Leonard L, Chatterjee N, Ross M
University of Texas-Houston, USA.
J Health Care Poor Underserved. 1999 Aug;10(3):362-75. doi: 10.1353/hpu.2010.0575.
To develop a relevant, community-based prevention campaign, the authors examined, using street-intercept interviews, syphilis-related knowledge, circulation of information, and screening and treatment practices among four hundred residents of two inner-city communities in Houston, Texas, where syphilis case rates exceed city, county, and national averages. Although awareness of syphilis was near universal, one-fourth of the respondents thought syphilis was incurable, and a large proportion confused syphilis with other sexually transmitted diseases (STDs), mentioning discharge and burning or itching in the genital area as symptoms. Almost four out of five respondents were aware of free treatment and screening facilities in the local area, yet, less than two of five expressed the intention to get tested within the next month. Only 22 percent had seen or heard anything about syphilis in the past twelve months. The resultant prevention campaign is discussed along with implications for the development of comprehensive STD prevention and control campaigns in similar poor and underserved communities.
为开展一项相关的、基于社区的预防活动，作者通过街头拦截访谈，对得克萨斯州休斯敦两个市中心社区的400名居民进行了调查，了解梅毒相关知识、信息传播情况以及筛查和治疗情况，这两个社区的梅毒发病率超过了该市、该郡及全国平均水平。虽然梅毒知晓率几乎普及，但四分之一的受访者认为梅毒无法治愈，而且很大一部分人将梅毒与其他性传播疾病混淆，提到生殖器部位有分泌物、灼痛或瘙痒等症状。近五分之四的受访者知道当地有免费治疗和筛查机构，但不到五分之二的人表示打算在接下来的一个月内接受检测。在过去十二个月中，只有22%的人看到或听说过任何有关梅毒的信息。本文讨论了由此产生的预防活动以及对在类似贫困和服务不足社区开展全面性传播疾病预防和控制活动的启示。
