Self- treatment patterns among clients attending sexually transmitted disease clinics and the effect of self-treatment on STD symptom duration

Debra E. Irwin, James C. Thomas, Christopher E. Spitters, Peter A. Leone, Janice D. Stratton, David H. Martin, Jonathan Mark Zenilman, Jane R. Schwebke, Edward W. Hook, Elizabeth B. Andrews, L. Gray Davis, Hugh H. Tilson, Mary Ann Mowat, Alice White, Monika Stender, Jeff Johnston, Michael Miles, Vanessa Williams, Bob Davis, Linda PhillipsNancy Girzaitis, Dee Connors, Kellie Souza, Gerald Garrett, Debbie Caporuscio, Donna Clover, Edith Parker, Gil Munoz, Robert Gunn, Sara Stratton, Debbie Hollis, Martha Monnett, Kristi Foster, Barbara Armentor, Barbara Pare, Sherell Jackson, Jay Nobel, Masai Ehehosi, Rosalie Cyrier, Brenda Hunter

Research output: Contribution to journalArticle

Abstract

Objective: To assess patterns of self-treatment and its effects on the duration of sexually transmitted disease (STD) symptoms before medical care. Methods: A cross-sectional interview survey in public STD clinics (7 U.S. cities). Patients, seeking treatment for STD symptoms or having a known infected sexual contact, reported self-treatment behaviors and symptom duration. Additional data were abstracted from medical charts. Results: Self- treatment, primarily over-the-counter topical medications 154.8%), was reported by 21.8% of 2,508 symptomatic patients. Self-treaters were significantly more likely to be African-American (odds ratio [OR] = 1.8), female (OR = 1.7), over age 30 (OR = 1.3), report >1 symptom (OR = 1.4), and report a genital lesion (OR = 2.1). Symptom duration was 2 days longer among self-treaters (p <0.01). African-Americans (OR = 1.5), men (OR = 1.2), and self-treaters of symptoms other than genital lesions (OR = 1.4) had a significantly longer time from symptom onset to receiving medical care. Conclusions: Self-treatment is common among patients with STDs. Self- treatment of a genital lesion, unlike certain demographic factors and self- treatment of other STD symptoms, did not prolong the time to medical treatment.

Original languageEnglish (US)
Pages (from-to)372-377
Number of pages6
JournalSexually Transmitted Diseases
Volume24
Issue number6
DOIs
StatePublished - Jul 1997

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Sexually Transmitted Diseases
Odds Ratio
Therapeutics
African Americans
Cross-Sectional Studies
Demography
Interviews

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)

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Self- treatment patterns among clients attending sexually transmitted disease clinics and the effect of self-treatment on STD symptom duration. / Irwin, Debra E.; Thomas, James C.; Spitters, Christopher E.; Leone, Peter A.; Stratton, Janice D.; Martin, David H.; Zenilman, Jonathan Mark; Schwebke, Jane R.; Hook, Edward W.; Andrews, Elizabeth B.; Davis, L. Gray; Tilson, Hugh H.; Mowat, Mary Ann; White, Alice; Stender, Monika; Johnston, Jeff; Miles, Michael; Williams, Vanessa; Davis, Bob; Phillips, Linda; Girzaitis, Nancy; Connors, Dee; Souza, Kellie; Garrett, Gerald; Caporuscio, Debbie; Clover, Donna; Parker, Edith; Munoz, Gil; Gunn, Robert; Stratton, Sara; Hollis, Debbie; Monnett, Martha; Foster, Kristi; Armentor, Barbara; Pare, Barbara; Jackson, Sherell; Nobel, Jay; Ehehosi, Masai; Cyrier, Rosalie; Hunter, Brenda.

In: Sexually Transmitted Diseases, Vol. 24, No. 6, 07.1997, p. 372-377.

