Ross J D, Sukthankar A, Radcliffe K W, Andre J
Whittall Street Clinic, Birmingham.
Sex Transm Infect. 1999 Apr;75(2):112-5. doi: 10.1136/sti.75.2.112.
To assess and compare factors which may be associated with successful contact tracing in patients with gonorrhoea and chlamydia.
Prospective observational study of patients attending a genitourinary medicine clinic with a diagnosis of gonorrhoea or chlamydia. Multivariate analysis model including demographic, socioeconomic, and behavioural variables.
The attendance of at least one sexual contact was associated with naming more contacts for patients with gonorrhoea (OR 1.44, 95% CI 1.04-2.01). A history of gonorrhoea was associated with successful contact tracing for patients with chlamydia (OR 1.46, 95% CI 1.12-1.9). Successful contact tracing, as defined by at least one confirmed contact attendance after the index case, was not associated with age, sex, sexual orientation, history of chlamydia, use of condoms, marital status, ethnicity, or socioeconomic status for either gonorrhoea or chlamydia.
Differences in the composition of the core groups infected with gonorrhoea and chlamydia are not explained by differences in contact tracing success. In the clinic setting studied, the outcome of contact tracing was not associated with a variety of demographic, socioeconomic, and behaviour factors.
评估并比较可能与淋病和衣原体感染患者接触者追踪成功相关的因素。
对就诊于泌尿生殖医学诊所且被诊断为淋病或衣原体感染的患者进行前瞻性观察研究。采用包含人口统计学、社会经济和行为变量的多变量分析模型。
至少有一名性接触者前来就诊与淋病患者说出更多接触者相关（比值比1.44，95%置信区间1.04 - 2.01）。淋病病史与衣原体感染患者接触者追踪成功相关（比值比1.46，95%置信区间1.12 - 1.9）。按照在索引病例后至少有一名确诊接触者前来就诊定义的接触者追踪成功，与淋病或衣原体感染患者的年龄、性别、性取向、衣原体感染史、使用避孕套情况、婚姻状况、种族或社会经济地位均无关。
淋病和衣原体感染核心群体构成的差异并不能通过接触者追踪成功率的差异来解释。在所研究的诊所环境中，接触者追踪结果与多种人口统计学、社会经济和行为因素无关。
