Kalichman Seth, Banas Ellen, Kalichman Moira, Dewing Sarah, Jennings Karen, Daniels Johann, Berteler Marcel, Mathews Catherine
From the Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, CT.
Health Systems Research Unit, South African Medical Research Council, Tygerberg.
Sex Transm Dis. 2021 Mar 1;48(3):174-182. doi: 10.1097/OLQ.0000000000001295.
Evidence-based interventions are needed to stem sexually transmitted infections (STIs). Clinic-delivered counseling remains an important avenue for effective STI prevention.
A 3-arm randomized clinical trial compared (a) STI health education control condition, (b) risk reduction counseling, and (c) enhanced partner notification counseling. Men and women (n = 1050) were recruited from an STI clinic in Cape Town, South Africa. After baseline assessments, participants were randomly allocated to receive 1 of the 3 single-session counseling interventions and were followed up for 9 months of behavioral assessments and 12 months of electronic medical records abstraction for STI clinic services.
Sexual risk reduction counseling reported greater condom use than did the other 2 conditions during the 3 and 6 months follow-ups. In addition, women receiving risk reduction counseling were significantly less likely to have returned for STI clinic services but did not differ in the number of STI clinic visits over the year.
Brief single-session STI prevention counseling demonstrates significant targeted outcomes. The findings suggest that counseling approaches to both increase condom use and enhance partner notification may offer more robust and sustained outcomes and should be tested in future research.
需要基于证据的干预措施来遏制性传播感染（STIs）。诊所提供的咨询仍是有效预防性传播感染的重要途径。
一项三臂随机临床试验比较了（a）性传播感染健康教育对照条件、（b）风险降低咨询和（c）强化性伴通知咨询。从南非开普敦的一家性传播感染诊所招募了男性和女性（n = 1050）。在基线评估后，参与者被随机分配接受三种单节咨询干预措施中的一种，并进行了9个月的行为评估随访以及12个月的性传播感染诊所服务电子病历提取。
在3个月和6个月的随访期间，风险降低咨询组报告的避孕套使用率高于其他两组。此外，接受风险降低咨询的女性返回性传播感染诊所服务的可能性显著降低，但一年中性传播感染诊所就诊次数并无差异。
简短的单节性传播感染预防咨询显示出显著的针对性结果。研究结果表明，增加避孕套使用和强化性伴通知的咨询方法可能会带来更有力和持续的结果，应在未来研究中进行测试。
