van de Laar M J, Termorshuizen F, van den Hoek A
Department of Infectious Diseases Epidemiology, National Institute of Public Health and the Environment, Bilthoven, The Netherlands.
Sex Transm Dis. 1997 Jul;24(6):334-42. doi: 10.1097/00007435-199707000-00005.
To evaluate the outcomes of a partner referral program at the sexually transmitted disease (STD) clinic in Amsterdam that encourages gonorrhea and chlamydia patients to refer their own partners to medical examination.
355 patients with a confirmed infection cooperated in partner referral and gave specific details on their sexual contacts. Univariate and multivariate analyses were conducted to identify characteristics associated with the outcome of partner referral.
The outcome of partner referral, expressed as the proportion of sex partners brought to evaluation or treatment, was 40%: 580 sex partners were identified of whom 20% attended the STD clinic, and medical follow-up could be confirmed for another 20%. No information was available for the remaining 60%. Patients with chlamydial infection referred more sexual partners than gonorrhea patients; women referred more partners than men. Sixty-three percent of the female contacts and 30% of the male contacts were found to be infected with gonorrhea, chlamydia, or both. Steady partners were more often referred by index patients than casual partners, especially if these latter were non-Dutch partners, clients of commercial sex workers, contacts met in less private settings, and "one night stands."
Partner referral can be an effective strategy for reaching individuals at high risk for STD. The partner referral method was successful among certain populations but was inadequate for other groups. A mixed effort of provider referral in addition to partner referral may be appropriate to increase the efficacy of partner notification.
评估阿姆斯特丹性传播疾病（STD）诊所的伴侣转诊计划的效果，该计划鼓励淋病和衣原体感染患者将其伴侣转诊进行医学检查。
355名确诊感染的患者参与了伴侣转诊，并提供了其性接触者的具体细节。进行单因素和多因素分析以确定与伴侣转诊结果相关的特征。
伴侣转诊的结果，以被带到评估或治疗的性伴侣比例表示，为40%：共识别出580名性伴侣，其中20%前往STD诊所就诊，另外20%的医学随访得到确认。其余60%没有相关信息。衣原体感染患者转诊的性伴侣比淋病患者更多；女性转诊的伴侣比男性更多。发现63%的女性性接触者和30%的男性性接触者感染了淋病、衣原体或两者。索引患者转诊稳定伴侣的情况比偶然伴侣更常见，特别是当后者是非荷兰伴侣、商业性工作者的客户、在不太私密环境中结识的性接触者以及“一夜情”对象时。
伴侣转诊可能是接触STD高风险个体的有效策略。伴侣转诊方法在某些人群中取得了成功，但对其他群体则不够充分。除了伴侣转诊之外，医生转诊的综合努力可能有助于提高伴侣通知的效果。
