Do Khoi, Minichiello Victor, Hussain Rafat, Khan Asaduzzaman
School of Rural Medicine, University of New England, Armidale, NSW, Australia
Australian Research Centre in Sex, Health and Society, School of Public Health & Human Biosciences, La Trobe University, Melbourne, VIC, Australia.
Int J STD AIDS. 2015 Jan;26(1):55-64. doi: 10.1177/0956462414529553. Epub 2014 Mar 27.
Sexually transmitted infections (STIs) in Vietnam have been increasing. Control of STIs among female sex workers (FSWs) is important in controlling the epidemic. Effective STI control requires that physicians are skilful in taking sexual history for FSW patients. Three hundred and seventy-one physicians responded to a survey conducted in three provinces in Vietnam. The respondents were asked whether they asked FSW patients about their sexual history and information asked during sexual history taking. The respondents were also asked about their barriers for taking sexual history. Over one-fourth (27%) respondents always, over half (54%) respondents sometimes and 19% respondents never obtained a sexual history from FSW patients. Multivariable analysis revealed that factors associated with always taking a sexual history were being doctor, training in STIs and working at provincial level facilities. Physician's discomfort was found to be inversely associated with training on communication with patients, seeing 15 or fewer patients a week, working at provincial level facilities. Issues in sexual history taking among FSW patients in general practice in Vietnam were identified. These issues can help STI control for FSW patients and need due attention in order to improve STI management in Vietnam.
越南的性传播感染（STIs）病例一直在增加。控制女性性工作者（FSWs）中的性传播感染对于控制疫情至关重要。有效的性传播感染控制要求医生善于为女性性工作者患者获取性病史。371名医生对在越南三个省份进行的一项调查做出了回应。调查询问了受访者是否会询问女性性工作者患者的性病史以及获取性病史时所询问的信息。还询问了他们获取性病史的障碍。超过四分之一（27%）的受访者总是会询问，超过一半（54%）的受访者有时会询问，19%的受访者从未获取过女性性工作者患者的性病史。多变量分析显示，与总是获取性病史相关的因素包括身为医生、接受过性传播感染方面的培训以及在省级医疗机构工作。研究发现，医生的不适感与患者沟通培训、每周看诊15名或更少患者以及在省级医疗机构工作呈负相关。确定了越南全科医疗中女性性工作者患者获取性病史方面的问题。这些问题有助于控制女性性工作者患者的性传播感染，为改善越南的性传播感染管理，需要给予应有的关注。
