Longitudinal Analysis of Sexually Transmitted Infection and Human Immunodeficiency Virus Prevention Outcomes Among Emergency Department Patients Seeking Sexual Health-Related Care: A Retrospective Cohort Study
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Le résumé fourni par la source
BACKGROUND: Sexually transmitted infections (STIs) continue to increase in the United States, disproportionately affecting young adults, racial/ethnic minorities, and individuals with limited access to primary care. Emergency departments (EDs) represent a critical but underutilized setting for integrating STI management with HIV prevention efforts, including pre-exposure prophylaxis (PrEP). METHODS: We conducted a retrospective cohort study of adult patients presenting with sexual health-related encounters to 3 EDs in the Bronx, NY (2021-2022). Encounters were identified using International Classification of Disease-10 codes linked to STI testing. We assessed factors associated with STI diagnosis and evaluated HIV prevention outcomes over 12 months among those with a confirmed STI. Associations were reported using prevalence ratios (PRs) and multivariable logistic regression. RESULTS: Among 330,124 ED encounters, 8035 patients met criteria for sexual health-related care; 7% (n = 547) had a new STI diagnosis. STI prevalence was higher among cisgender men (PR = 2.60, 95% confidence interval [CI]: 2.21-3.05), Black patients (PR = 1.68, 95% CI: 1.42-1.98), patients aged 18-29 (PR = 2.26, 95% CI: 1.86-2.76), those with prior STIs (PR = 3.26, 95% CI: 2.56-4.14), and those with a substance use diagnosis (PR =1.90, 95% CI: 1.48-2.42). Within 12 months, 28% were retested for HIV, 36% for STIs, 10% discussed PrEP, 1% initiated PrEP, and 1 patient seroconverted. CONCLUSIONS: EDs are critical access points for STI detection among high-risk groups; however, HIV prevention uptake remains suboptimal. Strengthening linkage to longitudinal care is urgently needed.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Longitudinal Analysis of Sexually Transmitted Infection and Human Immunodeficiency Virus Prevention Outcomes Among Emergency Department Patients Seeking Sexual Health-Related Care: A Retrospective Cohort Study
- Date Crossref
- 24/03/2026
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Albert Einstein College of Medicine Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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University of Pittsburgh pays non établi dans la noticeUniversité ou école supérieure
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Montefiore Health System pays non établi dans la noticeÉtablissement de santé
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Lenox Hill Hospital pays non établi dans la noticeÉtablissement de santé
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School of Public Health Department of Behavioral and Community Health Sciences pays non établi dans la noticeUniversité ou école supérieure
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Department of Medicine pays non établi dans la noticeInstitution
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Department of Emergency Medicine pays non établi dans la noticeInstitution
Department of Medicine — Albert Einstein College of Medicine, University of Pittsburgh et Montefiore Health System, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.