STI and HIV providers in disaster being pregnant facilities might trigger actual hurt to public well being

Instances of sexually transmitted infections (STIs) and HIV are once more on the rise within the U.S., giving new urgency to ongoing efforts to make STI and HIV providers extra accessible.

Lately, disaster being pregnant facilities (CPCs) have begun to supply some STI and HIV providers, however new analysis from the College of Georgia means that these providers may very well be hurting public well being efforts to stop and deal with these infections.

“They promote in methods to make themselves look like medical amenities, although most individuals who work at CPCs aren’t medically skilled, and they don’t supply complete medical providers or comply with evidence-based medical practices. For instance, they’ve insurance policies towards selling condoms,” mentioned examine creator Andrea Swartzendruber, an affiliate professor at UGA’s Faculty of Public Well being who research CPCs’ affect on public well being.

“From a public well being perspective, these are main considerations that might trigger actual hurt,” she mentioned.

Not assembly high quality of care requirements

CPCs are nonprofit, primarily religiously affiliated organizations whose primary goal is deterring abortions. In earlier research, Swartzendruber has proven that these facilities regularly share misinformation about abortions in addition to prevention strategies corresponding to condom use.

Nationwide pointers advocate that anybody in search of STI testing providers ought to be examined for HIV and a full vary of STIs primarily based on particular person danger elements and group prevalence. Clinics ought to have a plan to deal with constructive circumstances on web site, present a prescription, or refer them for therapy. Companions of individuals testing constructive for STIs additionally want testing and therapy providers.

Utilizing information from CPC Map, a web based listing of disaster being pregnant facilities developed by Swartzendruber and Lambert, the researchers recognized over 2,500 CPCs working within the U.S. between December 2018 and August 2019.

They assessed STI and HIV providers marketed on CPC web sites and used an ordinary script to name CPCs concerning the availability of providers. They had been capable of attain 99% of all CPCs.

About 20% of CPCs supplied testing for at the very least one STI however usually failed to supply testing for different STIs, together with HIV. Roughly one-quarter of facilities that supplied testing appeared to haven’t any technique for ensuring folks received acceptable therapy.”


Danielle Lambert, co-author, assistant professor, Faculty of Public Well being

In Georgia, the place HIV charges are among the many highest within the nation, almost one-third of CPCs that supplied STI testing failed to supply STI therapy, and almost half failed to supply HIV testing. Not one of the 77 CPCs in Georgia the place HIV testing was unavailable supplied a referral.

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