Review of sexually transmitted infection test results in MyChart among adolescent and young adult patients at a large urban hospital: Implications for future interventions

Poster Number: P193
Presentation Time: 05:00 PM - 06:30 PM

Abstract Keywords: Patient Engagement and Preferences, Patient / Person Generated Health Data (Patient Reported Outcomes), Behavioral Change, Infectious Diseases and Epidemiology, Racial Disparities
Primary Track: Applications
Programmatic Theme: Public Health Informatics

Almost half of all reported sexually transmitted infection (STI) cases are concentrated youth aged 15 to 24 years old. Patient portals may support STI prevention via disclosure validated test results to sex partners. We examine use of MyChart to view test results after STI testing among youth at a large urban hospital.

We analyzed Epic EHR and patient portal data among patients aged 15 to 25 years between March 2022 and April 2023. Patients were included in the analysis if they received STI testing within the study period. Chi-square and one-way ANOVA tests were used to compare characteristics across three categories of reviewing test results in MyChart: a) reviewing in 2 weeks or less, b) reviewing in more than two weeks, and c) no review.

A total of 19,193 unique patients were included in the analysis. Median age at first STI test was 21.3 (18.9-23.4) and 72.5% identified as female. 60.8% of patients reviewed their STI test result on the day it was posted. Younger age was associated with not viewing test results in MyChart. Male patients comprised 29.3% of participants who reviewed results in more than two weeks and 37.3% of patients did not review results. Hispanic/Latino patients were overrepresented among patients who did not review test results.

Findings suggest both the promise of novel STI interventions that exploit test result review as well as the need to focus on how to improve timely review among younger adolescents, male patients, and Hispanic/Latino communities.

Speaker(s):
Kevon-Mark Jackman, DrPH, MPH
Johns Hopkins School of Medicine

Author(s):
Kevon-Mark Jackman, DrPH, MPH - Johns Hopkins School of Medicine; Laura Prichett, PhD, MHS - Johns Hopkins University; Yong Zeng, MD, ScM - Johns Hopkins University; Yongyi Lu, BA - Johns Hopkins University; Bareng Nonyane, PhD, MSc - Johns Hopkins University; Kevin Johnson, MD, MS - University of Pennsylvania; Harold Lehmann, MD, PhD - Johns Hopkins University; Maria Trent, MD, MPH - Johns Hopkins University;