title: Care-Seeking Behavior After Notification Among Young Women With Recurrent Sexually Transmitted Infections After Pelvic Inflammatory Disease.
abstract: Objective To determine the level of nurse case management and outreach required to notify young women with sexually transmitted infection (STI) positive test results after pelvic inflammatory disease (PID) and percent seeking treatment.
  
  
  METHODS
  Participants (N = 153) were enrolled in a clinical trial of young women diagnosed with PID and followed for 3 months for recurrent STIs. Vaginal swabs were obtained at 1 and 3 months. All participants were notified of positive STIs at 1 and 3 months and treatment arranged. Data were analyzed with logistic regression for comparison of treatment status by number of nurse contacts. Results Over the 3-month period, 59 participants (38.6%) tested positive for one or more STIs and all received notification. Only 50% (19/38) of participants with STI at 1 month and 43% (16/37) at 3 months received treatment. Conclusions Despite the high notification rate of positive test results for young adults with recurrent STIs, many failed to seek treatment.
authors: The Johns Hopkins University School of Medicine, Baltimore, MD, USA abutz@jhmi.edu.
authors: Arlene M
authors: AM
authors: Butz
authors: The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: Charlotte
authors: C
authors: Gaydos
authors: The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: Shang-En
authors: SE
authors: Chung
authors: The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: Betty H
authors: BH
authors: Johnson
authors: The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: Steven
authors: S
authors: Huettner
authors: The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: Maria
authors: M
authors: Trent
mesh_terms: D000293:Adolescent; D000328:Adult; D018563:Disease Notification / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D000292:Pelvic Inflammatory Disease / Q000453:epidemiology* / Q000628:therapy*; D012008:Recurrence; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000628:therapy*; D055815:Young Adult
keywords: adolescent; nurse case management; pelvic inflammatory disease (PID); sexually transmitted infection (STI)