The New York Times reported this week on a study in Pediatrics that found racial disparities in the likelihood that a woman received chlamydia testing. The authors reviewed medical charts and while all of the more than 23,000 women included met the CDC's criteria for routine chlamydia testing (i.e., under 25 and sexually active), black and hispanic women were significantly more likely to have been tested for chlamydia than white women.
...clinicians may simply be less likely to consider white women in association with a stigmatized STI such as chlamydia. An inference regarding this “reverse health care disparity” is that white women, who typically are more likely to receive routine health screening tests such as mammography, are not considered for chlamydia screening because of the stigma of STIs. (p. e341)
Sarah E. Wiehe, MD, MPH, Marc B. Rosenman, MD, MS, Jane Wang, PhD, Barry P. Katz, PhD, and J. Dennis Fortenberry, MD, MS. "Chlamydia Screening Among Young Women: Individual- and Provider-Level Differences in Testing." Pediatrics. Online early release 1/27/11. http://pediatrics.aappublications.org.ezproxy.lib.utexas.edu/cgi/reprint/peds.2010-0967v1 (accessed 1/30/11)