Research output: Contribution to journalArticle

Irwin, DE, Thomas, JC, Spitters, CE, Leone, PA, Stratton, JD, Martin, DH, Zenilman, JM, Schwebke, JR, Hook, EW, Andrews, EB, Davis, LG, Tilson, HH, Mowat, MA, White, A, Stender, M, Johnston, J, Miles, M, Williams, V, Davis, B, Phillips, L, Girzaitis, N, Connors, D, Souza, K, Garrett, G, Caporuscio, D, Clover, D, Parker, E, Munoz, G, Gunn, R, Stratton, S, Hollis, D, Monnett, M, Foster, K, Armentor, B, Pare, B, Jackson, S, Nobel, J, Ehehosi, M, Cyrier, R & Hunter, B 1997, 'Self- treatment patterns among clients attending sexually transmitted disease clinics and the effect of self-treatment on STD symptom duration', Sexually Transmitted Diseases, vol. 24, no. 6, pp. 372-377. https://doi.org/10.1097/00007435-199707000-00011
Irwin, Debra E. ; Thomas, James C. ; Spitters, Christopher E. ; Leone, Peter A. ; Stratton, Janice D. ; Martin, David H. ; Zenilman, Jonathan Mark ; Schwebke, Jane R. ; Hook, Edward W. ; Andrews, Elizabeth B. ; Davis, L. Gray ; Tilson, Hugh H. ; Mowat, Mary Ann ; White, Alice ; Stender, Monika ; Johnston, Jeff ; Miles, Michael ; Williams, Vanessa ; Davis, Bob ; Phillips, Linda ; Girzaitis, Nancy ; Connors, Dee ; Souza, Kellie ; Garrett, Gerald ; Caporuscio, Debbie ; Clover, Donna ; Parker, Edith ; Munoz, Gil ; Gunn, Robert ; Stratton, Sara ; Hollis, Debbie ; Monnett, Martha ; Foster, Kristi ; Armentor, Barbara ; Pare, Barbara ; Jackson, Sherell ; Nobel, Jay ; Ehehosi, Masai ; Cyrier, Rosalie ; Hunter, Brenda. / Self- treatment patterns among clients attending sexually transmitted disease clinics and the effect of self-treatment on STD symptom duration. In: Sexually Transmitted Diseases. 1997 ; Vol. 24, No. 6. pp. 372-377.
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abstract = "Objective: To assess patterns of self-treatment and its effects on the duration of sexually transmitted disease (STD) symptoms before medical care. Methods: A cross-sectional interview survey in public STD clinics (7 U.S. cities). Patients, seeking treatment for STD symptoms or having a known infected sexual contact, reported self-treatment behaviors and symptom duration. Additional data were abstracted from medical charts. Results: Self- treatment, primarily over-the-counter topical medications 154.8{\%}), was reported by 21.8{\%} of 2,508 symptomatic patients. Self-treaters were significantly more likely to be African-American (odds ratio [OR] = 1.8), female (OR = 1.7), over age 30 (OR = 1.3), report >1 symptom (OR = 1.4), and report a genital lesion (OR = 2.1). Symptom duration was 2 days longer among self-treaters (p <0.01). African-Americans (OR = 1.5), men (OR = 1.2), and self-treaters of symptoms other than genital lesions (OR = 1.4) had a significantly longer time from symptom onset to receiving medical care. Conclusions: Self-treatment is common among patients with STDs. Self- treatment of a genital lesion, unlike certain demographic factors and self- treatment of other STD symptoms, did not prolong the time to medical treatment.",
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T1 - Self- treatment patterns among clients attending sexually transmitted disease clinics and the effect of self-treatment on STD symptom duration

AU - Irwin, Debra E.

AU - Thomas, James C.

AU - Spitters, Christopher E.

AU - Leone, Peter A.

AU - Stratton, Janice D.

AU - Martin, David H.

AU - Zenilman, Jonathan Mark

AU - Schwebke, Jane R.

AU - Hook, Edward W.

AU - Andrews, Elizabeth B.

AU - Davis, L. Gray

AU - Tilson, Hugh H.

AU - Mowat, Mary Ann

AU - White, Alice

AU - Stender, Monika

AU - Johnston, Jeff

AU - Miles, Michael

AU - Williams, Vanessa

AU - Davis, Bob

AU - Phillips, Linda

AU - Girzaitis, Nancy

AU - Connors, Dee

AU - Souza, Kellie

AU - Garrett, Gerald

AU - Caporuscio, Debbie

AU - Clover, Donna

AU - Parker, Edith

AU - Munoz, Gil

AU - Gunn, Robert

AU - Stratton, Sara

AU - Hollis, Debbie

AU - Monnett, Martha

AU - Foster, Kristi

AU - Armentor, Barbara

AU - Pare, Barbara

AU - Jackson, Sherell

AU - Nobel, Jay

AU - Ehehosi, Masai

AU - Cyrier, Rosalie

AU - Hunter, Brenda

PY - 1997/7

Y1 - 1997/7

N2 - Objective: To assess patterns of self-treatment and its effects on the duration of sexually transmitted disease (STD) symptoms before medical care. Methods: A cross-sectional interview survey in public STD clinics (7 U.S. cities). Patients, seeking treatment for STD symptoms or having a known infected sexual contact, reported self-treatment behaviors and symptom duration. Additional data were abstracted from medical charts. Results: Self- treatment, primarily over-the-counter topical medications 154.8%), was reported by 21.8% of 2,508 symptomatic patients. Self-treaters were significantly more likely to be African-American (odds ratio [OR] = 1.8), female (OR = 1.7), over age 30 (OR = 1.3), report >1 symptom (OR = 1.4), and report a genital lesion (OR = 2.1). Symptom duration was 2 days longer among self-treaters (p <0.01). African-Americans (OR = 1.5), men (OR = 1.2), and self-treaters of symptoms other than genital lesions (OR = 1.4) had a significantly longer time from symptom onset to receiving medical care. Conclusions: Self-treatment is common among patients with STDs. Self- treatment of a genital lesion, unlike certain demographic factors and self- treatment of other STD symptoms, did not prolong the time to medical treatment.

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