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Impacts of Federal Prevention Funding on Reported Gonorrhea and Chlamydia Rates
- Source :
- American Journal of Preventive Medicine. 56:352-358
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- The Centers for Disease Control and Prevention allocates funds annually to jurisdictions nationwide for sexually transmitted infection prevention activities. The objective of this study was to assess the effectiveness of federal sexually transmitted infection prevention funding for reducing rates of reported sexually transmitted infections.In 2017-2018, finite distributed lag regression models were estimated to assess the impact of sexually transmitted infection prevention funding (in 2016 dollars per capita) on reported chlamydia rates from 2000 to 2016 and reported gonorrhea rates from 1981 to 2016. Including lagged funding measures allowed for assessing the impact of funding over time. Controls for state-level socioeconomic factors, such as poverty rates, were included.Results from the main model indicate that a 1% increase in annual funding would cumulatively decrease chlamydia and gonorrhea rates by 0.17% (p0.10) and 0.33% (p0.05), respectively. Results were similar when stratified by sex, with significant decreases in rates of reported chlamydia and gonorrhea in males of 0.33% and 0.34% (both p0.05) respectively, and in rates of reported gonorrhea in females of 0.32% (p0.05). The results were generally consistent across alternative model specifications and other robustness tests.The significant inverse associations between federal sexually transmitted infection prevention funding and rates of reported chlamydia and gonorrhea suggest that federally funded sexually transmitted infection prevention activities have a discernable effect on reducing the burden of sexually transmitted infections. The reported sexually transmitted infection rate in a given year depends more on prevention funding in previous years than on prevention funding in the current year, demonstrating the importance of accounting for lagged funding effects.
- Subjects :
- Adult
Male
Financing, Government
Adolescent
Epidemiology
Gonorrhea
01 natural sciences
Young Adult
03 medical and health sciences
Sex Factors
0302 clinical medicine
Residence Characteristics
Environmental health
Per capita
medicine
Humans
Infection control
030212 general & internal medicine
0101 mathematics
Young adult
Socioeconomic status
health care economics and organizations
Chlamydia
Poverty
business.industry
010102 general mathematics
Public Health, Environmental and Occupational Health
Chlamydia Infections
medicine.disease
Disease control
Socioeconomic Factors
Public Health Practice
Female
business
Subjects
Details
- ISSN :
- 07493797
- Volume :
- 56
- Database :
- OpenAIRE
- Journal :
- American Journal of Preventive Medicine
- Accession number :
- edsair.doi.dedup.....cd591d610356869a6e550bac2d87eadf