No symptoms, no problem? an analysis of asymptomatic and symptomatic sexually transmitted infections and the impact on clinical outcomes in a student-run free clinic

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Objective:

To describe the frequency of STIs in patients at a student-run free clinic and compare infection rates between asymptomatic and symptomatic patients, emphasizing the implications for screening strategies.

Key Findings:
  • 67% of the sample were assigned female at birth (AFAB) and 74% had no documented gender.
  • The average age of patients was 33.3 years, with 42% identifying as Black.
  • Significant differences in STI test results were observed between symptomatic and asymptomatic patients, with specific percentages provided.
Interpretation:

The study highlights the importance of understanding STI patterns in underserved populations to optimize screening strategies and reduce health disparities, suggesting actionable public health interventions.

Limitations:
  • The study was limited to a single clinic and may not be generalizable to other settings.
  • Data on symptoms could not be attributed to specific STIs due to co-testing, and potential biases in patient record selection may exist.
Conclusion:

Findings may inform screening protocols and resource allocation in student-run free clinics to better address STI disparities, potentially influencing policy changes.

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