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Chlamydia Screening in Women

This HEDIS Measure

Assesses women 16–24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement year.

So What?

Chlamydia is the most commonly reported bacterial sexually transmitted disease in the United States, occurring most often among adolescent and young adult females.1,2 Untreated chlamydia infections can lead to serious and irreversible complications, including pelvic inflammatory disease (PID), infertility and increased risk of becoming infected with HIV.1 Screening is important, as approximately 75 percent of chlamydia infections in women and 95 percent of infections in men are asymptomatic, resulting in delayed medical care and treatment.3

References

  1. Centers for Disease Control and Prevention (CDC). 2014. “Sexually Transmitted Diseases: Chlamydia—CDC Fact Sheet.” http://www.cdc.gov/std/chlamydia/STDFact-chlamydia-detailed.htm
  2. National Chlamydia Coalition. 2010. “Research Briefs: Developments in STD Screening: Chlamydia Testing.” 2010 Series, No. 1.
  3. Meyers, D.S., H. Halvorson, S. Luckhaupt. 2007. “Screening for Chlamydial Infection: An Evidence Update for the U.S. Preventive Services Task Force.” Ann Intern Med 147(2):135–42.
tables
Chlamydia Screening Rate (16–20 Years)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 41.9 38.2 51.5
2014 41.6 38.3 51.2
2013 41.4 37.8 51.3
2012 41.1 38.9 53.5
2011 41.5 39.6 54.9
2010 40.8 38.1 54.6
2009 41.0 37.7 54.4
2008 40.1 36.7 52.7
2007 36.4 32.4 48.6
2006 36.2 29.4 50.5
2005 34.4 26.2 49.2
2004 32.6 45.9
2003 30.4 44.3
2002 26.7 40.8
2001 24.5 39.6
2000 23.6
1999 18.5
Chlamydia Screening Rate (21–24 Years)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 52.3 47.7 60.6
2014 51.6 46.7 60.1
2013 50.3 45.9 61.6
2012 49.2 45.5 63.6
2011 48.4 44.9 63.4
2010 45.7 41.9 62.3
2009 45.4 41.4 61.6
2008 43.5 39.4 59.4
2007 39.2 34.9 54.0
2006 38.0 31.2 55.0
2005 35.2 27.6 52.5
2004 31.7 49.0
2003 29.1 46.0
2002 24.5 41.5
2001 22.1 41.1
2000 20.7
1999 16.0
Chlamydia Screening Rate (Total Rate)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 47.4 43.4 55.2
2014 47.0 42.9 54.6
2013 46.2 42.2 54.9
2012 45.1 42.3 57.1
2011 45.0 42.4 58.0
2010 43.1 40.0 57.5
2009 43.1 39.5 56.7
2008 41.7 38.0 54.9
2007 38.1 33.8 50.7
2006 37.3 30.4 52.4
2005 34.9 26.9 50.7
2004 32.2 47.2
2003 29.7 44.9
2002 25.4 40.9
2001 23.1 40.4