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STD screening, testing, case reporting, and clinical and partner notification practices: A national survey of US physicians

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Listed:
  • St. Lawrence, J.S.
  • Montaño, D.E.
  • Kasprzyk, D.
  • Phillips, W.R.
  • Armstrong, K.
  • Leichliter, J.S.

Abstract

Objectives. This study presents results from a national survey of US physicians that assessed screening, case reporting, partner management, and clinical practices for syphilis, gonorrhea, chlamydia, and HIV infection. Methods. Surveys were mailed to a random sample of 7300 physicians to assess screening, testing, reporting, and partner notification for syphilis, gonorrhea, chlamydia, and HIV. Results. Fewer than one third of physicians routinely screened men or women (pregnant or nonpregnant) for STDs. Case reporting was lowest for chlamydia (37%), intermediate for gonorrhea (44%), and higher for syphilis, HIV, and AIDS (53%-57%). Physicians instructed patients to notify their partners (82%-89%) or the health department (25%-34%) rather than doing so themselves. Conclusions. STD screening levels are well below practice guidelines for women and virtually nonexistent for men. Case reporting levels are below those legally mandated; physicians rely instead on patients for partner notification. Health departments must increase collaboration with private physicians to improve the quality of STD care.

Suggested Citation

  • St. Lawrence, J.S. & Montaño, D.E. & Kasprzyk, D. & Phillips, W.R. & Armstrong, K. & Leichliter, J.S., 2002. "STD screening, testing, case reporting, and clinical and partner notification practices: A national survey of US physicians," American Journal of Public Health, American Public Health Association, vol. 92(11), pages 1784-1788.
    • Handle: RePEc:aph:ajpbhl:2002:92:11:1784-1788_0
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    Cited by:

    1. Rongxing Weng & Weiye Yu & Fuchang Hong & Chunlai Zhang & Lizhang Wen & Feng Wang & Yiting Luo & Jianbin Ye & Fen Tang & Honglin Wang & Xiangsheng Chen & Yumao Cai, 2020. "High Willingness to Participate in Partner Notification among Women Attending Reproductive Health and STI Clinics in Shenzhen, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(2), pages 1-10, January.
    2. Agénor, Madina & Krieger, Nancy & Austin, S. Bryn & Haneuse, Sebastien & Gottlieb, Barbara R., 2014. "At the intersection of sexual orientation, race/ethnicity, and cervical cancer screening: Assessing Pap test use disparities by sex of sexual partners among black, Latina, and white U.S. women," Social Science & Medicine, Elsevier, vol. 116(C), pages 110-118.

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