Comparison of Adherence to Chlamydia Screening Guidelines Among Title X Providers and Non-Title X Providers in the California Family Planning, Access, Care, and Treatment Program
Journal of Women's Health, 07/11/2012
Chow JM et al. – Screening rates for females were higher among private providers compared with Title X and non–Title X public providers. However, only Title X providers were more likely to adhere to screening guidelines through high screening rates for young females and low screening rates for older females.Methods
- Administrative claims from the California Family Planning, Access, Care, and Treatment (Family PACT) program were used to examine clinic and client sociodemographic characteristics by provider group–Title X–funded public sector, non–Title X public sector, and private sector providers, and estimate age–specific screening and differences in rates by provider group during 2009.
- Among 833 providers, Title X providers were more likely than non–Title X public sector providers and private sector providers to serve a higher client volume, a higher proportion of clients aged ≤25 years, and a higher proportion of African American clients.
- Non–Title X public providers were more likely to be located in rural areas, compared with Title X grantees and private sector providers.
- Title X providers had the largest absolute difference in screening rates for young females vs. older females (10.9%).
- Unadjusted screening rates for young clients were lower among non–Title X public sector providers (54%) compared with private sector and Title X providers (64% each).
- After controlling for provider group, urban location, client volume, and percent African American, private sector providers had higher screening rates than Title X and non–Title X public providers.