
Gaps in STI Incidence and Testing Prevail in New York City
This cross-sectional study of adults residing in New York City showed discrepancies between testing rates for sexually transmitted infections (STIs) such as chlamydia, gonorrhea, and HIV and their incidence across demographics and socioeconomic status, potentially missing out cases among individuals who were not concurrently tested.
METHODOLOGY:
Researchers conducted a cross-sectional study to compare testing, diagnosis patterns, and sociodemographic disparities among patients with STIs, particularly chlamydia, gonorrhea, and HIV, in New York City between January 2018 and June 2023.
They analyzed 4,767,322 patients (mean age, 46 years; 61% women) from Healthix — a public health information exchange that collects data from healthcare facilities and stratified them by poverty level based on their residential area.
The primary outcomes were proportion tested and confirmed positive for chlamydia, gonorrhea, and/or HIV. The patterns of concurrent testing, coinfection, and their variation based on sociodemographic and geographic factors were also evaluated.
TAKEAWAY:
During the study period, 1,519,121 chlamydia tests, 1,574,772 gonorrhea tests, and 1,200,560 HIV tests were conducted, with positivity rates of 2%, 1%, and 0.3%, respectively.
Chlamydia and gonorrhea testing were predominantly concurrent (98% of chlamydia tests and 95% of gonorrhea tests); however, only 44% of HIV tests were conducted simultaneously with those for both chlamydia and gonorrhea.
Men were less likely than women to be tested for chlamydia (adjusted odds ratio [aOR], 0.62) and gonorrhea (aOR, 0.63), yet when tested, they had higher odds of testing positive for those infections (aOR, 1.09 and 3.28, respectively). In contrast, men had 16% higher odds of being tested for HIV and were also more likely to test positive for HIV.
Individuals residing in very high-poverty areas were less likely to be tested but more likely to test positive for all three STIs than those residing in low-poverty areas.
IN PRACTICE:
'Improving surveillance capacity may offer a more nuanced understanding of population- and neighborhood-level patterns, elucidate inequity, inform targeted intervention, and improve resource allocation,' the authors of the study wrote.
SOURCE:
This study was led by Harry Reyes Nieva, PhD, Columbia University, New York City. It was published online on June 17, 2025, in JAMA Network Open.
LIMITATIONS:
Healthix did not capture all testing conducted in New York City, and data on race and ethnicity of a substantial proportion of patients were missing. Although individuals on HIV preexposure prophylaxis typically undergo regular STI screening, the analysis approach did not fully account for its effect on the findings.
DISCLOSURES:
This study was supported by the National Institute of Allergy and Infectious Diseases and National Library of Medicine at the National Institutes of Health and a fellowship from the Association for Computing Machinery Special Interest Group in High Performance Computing. One author reported receiving grants from the study funders.
This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
Yahoo
22 minutes ago
- Yahoo
18 Things That Are Actually Really Healthy, Despite Many People Thinking They're Not
I don't know about you, but it feels like there's a new health fad every week. First, there was intermittent fasting, then there was keto, and now, people are arguing about seed oils. I'm struggling to keep up. With so many narratives about certain things being "bad" for you, I'm starting to forget that some of that just isn't true. Luckily, I stumbled upon one Reddit thread (which you can see here), where people listed the "unhealthy" things that are actually really good for you, and it's a refreshing reminder. Related: Here are 18 things that are perfectly healthy and fine to do, despite some people thinking otherwise: Everything in moderation is key. 1."Doing nothing. Having a moment of silence." –Turtleballoon123 2."Put the baby on the floor. Babies don't always need to be in a bouncer, swing, jumper, walker, rocker, chair, etc. They do great on the floor in a safe space." –SleepXParalysis 3."It is really healthy to process some emotions and thoughts on your own. The people who have the most peace and clarity are people who can sort, experience, sit in, and evaluate their feelings without having to put it out to other people for other people to tell them what to think, feel, and do." –OptmstcExstntlst 4."Frozen vegetables. It's seen as cheap and not as good as fresh, when in fact, it's almost always healthier than 'fresh' vegetables." –Hufe Related: 5."You do not have to show up to every argument you are invited to." –Bravely_Default 6."Sleeping all day when you're exhausted. As my trainer says: If you're actually falling asleep, you clearly needed it." –EndlesslyUnfinished 7."Potatoes. It's the oil and what we do to them that makes them high in calories and unhealthy." –yamammiwammi 8."Popcorn. Without all the artificial butter flavorings and low-quality oils, of course. Popcorn is a whole grain, and super high in fiber. As far as snacks go, it's about as good as it gets." –Its_Waffle Related: 9."Being around dirt. Especially for kids. Exposure to a natural, somewhat dirty environment helps your immune system develop properly, which in turn helps reduce the chance of developing allergies