Characteristics of the Audience Reached by the National Network of Sexually Transmitted Disease Clinical Prevention Training Centers and Correlation With Sexually Transmitted Infection Rates, 2015 to 2020.


Journal

Sexually transmitted diseases
ISSN: 1537-4521
Titre abrégé: Sex Transm Dis
Pays: United States
ID NLM: 7705941

Informations de publication

Date de publication:
01 04 2022
Historique:
entrez: 21 3 2022
pubmed: 22 3 2022
medline: 6 5 2022
Statut: ppublish

Résumé

The National Network of Sexually Transmitted Disease Clinical Prevention Training Centers (NNPTC) trains clinical providers to diagnose and treat sexually transmitted infections (STIs) in the United States. The purpose of this study was to examine the demographics of clinical providers and to correlate the number of training episodes with STI rates at the county level. Registration data were collected between April 1, 2015, and March 31, 2020, in a custom Learning Management System from clinical providers taking NNPTC training. Using the 2018 STI surveillance data, counties were divided into quartiles based on reportable STI case rates and the number of county-level training events was compared per quartile. Univariate and multivariate analyses were conducted in IBM SPSS Statistics 23 (Armonk, NY) and SAS Enterprise Guide 7.1 (Cary, NC). From 2015 to 2020, the NNPTC trained 21,327 individuals, predominantly in the nursing professions and working in a public health environment. In multivariate analysis, the number of training events was significantly associated with higher STI rates at the county level (P < 0.0001) and the state where a prevention training center is located (P < 0001). The analysis suggests that NNPTC trainings are reaching the clinical providers working in geographic areas with higher STI rates.

Sections du résumé

BACKGROUND
The National Network of Sexually Transmitted Disease Clinical Prevention Training Centers (NNPTC) trains clinical providers to diagnose and treat sexually transmitted infections (STIs) in the United States. The purpose of this study was to examine the demographics of clinical providers and to correlate the number of training episodes with STI rates at the county level.
METHODS
Registration data were collected between April 1, 2015, and March 31, 2020, in a custom Learning Management System from clinical providers taking NNPTC training. Using the 2018 STI surveillance data, counties were divided into quartiles based on reportable STI case rates and the number of county-level training events was compared per quartile. Univariate and multivariate analyses were conducted in IBM SPSS Statistics 23 (Armonk, NY) and SAS Enterprise Guide 7.1 (Cary, NC).
RESULTS
From 2015 to 2020, the NNPTC trained 21,327 individuals, predominantly in the nursing professions and working in a public health environment. In multivariate analysis, the number of training events was significantly associated with higher STI rates at the county level (P < 0.0001) and the state where a prevention training center is located (P < 0001).
CONCLUSIONS
The analysis suggests that NNPTC trainings are reaching the clinical providers working in geographic areas with higher STI rates.

Identifiants

pubmed: 35312669
doi: 10.1097/OLQ.0000000000001590
pii: 00007435-202204000-00010
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

313-317

Informations de copyright

Copyright © 2021 American Sexually Transmitted Diseases Association. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of Interest and Sources of Funding: The sexually transmitted disease prevention training centers are funded by the Centers for Disease Control and Prevention under Cooperative Agreement Number PS20-2004.

Références

Centers for Disease Control and Prevention. Sexually Transmitted Diseases Surveillance 2019. 2021. Available at: https://www.cdc.gov/std/statistics/2019/default.htm . Accessed September 23, 2021.
Stenger MR, Baral S, Stahlman S, et al. As through a glass, darkly: The future of sexually transmissible infections among gay, bisexual and other men who have sex with men. Sex Health 2017; 14:18–27.
Kidd SE, Grey JA, Torrone EA, et al. Increased methamphetamine, injection drug, and heroin use among women and heterosexual men with primary and secondary syphilis—United States, 2013–2017. MMWR Morb Mortal Wkly Rep 2019; 68:144–148.
Golden MR, Kerndt PR. What is the role of sexually transmitted disease clinics?Sex Transm Dis 2015; 42:294–296.
Rietmeijer CA. Improving care for sexually transmitted infections. J Int AIDS Soc 2019; 22(S6):e25349.
Workowski KA, Bachmann LH, Chan PA, et al. Sexually transmitted infections treatment guidelines, 2021. MMWR Recomm Rep 2021; 70:1–187.
Barrow RY, Ahmed F, Bolan GA, et al. Recommendations for providing quality sexually transmitted diseases clinical services, 2020. MMWR Recomm Rep 2020; 68:1–20.
Stoner BP, Fraze J, Rietmeijer CA, et al. The national network of sexually transmitted disease clinical prevention training centers turns 40—a look back, a look ahead. Sex Transm Dis 2019; 46:487–492.
Dreisbach S, Devine S, Fitch J, et al. Can experiential-didactic training improve clinical STD practices?Sex Transm Dis 2011; 38:516–521.
Voegeli C, Fraze J, Wendel K, et al. Predicting clinical practice change: an evaluation of trainings on sexually transmitted disease knowledge, diagnosis, and treatment. Sex Transm Dis 2021; 48:19–24.
U.S. Department of Health and Human Services–Health Resources and Services Administration–National Center for Health Workforce Analysis. Sex, Race, and Ethnic Diversity of U.S., Health Occupations (2011–2015). Available at: https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/diversity-us-health-occupations.pdf . Accessed February 11, 2020.
Caragol LA, Wendel KA, Anderson TS, et al. A new resource for STD clinical providers: The Sexually Transmitted Diseases Clinical Consultation Network. Sex Transm Dis 2017; 44:510–512.
National Academies of Sciences Engineering and Medicine. Sexually Transmitted Infections: Adopting a Sexual Health Paradigm. Washington, DC: The National Academies Press, 2021.

Auteurs

Benjamin C Hauschild (BC)

From the Denver Prevention Training Center, Public Health Institute at Denver Health, Denver, CO.

Helen C Burnside (HC)

From the Denver Prevention Training Center, Public Health Institute at Denver Health, Denver, CO.

Barbara A Gray (BA)

Sylvie Ratelle STD/HIV Prevention Training Center, Massachusetts Department of Public Health, Jamaica Plain, MA.

Christine Johnston (C)

University of Washington Prevention Training Center, Department of Medicine, University of Washington, Seattle, WA.

Natalie Neu (N)

New York City STD Prevention Training Center, Colombia University Mailman School of Public Health, New York, NY.

Ina U Park (IU)

California Prevention Training Center, University of California at San Francisco, San Francisco, CA.

Hilary E L Reno (HEL)

St. Louis HIV/STI Prevention Training Center, Department of Medicine, Washington University in St. Louis, St. Louis, MO.

Anne Rompalo (A)

Prevention Training Center at Johns Hopkins, School of Medicine, Johns Hopkins University, Baltimore, MD.

Nicholas Van Wagoner (N)

Southeast HIV/STD Prevention Training Center, Division of Infectious Diseases, University of Alabama, Birmingham, AL.

Karen A Wendel (KA)

From the Denver Prevention Training Center, Public Health Institute at Denver Health, Denver, CO.

Alexandra Coor (A)

Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

Erin Tromble (E)

Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

Cornelis A Rietmeijer (CA)

Rietmeijer Consulting, LLC, Denver, CO.

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