{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T07:03:48Z","timestamp":1793084628879,"version":"4.5.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2013,4,1]],"date-time":"2013-04-01T00:00:00Z","timestamp":1364774400000},"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":["Int J STD AIDS"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:p>Summary<\/jats:p>\n                  <jats:p>We aimed to examine whether out-of-pocket (OOP) costs associated with chlamydia (CT) and gonorrhoea (GC) screening tests is a barrier to receiving CT\/GC re-screening and follow-up annual screening. A major health insurance claims database 2006\u20132010 was used for analysis. The date of first CT\/GC diagnosis was used as the index date, and OOP costs at index date for screening tests were retrieved. A re-screening test and an annual screening were defined as tests that occurred within 90\u2013180 days and 181\u2013395 days of the index date, respectively. Re-screening rates were 11.7% and 10.9% and annual screening rates were 24.7% and 23.7% for CT and GC cases, respectively. Compared with the CT patients without OOP expenses, those with OOP expenses of $30 or higher had significantly reduced likelihood of receiving re-screening and annual screening. Similar results were found for GC patients. We concluded that OOP costs serve as a significant barrier to re-screening and annual screening.<\/jats:p>","DOI":"10.1177\/0956462412472821","type":"journal-article","created":{"date-parts":[[2013,6,15]],"date-time":"2013-06-15T20:08:49Z","timestamp":1371326929000},"page":"301-306","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Is out-of-pocket cost a barrier to receiving repeat tests for chlamydia and gonorrhoea?"],"prefix":"10.1177","volume":"24","author":[{"given":"L","family":"Shi","sequence":"first","affiliation":[{"name":"Department of Global Health Systems and Development"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Liu","sequence":"additional","affiliation":[{"name":"HealthCore, Inc, Wilmington, DE, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Kissinger","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,6,14]]},"reference":[{"key":"bibr1-0956462412472821","volume-title":"Sexually Transmitted Disease Surveillance 2010","author":"Centers for Disease Control and Prevention","year":"2011"},{"key":"bibr2-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1363\/3601104"},{"key":"bibr3-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)80020-8"},{"key":"bibr4-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1136\/sti.75.1.3"},{"key":"bibr5-0956462412472821","first-page":"1","volume":"59","author":"Centers for Disease Control and Prevention","year":"2010","journal-title":"MMWR"},{"key":"bibr6-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200410000-00048"},{"key":"bibr7-0956462412472821","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-2-200707170-00172"},{"key":"bibr8-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181a2a933"},{"key":"bibr9-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1086\/428287"},{"key":"bibr10-0956462412472821","first-page":"1","volume":"15","author":"Mosher WD","year":"2005","journal-title":"Adv Data"},{"key":"bibr11-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.18.2229"},{"key":"bibr12-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2009.1648"},{"key":"bibr13-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2010.05.011"},{"key":"bibr14-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31815ea2bb"},{"key":"bibr15-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000187233.53622.8a"},{"key":"bibr16-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000143083.38684.9d"},{"key":"bibr17-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2011-050467"},{"key":"bibr18-0956462412472821","first-page":"144","volume":"35","author":"Hock-Long L","year":"2003","journal-title":"Perspect Sex Reprod Health"},{"key":"bibr19-0956462412472821","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000149851.97269.91"},{"key":"bibr20-0956462412472821","unstructured":"Henry J.\n                      Kaiser Family Foundation. 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