Bowman M A, Fredman L, English D K, Rabin D L, Sardeson K, Taggart V S, Bandemer C
Department of Family and Community Medicine, Bowman Gray School of Medicine, Winston-Salem, NC 27103.
South Med J. 1991 Mar;84(3):294-8. doi: 10.1097/00007611-199103000-00003.
The acquired immunodeficiency syndrome epidemic has drawn attention to screening for sexually transmitted diseases by primary care physicians. A telephone survey of primary care physicians in an area with a high incidence of STDs (Washington, DC) to ascertain the determinants and the extent of screening and counseling for STDs was completed in 1987. Ninety-nine physicians (33 internists, 38 obstetrician/gynecologists, and 28 family/general practitioners), representing 61% of those eligible, completed the interview. One third (39.4%) were screening for gonorrhea, more than one half (57.5%) for syphilis, and almost all (94%) had tested at least one individual for human immunodeficiency virus infection. Analysis suggested that concomitant screening for hepatitis B was significantly and positively associated with screening for gonorrhea and syphilis. Less than half (45.9%) of the physicians asked new patients about their sexual practices. Physicians should take histories of sexual practices and do more preventive counseling.
获得性免疫缺陷综合征的流行已引起基层医疗医生对性传播疾病筛查的关注。1987年，在一个性传播疾病高发地区（华盛顿特区）对基层医疗医生进行了一项电话调查，以确定性传播疾病筛查和咨询的决定因素及范围。99名医生（33名内科医生、38名妇产科医生和28名家庭/全科医生）完成了访谈，占符合条件者的61%。三分之一（39.4%）的医生进行淋病筛查，超过一半（57.5%）进行梅毒筛查，几乎所有医生（94%）至少对一名个体进行了人类免疫缺陷病毒感染检测。分析表明，乙型肝炎的联合筛查与淋病和梅毒筛查显著正相关。不到一半（45.9%）的医生询问新患者的性行为情况。医生应该了解性行为史并提供更多预防性咨询。
