Seubert D E, Thompson I M, Gonik B
Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Hutzel Hospital, Detroit, Michigan 48083, USA.
Obstet Gynecol. 1999 Sep;94(3):399-402. doi: 10.1016/s0029-7844(99)00306-3.
To survey obstetrician-gynecologists regarding current approaches to partner notification of women with sexually transmitted diseases (STDs) and to relate reported practices to state requirements.
An anonymous questionnaire was sent to community, hospital-employed, and university-based physicians within a single health care system. The survey was designed to assess physician demographics, knowledge, and attitudes about partner notification of women with STDs.
One hundred eight (49%) of 222 surveys were returned. Respondents were 36% private practitioners, 38% hospital-employed, and 23% university faculty physicians. Although most correctly identified the importance of partner notification for several STDs, they (63 of 108, 58%, confidence interval [CI] 50%, 67%) could not identify all of those conditions. Most respondents (84 of 108, 78%, CI 69%, 85%) were unaware of all required reportable STDs and the state's preferred method of partner notification. The vast majority of respondents (96 of 108, 89%, CI 82%, 94%) relied on women to notify their partners of the STD.
Educational efforts are needed to increase physician awareness of required reportable STDs and the role of partner notification and treatment in disease control. Physicians need to be aware of state regulations for partner notification when they are in practice. Development of standard algorithms for partner notification and treatment might be needed.
就目前向患有性传播疾病(STD)的女性的性伴侣通报情况的方法对妇产科医生进行调查,并将报告的做法与各州要求相联系。
向单一医疗系统内社区、医院聘用及大学的医生发送了一份匿名调查问卷。该调查旨在评估医生的人口统计学特征、对向患有STD的女性的性伴侣通报情况的知识和态度。
222份调查问卷中有108份(49%)被收回。受访者中36%为私人执业医生,38%为医院聘用医生,23%为大学教师医生。尽管大多数人正确认识到向性伴侣通报几种STD的重要性,但他们(108人中的63人,58%,置信区间[CI]为50%,67%)无法识别所有这些疾病。大多数受访者(108人中的84人,78%,CI为69%,85%)不了解所有需要报告的STD以及该州首选的性伴侣通报方法。绝大多数受访者(108人中的96人,89%,CI为82%,94%)依靠女性向其性伴侣通报STD情况。
需要开展教育工作,以提高医生对需要报告的STD的认识以及性伴侣通报和治疗在疾病控制中的作用。医生在执业时需要了解有关性伴侣通报的州法规。可能需要制定性伴侣通报和治疗的标准算法。