Zuckerman R A, Dickes J R, Schwebke J R
Chicago Department of Health, Illinois, USA.
Sex Transm Dis. 1996 Jul-Aug;23(4):299-303. doi: 10.1097/00007435-199607000-00010.
Patients attending sexually transmitted diseases (STD) clinics may be at high risk for tuberculosis (TB) infection. The authors conducted a pilot study of TB screening in this setting to determine the prevalence of TB infection and compliance of the population with a screening program.
To determine the prevalence of positive skin test results indicating TB among patients attending an STD clinic and to test a simple incentive designed to enhance compliance with return visits for skin test interpretation.
Skin tests for TB were offered to clients attending an STD clinic. Testing was accompanied by self-assessment questionnaires designed to assess risk for TB. After 2 months, a simple incentive package was initiated to enhance compliance with skin test interpretation.
The prevalence of positive skin test results was 34%. Compliance with return visits was doubled by use of the simple incentive package.
Patients attending STD clinics are at high risk for TB and can be motivated toward increased compliance by the use of simple incentives.
前往性传播疾病(STD)诊所就诊的患者可能面临较高的结核病(TB)感染风险。作者在此背景下开展了一项结核病筛查试点研究,以确定结核病感染的患病率以及该人群对筛查项目的依从性。
确定在性传播疾病诊所就诊的患者中结核菌素皮肤试验阳性结果的患病率,并测试一种旨在提高对皮肤试验结果解读复诊依从性的简单激励措施。
为前往性传播疾病诊所就诊的患者提供结核菌素皮肤试验。检测同时伴有旨在评估结核病风险的自我评估问卷。2个月后,启动了一个简单的激励方案,以提高对皮肤试验结果解读的依从性。
结核菌素皮肤试验阳性结果的患病率为34%。使用简单的激励方案使复诊的依从性提高了一倍。
前往性传播疾病诊所就诊的患者结核病感染风险较高,使用简单的激励措施可促使其提高依从性。