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Proximity to Screening Site, Rurality, and Neighborhood Disadvantage: Treatment Status among Individuals with Sexually Transmitted Infections in Yakima County, Washington

Background: Early sexually transmitted infections (STIs) diagnosis facilitates prompt treatment initiation and contributes to reduced transmission. This study examined the extent to which contextual characteristics such as proximity to screening site, rurality, and neighborhood disadvantage along wi...

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Autores principales: Amiri, Solmaz, Pham, Christine D., Amram, Ofer, Alcover, Karl C., Oluwoye, Oladunni, Bravo, Lilian, Sixberry, Melissa, McDonell, Michael G., Roll, John M, Fresco, Andre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215758/
https://www.ncbi.nlm.nih.gov/pubmed/32295243
http://dx.doi.org/10.3390/ijerph17082679
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author Amiri, Solmaz
Pham, Christine D.
Amram, Ofer
Alcover, Karl C.
Oluwoye, Oladunni
Bravo, Lilian
Sixberry, Melissa
McDonell, Michael G.
Roll, John M
Fresco, Andre
author_facet Amiri, Solmaz
Pham, Christine D.
Amram, Ofer
Alcover, Karl C.
Oluwoye, Oladunni
Bravo, Lilian
Sixberry, Melissa
McDonell, Michael G.
Roll, John M
Fresco, Andre
author_sort Amiri, Solmaz
collection PubMed
description Background: Early sexually transmitted infections (STIs) diagnosis facilitates prompt treatment initiation and contributes to reduced transmission. This study examined the extent to which contextual characteristics such as proximity to screening site, rurality, and neighborhood disadvantage along with demographic variables, may influence treatment seeking behavior among individuals with STIs (i.e., chlamydia, gonorrhea, and syphilis). Methods: Data on 16,075 diagnosed cases of STIs between 2007 and 2018 in Yakima County were obtained from the Washington State Department of Health Database Surveillance System. Multilevel models were applied to explore the associations between contextual and demographic characteristics and two outcomes: (a) not receiving treatment and (b) the number of days to receiving treatment. Results: Contextual risk factors for not receiving treatment or having increased number of days to treatment were living ≥10 miles from the screening site and living in micropolitan, small towns, or rural areas. Older age was a protective factor and being female was a risk for both outcomes. Conclusions: Healthcare providers and facilities should be made aware of demographic and contextual characteristics that can impact treatment seeking behavior among individuals with STIs, especially among youth, females, and rural residents.
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spelling pubmed-72157582020-05-22 Proximity to Screening Site, Rurality, and Neighborhood Disadvantage: Treatment Status among Individuals with Sexually Transmitted Infections in Yakima County, Washington Amiri, Solmaz Pham, Christine D. Amram, Ofer Alcover, Karl C. Oluwoye, Oladunni Bravo, Lilian Sixberry, Melissa McDonell, Michael G. Roll, John M Fresco, Andre Int J Environ Res Public Health Article Background: Early sexually transmitted infections (STIs) diagnosis facilitates prompt treatment initiation and contributes to reduced transmission. This study examined the extent to which contextual characteristics such as proximity to screening site, rurality, and neighborhood disadvantage along with demographic variables, may influence treatment seeking behavior among individuals with STIs (i.e., chlamydia, gonorrhea, and syphilis). Methods: Data on 16,075 diagnosed cases of STIs between 2007 and 2018 in Yakima County were obtained from the Washington State Department of Health Database Surveillance System. Multilevel models were applied to explore the associations between contextual and demographic characteristics and two outcomes: (a) not receiving treatment and (b) the number of days to receiving treatment. Results: Contextual risk factors for not receiving treatment or having increased number of days to treatment were living ≥10 miles from the screening site and living in micropolitan, small towns, or rural areas. Older age was a protective factor and being female was a risk for both outcomes. Conclusions: Healthcare providers and facilities should be made aware of demographic and contextual characteristics that can impact treatment seeking behavior among individuals with STIs, especially among youth, females, and rural residents. MDPI 2020-04-14 2020-04 /pmc/articles/PMC7215758/ /pubmed/32295243 http://dx.doi.org/10.3390/ijerph17082679 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Amiri, Solmaz
Pham, Christine D.
Amram, Ofer
Alcover, Karl C.
Oluwoye, Oladunni
Bravo, Lilian
Sixberry, Melissa
McDonell, Michael G.
Roll, John M
Fresco, Andre
Proximity to Screening Site, Rurality, and Neighborhood Disadvantage: Treatment Status among Individuals with Sexually Transmitted Infections in Yakima County, Washington
title Proximity to Screening Site, Rurality, and Neighborhood Disadvantage: Treatment Status among Individuals with Sexually Transmitted Infections in Yakima County, Washington
title_full Proximity to Screening Site, Rurality, and Neighborhood Disadvantage: Treatment Status among Individuals with Sexually Transmitted Infections in Yakima County, Washington
title_fullStr Proximity to Screening Site, Rurality, and Neighborhood Disadvantage: Treatment Status among Individuals with Sexually Transmitted Infections in Yakima County, Washington
title_full_unstemmed Proximity to Screening Site, Rurality, and Neighborhood Disadvantage: Treatment Status among Individuals with Sexually Transmitted Infections in Yakima County, Washington
title_short Proximity to Screening Site, Rurality, and Neighborhood Disadvantage: Treatment Status among Individuals with Sexually Transmitted Infections in Yakima County, Washington
title_sort proximity to screening site, rurality, and neighborhood disadvantage: treatment status among individuals with sexually transmitted infections in yakima county, washington
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215758/
https://www.ncbi.nlm.nih.gov/pubmed/32295243
http://dx.doi.org/10.3390/ijerph17082679
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