Preferences for Expedited Partner Therapy Among Adolescents in an Urban Pediatric Emergency Department: A Mixed-Methods Study.
Preferences for Expedited Partner Therapy Among Adolescents in an Urban Pediatric Emergency Department: A Mixed-Methods Study.
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城市儿科急诊科青少年对快速伴侣治疗的偏好：一项混合方法研究。
DOI：
10.1097/pec.0000000000001746
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发表时间：
2021
影响因子：
1.4
通讯作者：
Chernick,LaurenS
中科院分区：
文献类型：
--
作者：
Shamash,Zohar;Catallozzi,Marina;Dayan,PeterS;Chernick,LaurenS
目的加速性伴侣治疗（EPT）是指对性传播感染患者的性伴侣提供处方或药物给予治疗的方法。在急诊科（ED），加速伴侣治疗不是常规处方。我们的目的是探索青少年在ED中使用EPT的偏好方法。我们在一个城市ED中进行了一项混合方法的研究，使用调查和半结构化访谈。15至19岁的性活跃患者完成了一项匿名调查，包括：(1)性史和危险性行为，(2)性传播感染假设检测呈阳性时对伴侣通知的偏好，以及(3)EPT的偏好。调查对象的子样本参与了访谈，直到没有新的观点出现为止。调查人员使用主题分析来分析访谈。结果共有247名参与者完成问卷调查；多数为女性（183/247,74%），西班牙裔（209/243,86%），最后性交未使用安全套（129/243,53%）。三分之二的参与者（152/ 236,64%）不喜欢EPT作为伴侣通知。对EPT的偏好与性别、年龄、种族、避孕套使用、稳定的性伴侣或性传播感染史无关。来自调查和访谈的定性数据揭示了不喜欢EPT的以下原因：对伴侣安全的关注，确定伴侣性传播感染状态的重要性，临床互动的感知利益，以及伴侣责任。选择EPT的原因包括治疗的可及性和便利性。结论大多数青少年儿童急诊科患者不喜欢EPT。急诊医师应解决EPT常见的问题，以增加EPT的依从性。
ObjectivesExpedited partner therapy (EPT) refers to treating sexual partners of patients with sexually transmitted infections by providing prescriptions or medications to give to their partners. Expedited partner therapy is not routinely prescribed in the emergency department (ED). Our objective was to explore adolescent preferences for EPT use in the ED.MethodsWe conducted a mixed-methods study using surveys and semistructured interviews in one urban ED. Sexually active patients aged 15 to 19 years completed an anonymous survey eliciting (1) sexual history and risky sexual behaviors,(2) preferences for partner notification when hypothetically testing positive for an STI, and (3) preferences for EPT. A subsample of survey respondents participated in the interviews, which were conducted until no new perspectives emerged. Investigators analyzed interviews using thematic analysis.ResultsA total of 247 participants completed surveys; the majority were female (183/247, 74%), Hispanic (209/243, 86%), and did not use a condom at last intercourse (129/243, 53%). Two thirds of participants (152/236, 64%) did not prefer EPT for partner notification. Preference for EPT was not associated with sex, age, ethnicity, condom use, a steady sexual partner, or STI history. Qualitative data from both surveys and interviews revealed the following reasons for not preferring EPT: concern for partner safety, importance of determining partner STI status, perceived benefit of clinical interaction, and partner accountability. Reasons for preferring EPT included increased treatment accessibility and convenience.ConclusionsThe majority of adolescent patients in a pediatric ED did not prefer EPT. Emergency department practitioners should address common concerns regarding EPT to increase EPT adherence if prescribed.
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委员会第 632 号意见：治疗淋病和衣原体感染的快速伴侣治疗。
影响因子：
7.2
作者：
Societyofadolescentmedicine
通讯作者：
Societyofadolescentmedicine
分诊时脚本的使用及其对私奔的影响。
DOI：
10.1111/j.1553-2712.2010.00721.x
发表时间：
2010
期刊：
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
影响因子：
--
作者：
D. Handel;R. Fu;M. Daya;J. York;E. Larson;K. John McConnell
通讯作者：
K. John McConnell
教员意见推荐性伴侣快速治疗对复发性或持续性淋病或衣原体感染的影响。
影响因子：
3.7
作者：
J. Marrazzo
通讯作者：
J. Marrazzo
青少年对性传播感染的快速伴侣治疗的态度。
影响因子：
3.1
作者：
Radovic,Ana;Burstein,GaleR;Marshal,MichaelP;Murray,PamelaJ;Miller,Elizabeth;Sucato,GinaS
通讯作者：
Sucato,GinaS
影响因子：
--
作者：
Wilson, KM;Klein, JD
通讯作者：
Klein, JD