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秘鲁性传播疾病的性伴通知:高危社区中的知识、态度和行为

Partner notification for sexually transmitted diseases in Peru: knowledge, attitudes, and practices in a high-risk community.

作者信息

Clark Jesse L, Long Corey M, Giron Jessica M, Cuadros Julio A, Caceres Carlos F, Coates Thomas J, Klausner Jeffrey D

机构信息

University of California, Los Angeles, CA, USA.

出版信息

Sex Transm Dis. 2007 May;34(5):309-13. doi: 10.1097/01.olq.0000240289.84094.93.

DOI:10.1097/01.olq.0000240289.84094.93
PMID:17016236
Abstract

OBJECTIVES

Notification and treatment of sex partners after diagnosis of a sexually transmitted disease (STD) is essential to reduce reinfection and further transmission.

GOAL

The goal of this study was to determine the prevalence of partner notification and subsequent health-seeking behavior in a high-risk population in Lima, Peru.

STUDY DESIGN

STD-infected participants of an HIV/STD prevention trial completed a questionnaire concerning partner notification.

RESULTS

Of the 502 STD-positive subjects, 287 completed the survey. Among survey participants, 65% informed their primary partner and 10.5% informed casual or anonymous partners. Reasons for failure to notify varied by partner type and included not understanding the importance of partner notification, embarrassment, fear of rejection, and inability to locate the partner. When notified, approximately one third of all partners sought medical attention.

CONCLUSIONS

Partner notification in Peru is limited by relationship dynamics, social stigma, and limited contact information. Interventions could emphasize the importance of notification, improvement of communication skills, and introduce contact tracing programs (including Internet-based systems) and expedited partner therapy.

摘要

目的

性传播疾病(STD)诊断后对性伴侣进行通知和治疗对于减少再感染及进一步传播至关重要。

目标

本研究的目标是确定秘鲁利马高危人群中性伴侣通知及后续求医行为的发生率。

研究设计

一项HIV/STD预防试验中感染STD的参与者完成了一份关于性伴侣通知的问卷。

结果

在502名STD阳性受试者中,287人完成了调查。在参与调查者中,65%告知了其主要伴侣,10.5%告知了性伴侣或匿名伴侣。未通知的原因因伴侣类型而异,包括不理解性伴侣通知的重要性、尴尬、害怕被拒绝以及无法找到伴侣。当被通知时,所有伴侣中约有三分之一寻求了医疗帮助。

结论

秘鲁的性伴侣通知受到关系动态、社会耻辱感和有限的联系信息的限制。干预措施可强调通知的重要性、沟通技巧的提高,并引入接触者追踪计划(包括基于互联网的系统)和加速性伴侣治疗。

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