Melvin L, Cameron S T, Glasier A, Scott G, Johnstone A, Elton R
Lothian Family Planning and Well Woman Services, Dean Terrace, Edinburgh, UK.
BJOG. 2009 Feb;116(3):357-65. doi: 10.1111/j.1471-0528.2008.01977.x.
To determine men and women's preferred strategies for managing chlamydial infection: partner notification (patient referral), postal testing kit (PTK) or patient-delivered partner medication (PDPM).
Interviewer-conducted questionnaires (women) and anonymous, self-administered questionnaires (men).
Women infected with chlamydia who were participating in a randomised study assigning partners to patient referral, PTK or PDPM. Men attending genitourinary medicine, family planning and fracture clinics in Edinburgh.
Men and women were asked their preferred strategy for testing/treating sexual partners (patient referral, PTK or PDPM) if they or their partner had a positive chlamydia test. Women were also asked the reasons for their choice and whether partners were satisfied with the intervention received.
Reported preferences of men and women for testing/treating partners.
Response rates were 97 and 81% for the women's questionnaires at study entry and 6 months, respectively, and 81% for the men's questionnaires. Of 174 women responding, 67% preferred PDPM for partners and 57% would prefer PDPM for themselves. The main reasons were that PDPM allows simpler, more convenient and faster treatment. Women reported that 65% of partners were satisfied with whichever intervention they received. Of 293 men responding, 70% would choose patient referral for partners and 53% would prefer patient referral for themselves. Men previously tested for chlamydia were significantly more likely to choose PDPM (n = 22) than those never tested (n = 7); P < 0.001. Only 3% of women and 9% of men preferred PTKs for partners.
The results suggest that women prefer PDPM and men, at least hypothetically, prefer patient referral. PTK appears unpopular with both sexes.
确定男性和女性对于管理衣原体感染的首选策略：性伴侣通知（患者转诊）、邮寄检测试剂盒（PTK）或患者自行给药性伴侣治疗（PDPM）。
由访谈者进行的问卷调查（女性）和匿名的自我管理问卷调查（男性）。
参与一项将性伴侣随机分配至患者转诊、PTK或PDPM的随机研究的衣原体感染女性。在爱丁堡泌尿生殖医学、计划生育和骨折诊所就诊的男性。
询问男性和女性如果他们或其性伴侣衣原体检测呈阳性，他们对于检测/治疗性伴侣的首选策略（患者转诊、PTK或PDPM）。还询问女性做出选择的原因以及性伴侣对所接受干预措施的满意度。
男性和女性报告的对于检测/治疗性伴侣的偏好。
女性问卷在研究开始时和6个月时的回复率分别为97%和81%，男性问卷的回复率为81%。在174名做出回复的女性中，67%希望为性伴侣选择PDPM，57%希望为自己选择PDPM。主要原因是PDPM使治疗更简单、方便和快捷。女性报告称65%的性伴侣对所接受的任何干预措施都感到满意。在293名做出回复的男性中，70%会为性伴侣选择患者转诊，53%希望为自己选择患者转诊。之前接受过衣原体检测的男性比从未检测过的男性更有可能选择PDPM（分别为22名和7名）；P<0.001。只有3%的女性和9%的男性希望为性伴侣选择PTK。
结果表明女性更喜欢PDPM，而男性至少在假设情况下更喜欢患者转诊。PTK似乎不受男女双方欢迎。
