Center for AIDS and STD, University of Washington, and Public Health - Seattle & King County, Seattle, WA, USA.
Centre for Population Research in Sexual Health & HIV, Institute for Global Health, University College London, London, UK.
Sex Health. 2022 Aug;19(4):309-318. doi: 10.1071/SH22060.
Partner notification (PN) remains a crucial prevention tool to reduce sexually transmitted infection (STI) transmission and prevent STI-related morbidity. Although there have been a variety of different approaches taken to facilitate the notification, testing and management of sexual contacts of STIs and HIV, there is an increasing acknowledgement that these interventions are unscalable and have relatively little impact on disease transmission. At the same time, an expanding body of evidence supports a shift in the emphasis of STI outreach-related work from an exclusive focus on PN to an approach that incorporates epidemiologic data collection, case management, and PN, an approach that is sometimes called partner services (PS). In this review, we appraise the current evidence base for different PN interventions for STIs in high-income nations, make recommendations for best practices, present a schema for how public health programs might prioritise PS for different programs, and identify priority research questions related to PN.
性伴通知(PN)仍然是减少性传播感染(STI)传播和预防 STI 相关发病率的重要预防工具。尽管已经采取了各种不同的方法来促进 STI 和 HIV 性接触者的通知、检测和管理,但越来越多的人认识到这些干预措施是不可扩展的,对疾病传播的影响相对较小。与此同时,越来越多的证据支持将 STI 外展工作的重点从单纯的 PN 转移到一种结合流行病学数据收集、病例管理和 PN 的方法,这种方法有时被称为伴侣服务(PS)。在这篇综述中,我们评估了高收入国家中不同 STI 性伴通知干预措施的现有证据基础,为最佳实践提出了建议,为公共卫生计划如何为不同计划优先考虑 PS 提出了方案,并确定了与 PN 相关的优先研究问题。