{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:42:11Z","timestamp":1777927331764,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T00:00:00Z","timestamp":1601424000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["00HCVJDD-2019-32017"],"award-info":[{"award-number":["00HCVJDD-2019-32017"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000092","name":"U.S. National Library of Medicine","doi-asserted-by":"publisher","award":["T15LM012502"],"award-info":[{"award-number":["T15LM012502"]}],"id":[{"id":"10.13039\/100000092","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Surveillance of gonorrhea (GC), the second most common notifiable disease in the United States, depends on case reports. Population-level data that contain the number of individuals tested in addition to morbidity are lacking. We performed a cross-sectional analysis of data obtained from individuals tested for GC recorded in a sexually transmitted disease (STD) registry in the state of Indiana. Descriptive statistics were performed, and a Poisson generalized linear model was used to evaluate the number of individuals tested for GC and the positivity rate. GC cases from a subset of the registry were compared to CDC counts to determine the completeness of the registry. A total of 1,870,811 GC tests were linked to 627,870 unique individuals. Individuals tested for GC increased from 54,334 in 2004 to 269,701 in 2016; likewise, GC cases increased from 2,039 to 5,997. However, positivity rate decreased from 3.75% in 2004 to 2.22% in 2016. The difference in the number of GC cases captured by the registry and those reported to the CDC was not statistically significant (P\u2009=\u20090.0665). Population-level data from an STD registry combining electronic medical records and public health case data may inform STD control efforts. In Indiana, increased testing rates appeared to correlate with increased GC morbidity.<\/jats:p>","DOI":"10.1177\/0956462420953718","type":"journal-article","created":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:55:07Z","timestamp":1601513707000},"page":"30-37","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Gonorrhea testing, morbidity, and reporting using an integrated sexually transmitted disease registry in Indiana: 2004\u20132016"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6312-0083","authenticated-orcid":false,"given":"Opeyemi C","family":"Ojo","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet N","family":"Arno","sequence":"additional","affiliation":[{"name":"Marion County Public Health Department, Health and Hospital Corporation, Indianapolis, IN, USA"},{"name":"Division of Infectious Diseases, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8491-3015","authenticated-orcid":false,"given":"Guoyu","family":"Tao","sequence":"additional","affiliation":[{"name":"Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chirag G","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zuoyi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Wang","sequence":"additional","affiliation":[{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Holderman","sequence":"additional","affiliation":[{"name":"Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1121-0607","authenticated-orcid":false,"given":"Brian E","family":"Dixon","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA"},{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,30]]},"reference":[{"key":"bibr1-0956462420953718","unstructured":"Centers for Disease Control and Prevention (CDC). Gonorrhea \u2013 2018 sexually transmitted diseases surveillance, www.cdc.gov\/std\/stats18\/gonorrhea.htm (2019, accessed 28 May 2020)."},{"key":"bibr2-0956462420953718","unstructured":"Centers for Disease Control and Prevention (CDC). Detailed STD facts \u2013 gonorrhea, www.cdc.gov\/std\/gonorrhea\/stdfact-gonorrhea-detailed.htm (2019, accessed 28 May 2020)."},{"key":"bibr3-0956462420953718","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181a96d23"},{"key":"bibr4-0956462420953718","doi-asserted-by":"publisher","DOI":"10.1177\/0033354920914318"},{"key":"bibr5-0956462420953718","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e318286bb53"},{"key":"bibr6-0956462420953718","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e318286dba6"},{"key":"bibr7-0956462420953718","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000928"},{"key":"bibr8-0956462420953718","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2017.04.028"},{"key":"bibr9-0956462420953718","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-017-0491-8"},{"key":"bibr10-0956462420953718","doi-asserted-by":"crossref","unstructured":"Pham CD, Sharpe S, Schlanger K, et\u00a0al. Emergence of Neisseria gonorrhoeae strains harboring a novel combination of Azithromycin-attenuating mutations.\n                      Antimicrob Agents Chemother\n                      2019; 63(4): e02313-18. Epub ahead of print 27 March 2019. DOI: 10.1128\/AAC.02313-18.","DOI":"10.1128\/AAC.02313-18"},{"key":"bibr11-0956462420953718","first-page":"361","volume":"245","author":"Dixon BE","year":"2017","journal-title":"Stud Health Technol Inform"},{"key":"bibr12-0956462420953718","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.24.5.1214"},{"key":"bibr13-0956462420953718","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-803135-3.00027-X"},{"key":"bibr14-0956462420953718","unstructured":"Indiana State Department of Health (ISDH). ISDH: Preparedness Districts, https:\/\/www.in.gov\/isdh\/17944.htm (2017., accessed 28 May 2020)."},{"key":"bibr15-0956462420953718","unstructured":"United States Census Bureau. U.S. Census Bureau QuickFacts: Indianapolis city (balance), Indiana; United States, www.census.gov\/quickfacts\/fact\/table\/indianapoliscitybalanceindiana,US\/PST045218 (2019, accessed 20 June 2019)."},{"key":"bibr16-0956462420953718","unstructured":"Centers for Disease Control and Prevention. Chlamydia screening, HEDIS and managed care, www.cdc.gov\/std\/chlamydia\/hedis.htm (2019, accessed 28 May 2020)."},{"key":"bibr17-0956462420953718","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2019.06.007"},{"key":"bibr18-0956462420953718","unstructured":"Health and Hospital Corporation. Syphilis outbreak confirmed in Marion County, www.hhcorp.org\/hhc\/index.php\/newsroom\/2008-news-releases\/437-syphilis-outbreak-confirmed-in-marion-county (2008, accessed 31 July 2020)."},{"key":"bibr19-0956462420953718","first-page":"299","volume":"76","author":"Carlson ADP","year":"2017","journal-title":"Hawaii J Med Public Health"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420953718","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462420953718","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420953718","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:41:11Z","timestamp":1777675271000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462420953718"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,30]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1177\/0956462420953718"],"URL":"https:\/\/doi.org\/10.1177\/0956462420953718","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,30]]}}}