreviation: J Womens Health (Larchmt) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., [2002]- |
| مواضيع طبية MeSH: | Gonorrhea*/epidemiology , Chlamydia Infections*/epidemiology , Pregnancy, Ectopic*/epidemiology , Pregnancy, Ectopic*/etiology , Pelvic Inflammatory Disease*/complications , Pelvic Inflammatory Disease*/diagnosis, Pregnancy ; Female ; United States ; Humans ; Retrospective Studies ; Chlamydia trachomatis ; Insurance, Health |
| مستخلص: | Background: Gonorrhea incidence in the United States has risen by nearly 50% in the last decade, while screening rates have increased. Gonorrhea sequelae rates could indicate whether increased gonorrhea incidence is due to better screening. We estimated the association of gonorrhea diagnosis with pelvic inflammatory disease (PID), ectopic pregnancy (EP), and tubal factor infertility (TFI) in women and detected changes in associations over time. Materials and Methods: This retrospective cohort study included 5,553,506 women aged 18-49 tested for gonorrhea in the IBM MarketScan claims administrative database from 2013-2018 in the United States. We estimated incidence rates and hazard ratios (HRs) of gonorrhea diagnosis for each outcome, adjusting for potential confounders using Cox proportional hazards models. We tested the interaction between gonorrhea diagnosis and the initial gonorrhea test year to identify changes in associations over time. Results: We identified 32,729 women with a gonorrhea diagnosis (mean follow-up time in years: PID = 1.73, EP = 1.75, TFI = 1.76). A total of 131,500 women were diagnosed with PID, 64,225 had EP, and 41,507 had TFI. Women with gonorrhea diagnoses had greater incidence per 1000 person-years for all outcomes (PID = 33.5, EP = 9.4, TFI = 5.3) compared to women without gonorrhea diagnoses (PID = 13.9, EP = 6.7, TFI = 4.3). After adjustment, HRs were higher in women with a gonorrhea diagnosis vs. those without [PID = 2.29 (95% confidence interval, CI: 2.15-2.44), EP = 1.57, (95% CI: 1.41-1.76), TFI = 1.70 (95% CI: 1.47-1.97)]. The interaction of gonorrhea diagnosis and test year was not significant, indicating no change in relationship by initial test year. Conclusion: The relationship between gonorrhea and reproductive outcomes has persisted, suggesting a higher disease burden. |
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| معلومات مُعتمدة: | P2C HD041023 United States HD NICHD NIH HHS; TL1 TR002493 United States TR NCATS NIH HHS; UL1 TR002494 United States TR NCATS NIH HHS |
| فهرسة مساهمة: | Keywords: ectopic pregnancy; human reproduction; infertility; pelvic inflammatory disease; sexually transmitted infection |
| تواريخ الأحداث: | Date Created: 20230629 Date Completed: 20230907 Latest Revision: 20240902 |
| رمز التحديث: | 20240902 |
| مُعرف محوري في PubMed: | PMC10510688 |
| DOI: | 10.1089/jwh.2023.0006 |
| PMID: | 37384920 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1931-843X |
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| DOI: | 10.1089/jwh.2023.0006 |