or immune system diseases, and even reduces some mental health issues." –the_original_retro 10."Salt. It's been demonized by the 'health' industry for years, but it is WILDLY necessary for damn near everything in your body." –Secret-Spinach-5080 11."Having fat in your body, not an excessive amount, though. You don't need to be ripped with a completely flat stomach to be healthy." –PlasticScheme3609 12."Chocolate.... the right kind. Dark chocolate with 80% or more cocoa has massive amounts of extremely healthy stuff in it. It makes your body release stem cells in the blood, which repair almost everything." –BubiMannKuschelForce 13."Being angry. It's as valid an emotion as any, and sometimes you just need to be angry and let it out. Reacting in anger is never a good thing, though." –TheYankunian Related: 14."Saying no to children and letting them feel sadness sometimes so they can appreciate joy eventually." "My mother-in-law's grandchildren are so spoiled that nothing can make them happy; they are completely self-absorbed and never say a thank you, and they can get absolutely anything they want anytime. I've never seen children like that, and I believe that while she has good intentions, this might be harmful later." –cesonis 15."Giving your body a chance to fight off minor illnesses before turning immediately to antibiotics/virals. Like no, don't let that dog bite fester your arm right off your shoulder, but if you can walk through the sinus infection with a bottle of NyQuil, do that." –alphaturducken 16."Playing video games in moderation." –AromaticHydrocarbons 17."Not showering every day (you can wash sensitive spots every day, though, if you want to, that's understandable)." –Seirazula 18."Fruit. There are people out there who think fruit has too much sugar 🙄 " "I had a woman who full-on believed this sentence. She said, 'I'm being bad and getting a banana, it's my sugary treat.' BE SO REAL RN OMFG. Sugar isn't the enemy people!!! Moderation and sugar that our body can process easily is the key. Honey, maple syrup, sugar in fruit, and less processed/not bleached sugar are fine! Pure cane sugar is yummy, your generic sugar has so much stuff in it, the less processed (processed isn't bad since we need some of it), the better!" –MrCabrera0695 What else belongs on this list? Let me know in the comments! Also in Goodful: Also in Goodful: Also in Goodful:


CBS News
24 minutes ago
- CBS News
"We've seen encouraging signs of recovery": 11 injured in Michigan Walmart stabbing steadily improving
The conditions of the 11 people who were stabbed at a Walmart in Traverse City, Michigan, are steadily improving, medical officials said Sunday morning. As of 9 a.m., four people are in serious condition and seven are in fair condition, according to Munson Healthcare. "Over the past 12 hours, we've seen encouraging signs of recovery from our patients," the northern Michigan-based company said in a written statement. "Our dedicated team of physicians, surgeons, nurses, clinicians, and support staff remain focused on providing a healing environment for all those affected by this tragic incident." The company added that it's working to provide emotional support for Walmart employees impacted by the attack. According to the Grand Traverse Sheriff's Office, a 42-year-old man entered the Walmart around 4:43 p.m. on Saturday, and used a folding knife to stab five males and six females. The ages of the people stabbed are unknown. A sheriff's deputy was at the store "within minutes" and took the man into custody. People at the store assisted law enforcement in apprehending the man, according to the sheriff's office. The FBI is assisting with the ongoing investigation, according to Deputy Director Dan Bongino. "Violence like this is unacceptable," Joe Pennington, a Walmart spokesperson, told CBS News in a statement on Saturday. "Our thoughts are with those who were injured and we're thankful for the swift action of first responders." The sheriff's office and officials with Munson Healthcare are planning to provide an update on the incident at 2 p.m.
Yahoo
an hour ago
- Yahoo
Labcorp Holdings Second Quarter 2025 Earnings: Revenues Beat Expectations, EPS Lags
Labcorp Holdings (NYSE:LH) Second Quarter 2025 Results Key Financial Results Revenue: US$3.53b (up 9.5% from 2Q 2024). Net income: US$237.9m (up 16% from 2Q 2024). Profit margin: 6.7% (up from 6.4% in 2Q 2024). The increase in margin was driven by higher revenue. EPS: US$2.85 (up from US$2.44 in 2Q 2024). Trump has pledged to "unleash" American oil and gas and these 15 US stocks have developments that are poised to benefit. All figures shown in the chart above are for the trailing 12 month (TTM) period Labcorp Holdings Revenues Beat Expectations, EPS Falls Short Revenue exceeded analyst estimates by 1.2%. Earnings per share (EPS) missed analyst estimates by 12%. Looking ahead, revenue is forecast to grow 4.5% p.a. on average during the next 3 years, compared to a 6.3% growth forecast for the Healthcare industry in the US. Performance of the American Healthcare industry. The company's shares are up 8.7% from a week ago. Risk Analysis You should learn about the 2 warning signs we've spotted with Labcorp Holdings. Have feedback on this article? Concerned about the content? Get in touch with us directly. Alternatively, email editorial-team (at) article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.