Geringer W M, Hinton M
Family Planning Council of Southeastern Pennsylvania, Philadelphia.
J Community Health. 1993 Jun;18(3):137-51. doi: 10.1007/BF01325158.
Three syphilis control models targeted at a high incidence area were implemented and evaluated over a 31-month period. These models consisted of (1) street-based outreach and referral to community health clinics for free sexually transmitted disease screening and treatment, (2) off-site syphilis screening at high risk locations and referral for free treatment, and (3) off-site syphilis screening and referral at high risk locations with monetary incentives offered for obtaining test results and seeking treatment if required. Off-site screening--conducted at homeless shelters, soup kitchens, drug treatment centers, and community fairs--was found to be significantly more effective in promoting syphilis screening than outreach and referral to community health centers. For the off-site screening models, monetary incentives were related to an increase in the proportion of individuals at homeless shelters and soup kitchens who agreed to be tested, and to an increase in the proportion of people at homeless shelters, soup kitchens and drug treatment centers who sought their test results and obtained treatment, if required.
在一个31个月的期间内，实施并评估了针对高发病率地区的三种梅毒控制模式。这些模式包括：（1）基于街道的外展服务，并转介至社区卫生诊所进行免费性传播疾病筛查和治疗；（2）在高风险地点进行非现场梅毒筛查，并转介至免费治疗；（3）在高风险地点进行非现场梅毒筛查和转介，并提供金钱激励以获取检测结果，并在需要时寻求治疗。在无家可归者收容所、施粥处、戒毒治疗中心和社区集市进行的非现场筛查，在促进梅毒筛查方面被发现比转介至社区卫生中心进行外展服务更为有效。对于非现场筛查模式，金钱激励与无家可归者收容所和施粥处同意接受检测的个人比例增加有关，也与无家可归者收容所、施粥处和戒毒治疗中心寻求检测结果并在需要时接受治疗的人员比例增加有关。
