The legal aspects of expedited partner therapy practice: do state laws and policies really matter?
The legal aspects of expedited partner therapy practice: do state laws and policies really matter?
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DOI：
10.1097/01.olq.0000431358.18959.d4
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发表时间：
2013-08
影响因子：
3.1
通讯作者：
SSuN Working Group
中科院分区：
文献类型：
--
作者：
Cramer R;Leichliter JS;Stenger MR;Loosier PS;Slive L;SSuN Working Group
快速伴侣疗法(EPT)是一种潜在的伴侣治疗策略。在旨在促进其实施的政策方面作出了重大努力。然而，很少有研究试图评估这些政策。我们使用了2010年性病监测网络(SSun)12个地点的受访淋病病例数据(n=3,404)。患者报告他们是否接受了EPT。我们使用Westlaw法律研究数据库编码了与EPT治疗淋病相关的州法律，并于2010年从CDC的网站上对EPT在sSun网站上的一般法律地位进行了编码。我们还对医学和其他委员会的政策声明进行了编码。我们使用卡方检验来比较法律/政策变量、患者特征和提供者类型对EPT收受情况的影响。在双变量分析中P<；.10显著的变量被包括在Logistic回归模型中。总体而言，在2564名受访的淋病患者中，9.5%的人报告为他们的伴侣接受了EPT。在存在授权EPT的法律和政策的情况下，EPT的收视率明显较高。在存在适用于GC的EPT法律且EPT允许的情况下，13.3%的患者报告接受EPT治疗，而在没有EPT法律且EPT允许的患者中，这一比例为5.4%；在没有EPT法律且EPT潜在允许的患者中，这一比例为1.0%(p<；.01)。在专业委员会有政策声明支持EPT的地方，EPT较高(p<；.01)。接受EPT治疗并不因大多数患者的特征或提供者类型而有所不同。在调整后的分析中，与政策相关的发现类似。在受访淋病病例中，EPT法律和政策与较高的EPT报告有关。
Expedited partner therapy (EPT) is a potential partner treatment strategy. Significant efforts have been devoted to policies intended to facilitate its practice. However, few studies have attempted to evaluate these policies. We used data on interviewed gonorrhea cases from 12 sites in the STD Surveillance Network (SSuN) in 2010 (n=3,404). Patients reported whether they had received EPT. We coded state laws relevant to EPT for gonorrhea using Westlaw legal research database, and the general legal status of EPT in SSuN sites from CDC’s website in 2010. We also coded policy statements by medical and other boards. We used chi-squares to compare receipt of EPT by legal/policy variables, patient characteristics and provider type. Variables significant at p<.10 in bivariate analyses were included in a logistic regression model. Overall, 9.5% of 2,564 interviewed gonorrhea patients reported receiving EPT for their partners. Receipt of EPT was significantly higher where laws and policies authorizing EPT existed. Where EPT laws for GC existed and EPT was permissible, 13.3% of patients reported receiving EPT as compared to 5.4% where there were no EPT laws and EPT was permissible, and 1.0% where there were no EPT laws and EPT was potentially allowable (p<.01). EPT was higher where professional boards had policy statements supporting EPT (p<.01). Receipt of EPT did not differ by most patient characteristics or provider type. Policy-related findings were similar in adjusted analyses. EPT laws and policies were associated with higher reports of receipt of EPT among interviewed gonorrhea cases.