Willingness to use health insurance at a sexually transmitted disease clinic: A survey of patients at 21 US clinics

W.S. Pearson, R. Cramer, G. Tao, J.S. Leichliter, T.L. Gift and K.W. Hoover

American Journal of Public Health, 2016, vol. 106, issue 8, 1511-1513

Abstract: Objectives. To survey patients of publicly funded sexually transmitted disease (STD) clinics across the United States about their willingness to use health insurance for their visit. Methods. In 2013, we identified STD clinics in 21 US metropolitan statistical areas with the highest rates of chlamydia, gonorrhea, and syphilis according to Centers for Disease Control and Prevention surveillance reports. Patients attending the identified STD clinics completed a total of 4364 surveys (response rate = 86.6%). Results. Nearly half of the insured patients were willing to use their health insurance. Patients covered by government insurance were more likely to be willing to use their health insurance compared with those covered by private insurance (odds ratio [OR] = 3.60; 95% confidence interval [CI] = 2.79, 4.65), and patients covered by their parents' insurance were less likely to be willing to use their insurance compared with those covered by private insurance (OR = 0.72; 95% CI = 0.52, 1.00). Reasons for unwillingness to use insurance were privacy and out-of-pocket cost. Conclusions. Before full implementation of the Affordable Care Act, privacy and cost were barriers to using health insurance for STD services. Public Health Implications. Barriers to using health insurance for STD services could be reduced through addressing issues of stigma associated with STD care and considering alternative payment sources for STD services. © 2013 American Public Health Association.

Keywords: adolescent; adult; female; financial management; health insurance; human; male; medical care; outpatient department; Sexually Transmitted Diseases; social stigma; socioeconomics; statistics and numerical data; United States; young adult, Adolescent; Adult; Ambulatory Care Facilities; Female; Financing, Personal; Humans; Insurance, Health; Male; Medical Assistance; Sexually Transmitted Diseases; Social Stigma; Socioeconomic Factors; United States; Young Adult (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2016.303263_9

DOI: 10.2105/AJPH.2016.303263

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