Department of Pychological & Brain Science, Indiana University-Bloomington, Bloomington, Indiana 47408, USA.
AIDS Patient Care STDS. 2010 Oct;24(10):631-7. doi: 10.1089/apc.2010.0109.
The study examined willingness to engage in patient-delivered partner screening (PDPS) and preferences for expedited partner services (EPS). Forty urban U.S. sexually transmitted infection (STI) clinic patients participated in individual mixed-methods interviews exploring EPS preferences and PDPS willingness. Most participants selected PDPS and PDPT together and uptake varied by patient–partner relationship closeness. For PDPS, several potentially important barriers and benefits were identified. Perceived benefits included improved sexual health for patients and their sexual partner(s) as well as convenience, privacy, and the potential to enhance trust between sexual partners. Perceived barriers included concerns about PDPS processes (e.g., time it would take to receive the result, risk of sample contamination), the accuracy of results, STI stigma and associated blame, lack of trust for a sexual partner, and the packaging/appearance of the screening kit. PDPS affords benefits and may overcome treatment barriers in some situations; however, it shares common PDPT barriers and has its own unique challenges. There are also concerns regarding how the offer of PDPS may interact with PDPT utilization.
该研究调查了参与患者提供的伴侣筛查（PDPS）的意愿以及对加速伴侣服务（EPS）的偏好。40 名美国城市性传播感染（STI）诊所患者参与了个体混合方法访谈，探讨了 EPS 偏好和 PDPS 意愿。大多数参与者选择 PDPS 和 PDPT 一起进行，并且参与率因患者与伴侣关系的亲密程度而异。对于 PDPS，确定了几个潜在的重要障碍和好处。感知到的好处包括改善患者及其性伴侣的性健康，以及方便、隐私和增强性伴侣之间信任的潜力。感知到的障碍包括对 PDPS 过程（例如，收到结果所需的时间、样本污染的风险）、结果的准确性、性传播感染的耻辱感和相关指责、对性伴侣的不信任以及筛查试剂盒的包装/外观的担忧。PDPS 提供了好处，并可能在某些情况下克服治疗障碍；然而，它也存在与 PDPT 共同的障碍，并有其自身独特的挑战。人们还担心 PDPS 的提供方式可能会如何影响 PDPT 的利用。
