Self- treatment patterns among clients attending sexually transmitted disease clinics and the effect of self-treatment on STD symptom duration

Academic Article


  • Objective: To assess patterns of self-treatment and its effects on the duration of sexually transmitted disease (STD) symptoms before medical care. Methods: A cross-sectional interview survey in public STD clinics (7 U.S. cities). Patients, seeking treatment for STD symptoms or having a known infected sexual contact, reported self-treatment behaviors and symptom duration. Additional data were abstracted from medical charts. Results: Self- treatment, primarily over-the-counter topical medications 154.8%), was reported by 21.8% of 2,508 symptomatic patients. Self-treaters were significantly more likely to be African-American (odds ratio [OR] = 1.8), female (OR = 1.7), over age 30 (OR = 1.3), report >1 symptom (OR = 1.4), and report a genital lesion (OR = 2.1). Symptom duration was 2 days longer among self-treaters (p < 0.01). African-Americans (OR = 1.5), men (OR = 1.2), and self-treaters of symptoms other than genital lesions (OR = 1.4) had a significantly longer time from symptom onset to receiving medical care. Conclusions: Self-treatment is common among patients with STDs. Self- treatment of a genital lesion, unlike certain demographic factors and self- treatment of other STD symptoms, did not prolong the time to medical treatment.
  • Published In

    Digital Object Identifier (doi)

    Pubmed Id

  • 17076550
  • Author List

  • Irwin DE; Thomas JC; Spitters CE; Leone PA; Stratton JD; Martin DH; Zenilman JM; Schwebke JR; Hook EW; Andrews EB
  • Start Page

  • 372
  • End Page

  • 377
  • Volume

  • 24
  • Issue

  • 6