Continued Importance of Sexually Transmitted Disease Clinics in the Era of the Affordable Care Act

Nicky J. Mehtani, Christina Schumacher, Luke E. Johnsen, Joneigh S. Khaldun, C. Patrick Chaulk, Khalil G Ghanem, Jacky Jennings, Kathleen R Page

Research output: Contribution to journalArticle


Introduction: Following the 2014 expansions of Medicaid and private health insurance through the Affordable Care Act, municipal sexually transmitted disease (STD) clinics-which have historically served predominantly uninsured patients-have been threatened with budget cuts nationwide. This study was conducted to evaluate the impact of the insurance expansions on the demand for STD clinic services. Methods: The proportion of total incident sexually transmitted infections in Baltimore City that were diagnosed at STD clinics was compared between 2013 and 2014, and a multivariate analysis was conducted to determine factors associated with diagnosis at an STD clinic. Analyses were conducted in July 2015. Results: There was no change in the overall proportion of sexually transmitted infection diagnoses made at STD clinics from 2013 to 2014 (relative rate, 1.03; 95% CI=0.95, 1.11). Hispanic ethnicity, black race, male sex, and age >24 years were associated with an increased likelihood of STD clinic utilization (p

Original languageEnglish (US)
JournalAmerican Journal of Preventive Medicine
StateAccepted/In press - 2016

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

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