Fairley I, Monteiro E F
Department of Genitourinary Medicine, Leeds General Infirmary.
Genitourin Med. 1997 Aug;73(4):259-62. doi: 10.1136/sti.73.4.259.
To assess patient attitudes to HSV-2 serotesting and the effect of providing detailed information regarding genital herpes, the blood test, and its implications.
Consecutive genitourinary medicine clinic attenders were asked to complete an anonymous self administered questionnaire. Half received minimal additional information while the other half received a detailed information sheet.
Overall, 200 clinic attenders with a median age of 27 years (range 15-57) completed the questionnaire, 92.4% wanted to know if they, and 90.8% if their partners, had been infected with genital herpes; 65% expected testing as part of screening without further discussion. Overall, on a scale of 1-10, 2% scored 1 (equivalent to definitely not wanting a test), while 45.5% scored 10 (equivalent to definitely wanting a test). The overall median score was 9 (95% confidence interval 8-10) suggesting a strong opinion in favour of testing. The desire to test in each of five described hypothetical situations increased significantly (p < 0.001) when compared with the general desire.
Clinic attenders expressed a strong preference to be serotested for HSV-2 which was unaltered by the provision of information highlighting implications, although influenced significantly by the context in which they were asked. Should reliable tests become available the level of demand could have important implications on laboratory and counselling resources.
评估患者对单纯疱疹病毒2型（HSV-2）血清检测的态度，以及提供有关生殖器疱疹、血液检测及其影响的详细信息所产生的效果。
要求连续就诊于泌尿生殖医学诊所的患者填写一份匿名的自填式问卷。一半患者收到最少的额外信息，另一半患者收到一份详细的信息表。
总体而言，200名年龄中位数为27岁（范围15 - 57岁）的诊所就诊者完成了问卷，92.4%的人想知道自己是否感染了生殖器疱疹，90.8%的人想知道其伴侣是否感染；65%的人期望检测作为筛查的一部分，无需进一步讨论。总体而言，在1 - 10分的量表上，2%的人得分为1分（相当于绝对不想检测），而45.5%的人得分为10分（相当于绝对想检测）。总体中位数得分是9分（95%置信区间8 - 10），表明强烈支持检测的观点。与一般意愿相比，在描述的五种假设情况下，每种情况下进行检测的意愿均显著增加（p < 0.001）。
诊所就诊者强烈倾向于接受HSV-2血清检测，提供突出影响的信息并未改变这一倾向，尽管受询问背景的显著影响。如果有可靠的检测方法，需求水平可能会对实验室和咨询资源产生重要影响。
