{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T02:26:21Z","timestamp":1793154381279,"version":"4.5.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2013,5,1]],"date-time":"2013-05-01T00:00:00Z","timestamp":1367366400000},"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":[[2013,5]]},"abstract":"<jats:p>Summary<\/jats:p>\n                  <jats:p>Chlamydia cases diagnosed in the women's clinic were more likely to receive expedited partner therapy (EPT) and to be re-tested as compared with urgent and emergent care settings. Fewer re-infections occurred among patients who received EPT. Disproportionate rates of chlamydia occur among American Indian (AI) populations. To describe use of EPT among chlamydia cases diagnosed at an urban Indian Health Service (IHS) facility in Arizona, health records were used to extract confirmed cases of chlamydia diagnosed between January 2009 and August 2011. Medical records of 492 patients diagnosed with chlamydia were reviewed. Among the 472 cases who received treatment, 246 (52%) received EPT. Receipt of EPT was significantly associated with being female (odds ratio (OR) 2.1, 1.03\u20134.4, P &lt; 0.001) and receipt of care in the women's clinic (OR 9.9, 95% CI 6.0\u201316.2) or in a primary care clinic (OR 2.4, 95% CI 1.1\u20135.1). Compared with those receiving care in the women's clinic, the odds of receipt of EPT were significantly less in those attending the urgent\/express care clinic (OR 0.1, 95% CI 0.06\u20130.2), and the emergency department (OR 0.1, 95% CI 0.05\u20130.2). Among treated patients who underwent re-testing ( N = 323, 68% total treated) re-infection was less common among those that received EPT (13% versus 27%; OR 0.5, 95% CI 0.3\u20130.9). In this IHS facility, EPT was protective in preventing chlamydia re-infection. Opportunities to expand the use of EPT were identified in urgent and emergent care settings.<\/jats:p>","DOI":"10.1177\/0956462412472825","type":"journal-article","created":{"date-parts":[[2013,6,18]],"date-time":"2013-06-18T22:42:57Z","timestamp":1371595377000},"page":"371-374","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Use of expedited partner therapy among chlamydia cases diagnosed at an urban Indian health centre, Arizona"],"prefix":"10.1177","volume":"24","author":[{"given":"M M","family":"Taylor","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of STD Prevention, Atlanta, GA"},{"name":"Indian Health Service, National STD Program, Albuquerque, NM"},{"name":"Arizona Department of Health Services"},{"name":"Maricopa County Department of Public Health, Phoenix, AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Reilley","sequence":"additional","affiliation":[{"name":"Indian Health Service, Division of Epidemiology, Albuquerque, NM"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Yellowman","sequence":"additional","affiliation":[{"name":"Phoenix Indian Medical Center, Phoenix, AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Anderson","sequence":"additional","affiliation":[{"name":"Maricopa County Department of Public Health, Phoenix, AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"de Ravello","sequence":"additional","affiliation":[{"name":"Indian Health Service, National STD Program, Albuquerque, NM"},{"name":"Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Tulloch","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of STD Prevention, Atlanta, GA"},{"name":"Indian Health Service, National STD Program, Albuquerque, NM"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,6,18]]},"reference":[{"key":"bibr1-0956462412472825","volume-title":"Sexually Transmitted Disease Surveillance 2010","author":"Centers for Disease Control and Prevention","year":"2011"},{"key":"bibr2-0956462412472825","volume-title":"Indian Health Service Surveillance Report \u2013 Sexually Transmitted Diseases 2009","author":"Centers for Disease Control and Prevention and Indian Health Service","year":"2012"},{"key":"bibr3-0956462412472825","unstructured":"Sexually Transmitted Diseases in Arizona: 2010 Annual Report. Arizona Department of Health Services, STD Control Program. P 12. See http:\/\/www.azdhs.gov\/phs\/oids\/std\/pdf\/STDAnnualReport2010.pdf. (last checked 22 March 2012)"},{"key":"bibr4-0956462412472825","unstructured":"Indian Health Service: The Federal Health Program for American Indians and Alaska Natives, Introduction. See http:\/\/www.ihs.gov\/index.cfm?module=ihsIntro. (last checked 30 October 2012)"},{"key":"bibr5-0956462412472825","volume-title":"Chlamydia Screening Coverage among American Indian and Alaska Native Women in the United States. Abstract P5-S7.10. 19th International Society for STD Research Meeting","author":"Tulloch S","year":"2011"},{"key":"bibr6-0956462412472825","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e318222f126"},{"key":"bibr7-0956462412472825","first-page":"44","volume":"59","author":"Centers for Disease Control and Prevention","year":"2010","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr8-0956462412472825","doi-asserted-by":"publisher","DOI":"10.1177\/00333549101250S409"},{"key":"bibr9-0956462412472825","unstructured":"Arizona Revised Statute 32\u20131401: 27 (ss): v. 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Appendix E Statutes That Allow Health Services to Be Provided to Ineligible Individuals at IHS Facilities. Sec.813(c) IHCIA. See http:\/\/www.ihs.gov\/IHM\/index.cfm?module=dsp_ihm_pc_p2c4_ap_e (last checked 5 June 2012)"},{"key":"bibr15-0956462412472825","unstructured":"STD Screening and Treatment Provider Tools.\n                      Indian Health Service. Division of Epidemiology and Disease Prevention\n                      . 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