Lally Michelle A, Alvarez Sara, Macnevin Ryan, Cenedella Carly, Dispigno Melissa, Harwell Joseph I, Pugatch David, Flanigan Timothy P
Department of Medicine, Brown Medical School, Providence, Rhode Island, USA.
Sex Transm Dis. 2002 Dec;29(12):752-5. doi: 10.1097/00007435-200212000-00003.
Substance abuse treatment centers provide an opportunity to offer sexually transmitted infection (STI) screening to a high-risk and hard-to-reach population.
The goal was to assess STI prevalence, risk factors, and acceptability of STI screening among females at substance abuse treatment centers with use of urine testing by ligase chain reaction and self-collected swab specimens.
Adult, female inpatients were offered free testing and treatment for chlamydia infection, gonorrhea, and trichomonas infection. Interviews were conducted to collect risk behavior data.
Eighty-six percent of inpatients (180/209) accepted testing. Twenty-three percent (41/177) had an STI. Of those with an STI, 90% (37/41) had trichomonas infection. All 41 infected patients received treatment. Drug use before sex, exchange of sex for money/drugs, and any gynecological complaint were significantly associated with infection. Most women were uninsured (76%). Only 45% had undergone a medical examination in the past year.
STI screening is highly acceptable among women in substance abuse treatment centers. Substance users are at high risk for STIs and may not otherwise receive medical care.
药物滥用治疗中心为向高危且难以接触到的人群提供性传播感染（STI）筛查提供了契机。
目标是通过连接酶链反应尿液检测和自我采集拭子标本，评估药物滥用治疗中心女性中性传播感染的患病率、危险因素及性传播感染筛查的可接受性。
为成年女性住院患者提供衣原体感染、淋病和滴虫感染的免费检测与治疗。进行访谈以收集风险行为数据。
86%的住院患者（180/209）接受了检测。23%（41/177）患有性传播感染。在患有性传播感染的患者中，90%（37/41）患有滴虫感染。所有41名感染患者均接受了治疗。性行为前吸毒、以性换钱/毒品以及任何妇科主诉与感染显著相关。大多数女性未参保（76%）。过去一年中只有45%的女性接受过医学检查。
性传播感染筛查在药物滥用治疗中心的女性中高度可接受。药物使用者感染性传播感染的风险很高，否则可能无法获得医疗护理。
