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美国针对艾滋病病毒(HIV)和性传播感染(STI)的性伴通知服务:淋病、衣原体感染和HIV的覆盖率较低。

Partner notification for HIV and STD in the United States: low coverage for gonorrhea, chlamydial infection, and HIV.

作者信息

Golden Matthew R, Hogben Matthew, Handsfield H Hunter, St Lawrence Janet S, Potterat John J, Holmes King K

机构信息

Division of Infectious Diseases and the Center for AIDS & STD, University of Washington, Harborview Medical Center, Box 359777, 325 9th Avenue, Seattle, WA 98104, USA.

出版信息

Sex Transm Dis. 2003 Jun;30(6):490-6. doi: 10.1097/00007435-200306000-00004.

Abstract

BACKGROUND

Little is known about the scope of current public health partner-notification (PN) activities in the United States.

GOAL

The goal of the study was to define what PN services U.S. health departments provide in areas with high STD/HIV-related morbidity.

STUDY DESIGN

The study involved a survey of STD program staff members in U.S. areas with the highest reported rates of infectious syphilis, gonorrhea, chlamydia, and HIV in 1998.

RESULTS

Staff members of 60 (77%) of 78 health departments provided data. PN interviews were conducted with 7583 (89%) of 8492 cases of syphilis, 23,097 (17%) of 139,287 cases of gonorrhea, and 26,487 (12%) of 228,210 cases of chlamydia. In areas with mandatory HIV reporting, 4375 (52%) of 8328 persons infected with HIV were interviewed for PN.

CONCLUSIONS

Except for patients with syphilis, public health PN services affect only a minority of persons with STD or HIV infection in high-morbidity areas of the United States.

摘要

背景

在美国,目前关于公共卫生伙伴通知(PN)活动的范围了解甚少。

目标

本研究的目标是确定美国卫生部门在性传播疾病/与艾滋病相关发病率高的地区提供哪些PN服务。

研究设计

该研究涉及对1998年美国传染性梅毒、淋病、衣原体感染和艾滋病报告发病率最高地区的性传播疾病项目工作人员进行调查。

结果

78个卫生部门中的60个(77%)的工作人员提供了数据。对8492例梅毒病例中的7583例(89%)、139287例淋病病例中的23097例(17%)以及228210例衣原体感染病例中的26487例(12%)进行了PN访谈。在有艾滋病强制报告要求的地区,对8328例艾滋病感染者中的4375例(52%)进行了PN访谈。

结论

在美国发病率高的地区,除梅毒患者外,公共卫生PN服务仅影响少数性传播疾病或艾滋病感染者。

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