title: Antenatal sexually transmitted infection screening in private and indigent clinics in a community hospital system.
abstract: OBJECTIVE
  To determine whether clinics that serve indigent patients demonstrate equal compliance with sexually transmitted infection testing guidelines when compared with private clinics.
  
  
  METHODS
  One hundred eighty-three women were divided into cohorts based on whether they received prenatal care at a private or indigent clinic. Timing of required antenatal sexually transmitted infection screening was collected for 8 tests and compliance scores were calculated. Primary outcome was average compliance score compared between clinic types. Secondary outcomes included disease-specific compliance and percent of perfect compliance at different office types.
  
  
  RESULTS
  Compliance was found to be different between clinic types (P = .023). Indigent clinics had the same median with slightly higher inner-quartile range than private clinics (7 [7-8], 7 [7-7]). Indigent clinics had higher mean compliance scores (7.1 vs 6.9) and a greater percentage of patients demonstrating perfect compliance (42% vs 14%, P < .001).
  
  
  CONCLUSIONS
  Clinics serving indigent patient populations had a higher compliance with required testing compared to private clinics. HIV testing in the third trimester remains the greatest need for improvement for all practice types.
authors.affiliation: Department of Obstetrics and Gynecology, Carolinas Medical Center, Charlotte, NC, USA.
authors.forename: Joel B
authors.initials: JB
authors.lastname: Yancey
authors.forename: Marcy L
authors.initials: ML
authors.lastname: Nussbaum
authors.forename: Mollie C
authors.initials: MC
authors.lastname: Elliot
authors.forename: Susan M
authors.initials: SM
authors.lastname: Kullstam
authors.forename: Albert
authors.initials: A
authors.lastname: Franco
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005194:Family Practice / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006176:Gynecology / Q000592:standards / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006764:Hospitals, Community; D006801:Humans; D008403:Mass Screening / Q000592:standards* / Q000706:statistics & numerical data; D009657:North Carolina; D009774:Obstetrics / Q000592:standards / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards* / Q000706:statistics & numerical data; D011331:Private Practice / Q000592:standards* / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012749:Sexually Transmitted Diseases / Q000175:diagnosis*; D017664:Uncompensated Care / Q000706:statistics & numerical data