Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Parkville, Vic. 3053, Australia; and Corresponding author. Email:
Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Parkville, Vic. 3053, Australia.
Sex Health. 2020 Dec;17(6):503-509. doi: 10.1071/SH20109.
Background Individuals diagnosed with a chlamydia infection are advised to notify their sexual partners from the previous 6 months so that they too can get tested and treated as appropriate. Partner notification is an essential component of chlamydia management, helping to prevent ongoing transmission and repeat infection in the index case. However, partner notification can be challenging, particularly in circumstances where a relationship has ended or transmission has occurred beyond the primary relationship.
In this study we use data from 43 semistructured interviews with general practitioners (GPs) and people with a recent diagnosis of chlamydia. The interviews examined experiences of chlamydia case management in the general practice context. Here, we focus specifically on the effect of a chlamydia infection on intimate relationships in the context of the consultation and beyond.?
A chlamydia infection can have significant consequences for intimate relationships. Although GPs reported speaking to their patients about the importance of partner notification and participants with a recent chlamydia infection reported notifying their sexual partners, both would appreciate further support to engage in these conversations.
Conversations with patients should go beyond simply informing them of the need to notify their sexual partners from the previous 6 months, and should provide information about why partner notification is important and discuss strategies for informing partners, particularly for those in ongoing relationships. Ensuring GPs have the training and support to engage in these conversations with confidence is vital.
背景 被诊断出患有衣原体感染的个体被建议通知他们在过去 6 个月内的性伴侣,以便他们也可以接受适当的检测和治疗。性伴侣通知是衣原体管理的一个重要组成部分,有助于防止在索引病例中持续传播和重复感染。然而,性伴侣通知可能具有挑战性,特别是在关系已经结束或传播超出主要关系的情况下。
在这项研究中,我们使用了来自 43 名全科医生(GP)和最近被诊断出衣原体感染的人的 43 次半结构化访谈的数据。这些访谈检查了在全科医生背景下管理衣原体病例的经验。在这里,我们特别关注衣原体感染在咨询背景下和咨询之外对亲密关系的影响。
衣原体感染会对亲密关系产生重大影响。尽管全科医生报告说与患者讨论了通知性伴侣的重要性,并且最近感染衣原体的患者报告说已通知其性伴侣,但双方都希望进一步得到支持,以开展这些对话。
与患者的对话不应仅仅局限于简单地告知他们需要通知过去 6 个月内的性伴侣,还应提供有关通知性伴侣的重要性的信息,并讨论通知性伴侣的策略,特别是对于那些处于持续关系中的人。确保全科医生有信心进行这些对话的培训和支持至关重要。