Correlates of self-reported pelvic inflammatory disease treatment in sexually experienced reproductive-aged women in the United States, 1995 and 2006-2010

Sex Transm Dis. 2013 May;40(5):413-8. doi: 10.1097/OLQ.0b013e318285ce46.

Abstract

Background: Few studies have examined recent temporal trends in self-reported receipt of pelvic inflammatory disease (PID) treatment. We assessed trends in receipt of PID treatment and associated correlates using national survey data.

Methods: We used data from the National Survey of Family Growth, a multistage national probability survey of 15- to 44-year-old women. We examined trends in self-reported receipt of PID treatment from 1995, 2002, to 2006-2010. In addition, we examined correlates of PID treatment in 1995 and 2006-2010 in bivariate and adjusted analyses.

Results: From 1995 to 2002, receipt of PID treatment significantly declined from 8.6% to 5.7% (P < 0.0001); however, there was no difference from 2002 to 2006-2010 (5.0%, P = 0.16). In bivariate analyses, racial differences in PID treatment declined across time; in 2006-2010, there was no significant difference between racial/ethnic groups (P = 0.22). Also in bivariate analyses, similar to 1995, in 2006 to 2010, some of the highest reports of receipt of PID treatment were women who were 35 to 44 years old (5.6%), had an income less than 150% of poverty level (7.5%), had less than high school education (6.7%), douched (7.7%), had intercourse before age 15 years (10.3%), and had 10 or more lifetime partners (8.0%). In adjusted analyses, differing from 1995, women at less than 150% of the poverty level were more likely (adjusted odds ratio [AOR], 2.60; 95% confidence interval [CI], 1.79-3.76) than women at 300% or more of the poverty level to have received PID treatment in 2006-2010.

Conclusions: Receipt of PID treatment declined from 1995 to 2006-2010, with the burden affecting women of lower socioeconomic status.

MeSH terms

  • Adolescent
  • Adult
  • Chronic Disease
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility / statistics & numerical data*
  • Health Services Accessibility / trends
  • Health Status Disparities
  • Humans
  • Infertility, Female / epidemiology
  • Infertility, Female / etiology
  • Patient Acceptance of Health Care / ethnology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Pelvic Inflammatory Disease / epidemiology*
  • Pelvic Inflammatory Disease / ethnology
  • Pelvic Inflammatory Disease / therapy
  • Pelvic Pain / epidemiology
  • Risk Factors
  • Self Report
  • Sexual Behavior / ethnology
  • Sexual Behavior / statistics & numerical data*
  • Sexual Partners
  • Sexually Transmitted Diseases / epidemiology
  • Socioeconomic Factors
  • United States / epidemiology