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行为改变和及时治疗在性传播感染控制中的作用。

The role of behavioral changes and prompt treatment in the control of STIs.

作者信息

Saldaña Fernando, Barradas Ignacio

机构信息

CIMAT, Guanajuato Gto, 36000 Mexico.

出版信息

Infect Dis Model. 2019 Jan 4;4:1-10. doi: 10.1016/j.idm.2018.12.001. eCollection 2019.

DOI:10.1016/j.idm.2018.12.001
PMID:30740555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6354734/
Abstract

In this paper, we study general recovery functions and treatment in the dynamics of an model for sexually transmitted infections with nonzero partnership length. It is shown how partnership dynamics influences the predicted prevalence at the steady state and the basic reproduction number. Sobol's indices are used to evaluate the contribution of model parameters to the overall variance of . The recovery functions studied here take into account that society's capacity to provide treatment is limited when the number of infected individuals is large. Bifurcation analysis is used to establish a relationship between an alert level of prevalence and the minimum recovery time that guarantees the eradication of the disease. We also show that a backward bifurcation can occur when there are delays in the treatment of infected individuals.

摘要

在本文中,我们研究了具有非零伴侣关系时长的性传播感染模型动力学中的一般恢复函数和治疗情况。展示了伴侣关系动态如何影响稳态时的预测患病率和基本再生数。使用索伯列夫指数来评估模型参数对总体方差的贡献。这里研究的恢复函数考虑到当感染个体数量众多时,社会提供治疗的能力是有限的。使用分岔分析来建立患病率警戒水平与保证疾病根除的最短恢复时间之间的关系。我们还表明,当感染个体的治疗存在延迟时,可能会出现反向分岔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5286/6354734/ca9dd49e4082/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5286/6354734/64003ae2e3c5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5286/6354734/71868b995eeb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5286/6354734/2165b5601995/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5286/6354734/fe4f38548d35/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5286/6354734/ca9dd49e4082/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5286/6354734/64003ae2e3c5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5286/6354734/71868b995eeb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5286/6354734/2165b5601995/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5286/6354734/fe4f38548d35/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5286/6354734/ca9dd49e4082/gr5.jpg

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本文引用的文献

1
Pair formation models for sexually transmitted infections: A primer.性传播感染的配对形成模型:入门指南。
Infect Dis Model. 2017 Jul 25;2(3):368-378. doi: 10.1016/j.idm.2017.07.002. eCollection 2017 Aug.
2
Case and partnership reproduction numbers for a curable sexually transmitted infection.可治愈性传播感染的病例和伙伴关系繁殖数。
J Theor Biol. 2013 Aug 21;331:38-47. doi: 10.1016/j.jtbi.2013.04.010. Epub 2013 Apr 19.
3
The role of reinfection and partner notification in the efficacy of Chlamydia screening programs.
再感染和性伴侣通知在衣原体筛查项目效果中的作用。
J Infect Dis. 2011 Feb 1;203(3):372-7. doi: 10.1093/infdis/jiq050. Epub 2010 Dec 24.
4
Human papillomavirus: clinical manifestations and prevention.人乳头瘤病毒:临床表现与预防。
Am Fam Physician. 2010 Nov 15;82(10):1209-13.
5
Populations and partnerships: insights from metapopulation and pair models into the epidemiology of gonorrhoea and other sexually transmitted infections.种群与伙伴关系:从集合种群和配对模型看淋病和其他性传播感染的流行病学。
Sex Transm Infect. 2010 Nov;86(6):433-9. doi: 10.1136/sti.2009.040238.
6
When do sexual partnerships need to be accounted for in transmission models of human papillomavirus?在人类乳头瘤病毒传播模型中,何时需要考虑性伴侣关系?
Int J Environ Res Public Health. 2010 Feb;7(2):635-50. doi: 10.3390/ijerph7020635. Epub 2010 Feb 22.
7
Backward bifurcation of an epidemic model with treatment.具有治疗的流行病模型的向后分岔
Math Biosci. 2006 May;201(1-2):58-71. doi: 10.1016/j.mbs.2005.12.022. Epub 2006 Feb 8.
8
Measures of sexual partnerships: lengths, gaps, overlaps, and sexually transmitted infection.性伴侣关系的衡量指标:时长、间隔、重叠以及性传播感染
Sex Transm Dis. 2006 Apr;33(4):209-14. doi: 10.1097/01.olq.0000191318.95873.8a.
9
Sexual behaviour in Britain: partnerships, practices, and HIV risk behaviours.英国的性行为:伴侣关系、行为方式及艾滋病病毒风险行为
Lancet. 2001 Dec 1;358(9296):1835-42. doi: 10.1016/S0140-6736(01)06883-0.
10
Natural history of cervical human papillomavirus infection in young women: a longitudinal cohort study.年轻女性宫颈人乳头瘤病毒感染的自然史:一项纵向队列研究
Lancet. 2001 Jun 9;357(9271):1831-6. doi: 10.1016/S0140-6736(00)04956-4.