{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:41:38Z","timestamp":1777898498990,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,11,1]],"date-time":"2015-11-01T00:00:00Z","timestamp":1446336000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:p>The Patient Protection and Affordable Care Act is expected to reduce the number of uninsured people in the United States during the next eight years, but more than 10% are expected to remain uninsured. Uninsured people are one of the main populations using publicly funded safety net sexually transmitted disease (STD) prevention services. Estimating the proportion of the uninsured population expected to need STD services could help identify the potential demand for safety net STD services and improve program planning. In 2013, an estimated 8.27 million people met the criteria for being in need of STD services. In 2023, 4.70 million uninsured people are expected to meet the criteria for being in need of STD services. As an example, the cost in 2014 U.S. dollars of providing chlamydia screening to these people was an estimated $271.1 million in 2013 and is estimated to be $153.8 million in 2023. A substantial need will continue to exist for safety net STD prevention services in coming years.<\/jats:p>","DOI":"10.1177\/003335491513000608","type":"journal-article","created":{"date-parts":[[2017,4,10]],"date-time":"2017-04-10T08:25:27Z","timestamp":1491812727000},"page":"602-606","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Estimating the Size and Cost of the STD Prevention Services Safety Net"],"prefix":"10.1177","volume":"130","author":[{"given":"Thomas L.","family":"Gift","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of STD Prevention, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura T.","family":"Haderxhanaj","sequence":"additional","affiliation":[{"name":"Oak Ridge Institute for Science & Education (ORISE) at the Centers for Disease Control and Prevention, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth A.","family":"Torrone","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of STD Prevention, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay S.","family":"Behl","sequence":"additional","affiliation":[{"name":"Health Partners Institute for Research and Education, Minneapolis, MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raul A.","family":"Romaguera","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of STD Prevention, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jami S.","family":"Leichliter","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of STD Prevention, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,11,1]]},"reference":[{"key":"bibr1-003335491513000608","unstructured":"Congressional Budget Office (US). The budget and economic outlook: 2014 to 2024. CBO [cited 2014 Apr 7. Available from: URL: http:\/\/www.cbo.gov\/sites\/default\/files\/cbofiles\/attachments\/45010-Outlook2014_Feb.pdf."},{"key":"bibr2-003335491513000608","unstructured":"Centers for Medicare & Medicaid Services (US). Medicaid and CHIP coverage [cited 2015 Aug 25. Available from: URL: https:\/\/www.healthcare.gov\/medicaid-chip\/getting-medicaid-chip."},{"key":"bibr3-003335491513000608","unstructured":"Centers for Medicare & Medicaid Services (US). Health insurance marketplace [cited 2014 Jan 31. Available from: URL: https:\/\/www.healthcare.gov."},{"key":"bibr4-003335491513000608","unstructured":"Pub. L. No. 111\u2013148, 26 U.S.C., 36B (2010)."},{"key":"bibr5-003335491513000608","doi-asserted-by":"crossref","unstructured":"Pub. L. No. 111\u2013148, 42 U.S.C., 300gg-14 (2010).","DOI":"10.1007\/s10353-010-0536-z"},{"key":"bibr6-003335491513000608","first-page":"248","volume":"10","author":"Adams PF","year":"2009","journal-title":"Vital Health Stat"},{"key":"bibr7-003335491513000608","doi-asserted-by":"publisher","DOI":"10.2307\/2136055"},{"key":"bibr8-003335491513000608","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199711000-00009"},{"key":"bibr9-003335491513000608","unstructured":"Hoover KW, Parsell B, Leichliter JS, Habel MA, Tao G, Pearson WS, Characteristics of U.S. STD clinic patients and their access to healthcare, 2013. Am J Public Health 2015. In press."},{"key":"bibr10-003335491513000608","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000149851.97269.91"},{"key":"bibr11-003335491513000608","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000135"},{"key":"bibr12-003335491513000608","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000058"},{"key":"bibr13-003335491513000608","volume-title":"Sexually transmitted disease surveillance 2013","author":"Centers for Disease Control and Prevention (US)","year":"2014"},{"key":"bibr14-003335491513000608","doi-asserted-by":"publisher","DOI":"10.7326\/M14-1981"},{"issue":"3","key":"bibr15-003335491513000608","first-page":"1","volume":"64","author":"Workowski KA","year":"2015","journal-title":"MMWR Recomm Rep"},{"key":"bibr16-003335491513000608","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200202000-00001"},{"key":"bibr17-003335491513000608","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-2-200707170-00007"},{"key":"bibr18-003335491513000608","unstructured":"Groves RM, Mosher WD, Lepkowski JM, Kirgis NG, Planning and development of the continuous National Survey of Family Growth. Vital Health Stat 1 2009(48)."},{"key":"bibr19-003335491513000608","unstructured":"Congressional Budget Office (US). CBO\/s May 2013 estimate of the effects of the Affordable Care Act on health insurance coverage [cited 2015 Aug 25]. Available from: URL: https:\/\/www.cbo.gov\/sites\/default\/files\/cbofiles\/attachments\/43900-2013-05-ACA.pdf."},{"key":"bibr20-003335491513000608","unstructured":"Census Bureau (US). 2010 U.S. Census [cited 2013 Jul 3. Available from: URL: http:\/\/www.census.gov\/2010census."},{"key":"bibr21-003335491513000608","unstructured":"Census Bueau (US). Table 3. Projections of the population by sex and selected age groups for the United States: 2015 to 2060 (NP2014-T3) [cited 2015 Jun 15. Available from: URL: http:\/\/www.census.gov\/population\/projections\/files\/summary\/NP2014-T3.xls."},{"key":"bibr22-003335491513000608","first-page":"56","volume":"1","author":"Zipf G","year":"1999","journal-title":"Vital Health Stat"},{"key":"bibr23-003335491513000608","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181d73e4c"},{"key":"bibr24-003335491513000608","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31818b64ac"},{"key":"bibr25-003335491513000608","unstructured":"Department of Labor (US), Bureau of Labor Statistics. Consumer price index [cited 2015 Apr 20. Available from: URL: http:\/\/www.bls.gov\/cpi."},{"key":"bibr26-003335491513000608","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000187"}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003335491513000608","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003335491513000608","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:32:26Z","timestamp":1777627946000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/003335491513000608"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,11]]}},"alternative-id":["10.1177\/003335491513000608"],"URL":"https:\/\/doi.org\/10.1177\/003335491513000608","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11]]}}}