Table 4.

Budget cuts and the associated negative program impacts in FY2011–2012

		Jurisdiction Population Size
Impact of Cuts	All LHDs (n=109)	< 50,000 (n=43)	50,000–499,999 (n=41)	≥ 500,000 (n=25)	Among LHDs who reported budget cuts (n=43)
	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)
Had budget cuts to STD program	61.5 (50.9–72.1)	60.7 (44.7–76.7)	57.9 (41.5–74.2)	86.4 (74.3–98.4)	--
Reduced clinical services
Specialty STD clinic closures	2.2 (0.0–4.8)	0 (0.0–0.0)	3.8 (0.0–9.0)	6.5 (0.0–18.8)	6.8 (0.0–14.8)
Fewer clinic hours	14.1 (6.8–21.4)	1.8 (0.0–4.8)**	24.3 (9.9–38.6)	28.0 (8.7–47.3)	42.8 (24.4–61.2)
Reduction in routine screening	13.3 (5.8–20.7)	5.4 (0.0–12.5)	18.5 (4.8–32.2)	28.7 (8.4–49.1)	40.2 (21.7–58.8)
Co-payments for clinical services
Initiated fees or co-pays	6.4 (1.4–11.4)	2.8 (0.0–7.9)	7.9 (0.0–16.9)	18.3 (0.7–35.9)	19.4 (5.0–33.9)
Increased existing fees or co-pays	8.5 (2.8–14.3)	7.2 (0.0–14.8)	9.8 (0.2–19.4)	9.6 (0.0–23.1)	25.9 (9.9–42.0)
Reduction in partner services	13.9 (6.4–21.4)	6.2* (0.0–14.7)	17.4 (4.4–30.5)	37.6 (16.5–58.6)	42.1 (23.6–60.7)
Other	4.8 (1.1–8.5)	4.3 (0.0–10.2)	2.9 (0.0–7.1)	18.3 (0.7–35.9)	14.6 (3.5–25.8)

Note. All n’s are unweighted and percentages are weighted to represent the 1225 LHDs who provided STD services in 2010. LHD – local health department; CI – confidence interval

^*p<0.05

^**p< 0.001