Disparities of healthcare utilization in sexually transmitted diseases management: focusing on racial/regional variances with U.S. national inpatient sample in 2016–2019
ObjectiveTo identify patient and hospital factors, such as race and region, associated with increased sexually transmitted diseases (STDs) hospital charges, and emergency room (ER) usage for significant federal funding and research allocation.MethodsThe National Inpatient Sample (NIS) of the United...
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Frontiers Media S.A.
2025-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1543117/full |
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| author | Jeong-Hui Park Ji Eun Kim Seohyun Woo Sun Jung Kim Sun Jung Kim |
| author_facet | Jeong-Hui Park Ji Eun Kim Seohyun Woo Sun Jung Kim Sun Jung Kim |
| author_sort | Jeong-Hui Park |
| collection | DOAJ |
| description | ObjectiveTo identify patient and hospital factors, such as race and region, associated with increased sexually transmitted diseases (STDs) hospital charges, and emergency room (ER) usage for significant federal funding and research allocation.MethodsThe National Inpatient Sample (NIS) of the United States was used to identify patients with STDs (weighted n = 22,275) from 2016 to 2019. The sample's characteristics, the odds of an ER visit, and the association between an ER visit and healthcare utilization measured by hospital charges were examined by multivariate logistic regression and linear regression.ResultsAmong 22,275 national inpatients, 74% had ER visits. The number of inpatients with STDs, ER visits, and average hospital charges continuously increased during the study period. Survey logistic results showed that sex, insurance type, and geographic region were associated with higher odds of ER visits among patients. The survey's linear results demonstrated that ER visits, Hispanic ethnicity, insurance type, and specific geographic regions were associated with higher hospital charges.ConclusionsMultiple factors are related to increased healthcare costs among patients with STDs, such as ER usage, Hispanic ethnicity, and insurance type. Policy efforts should focus on reducing ER dependency through targeted outreach, improving access to preventive care, and addressing disparities based on ethnicity and insurance status to reduce healthcare costs for vulnerable populations. |
| format | Article |
| id | doaj-art-1bc3b3d9efb84c16866341fd710455df |
| institution | DOAJ |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-1bc3b3d9efb84c16866341fd710455df2025-08-20T03:15:47ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-03-011310.3389/fpubh.2025.15431171543117Disparities of healthcare utilization in sexually transmitted diseases management: focusing on racial/regional variances with U.S. national inpatient sample in 2016–2019Jeong-Hui Park0Ji Eun Kim1Seohyun Woo2Sun Jung Kim3Sun Jung Kim4Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX, United StatesDepartment of Medical Science, Soonchunhyang University Graduate School, Asan, Republic of KoreaDepartment of Medical Science, Soonchunhyang University Graduate School, Asan, Republic of KoreaDepartment of Health Administration and Management, College of Medical Science, Soonchunhyang University, Asan, Republic of KoreaCenter for Healthcare Management Science, Soonchunhyang University, Asan, Republic of KoreaObjectiveTo identify patient and hospital factors, such as race and region, associated with increased sexually transmitted diseases (STDs) hospital charges, and emergency room (ER) usage for significant federal funding and research allocation.MethodsThe National Inpatient Sample (NIS) of the United States was used to identify patients with STDs (weighted n = 22,275) from 2016 to 2019. The sample's characteristics, the odds of an ER visit, and the association between an ER visit and healthcare utilization measured by hospital charges were examined by multivariate logistic regression and linear regression.ResultsAmong 22,275 national inpatients, 74% had ER visits. The number of inpatients with STDs, ER visits, and average hospital charges continuously increased during the study period. Survey logistic results showed that sex, insurance type, and geographic region were associated with higher odds of ER visits among patients. The survey's linear results demonstrated that ER visits, Hispanic ethnicity, insurance type, and specific geographic regions were associated with higher hospital charges.ConclusionsMultiple factors are related to increased healthcare costs among patients with STDs, such as ER usage, Hispanic ethnicity, and insurance type. Policy efforts should focus on reducing ER dependency through targeted outreach, improving access to preventive care, and addressing disparities based on ethnicity and insurance status to reduce healthcare costs for vulnerable populations.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1543117/fullhealth disparitiessexually transmitted diseasesNIS samplehealthcare utilizationracial and ethnic differences |
| spellingShingle | Jeong-Hui Park Ji Eun Kim Seohyun Woo Sun Jung Kim Sun Jung Kim Disparities of healthcare utilization in sexually transmitted diseases management: focusing on racial/regional variances with U.S. national inpatient sample in 2016–2019 Frontiers in Public Health health disparities sexually transmitted diseases NIS sample healthcare utilization racial and ethnic differences |
| title | Disparities of healthcare utilization in sexually transmitted diseases management: focusing on racial/regional variances with U.S. national inpatient sample in 2016–2019 |
| title_full | Disparities of healthcare utilization in sexually transmitted diseases management: focusing on racial/regional variances with U.S. national inpatient sample in 2016–2019 |
| title_fullStr | Disparities of healthcare utilization in sexually transmitted diseases management: focusing on racial/regional variances with U.S. national inpatient sample in 2016–2019 |
| title_full_unstemmed | Disparities of healthcare utilization in sexually transmitted diseases management: focusing on racial/regional variances with U.S. national inpatient sample in 2016–2019 |
| title_short | Disparities of healthcare utilization in sexually transmitted diseases management: focusing on racial/regional variances with U.S. national inpatient sample in 2016–2019 |
| title_sort | disparities of healthcare utilization in sexually transmitted diseases management focusing on racial regional variances with u s national inpatient sample in 2016 2019 |
| topic | health disparities sexually transmitted diseases NIS sample healthcare utilization racial and ethnic differences |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1543117/full |
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