Partner notification and treatment outcomes among South African adolescents and young adults diagnosed with a sexually transmitted infection via laboratory-based screening
Partner notification and treatment outcomes among South African adolescents and young adults diagnosed with a sexually transmitted infection via laboratory-based screening
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DOI：
10.1177/0956462420915395
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发表时间：
2020-05-13
影响因子：
1.4
通讯作者：
Kaida, Angela
中科院分区：
文献类型：
--
作者：
Chitneni, Pooja;Beksinska, Mags;Kaida, Angela
伴侣通知和治疗是性传播感染管理的重要组成部分，但对青少年和年轻人的这种做法知之甚少。使用来自南非德班16-24岁青年的前瞻性队列研究（AYAZAZI）的数据，我们评估了参与者诊断、STI治疗、伴侣通知和伴侣治疗的STI护理级联;指数复发性STI和相关因素;以及不通知伴侣STI的原因。参与者在入组时和12个月时完成了基于实验室的STI筛查（沙眼衣原体、淋病奈瑟菌、生殖器支原体、阴道毛滴虫）。在患有性传播感染的37/216名参与者（17%）中，27/37（73%）为女性，10/37（27%）为男性。中位年龄为19岁（IQR：18-20）。在性传播感染的参与者中，23/37（62%）在诊断后6个月内完成了治疗和伴侣追踪调查。所有调查参与者报告完成了性传播感染治疗（100%），17/23（74%）通知了伴侣，6/23（35%）报告了伴侣治疗。总体而言，4/23（11%）参与者有12个月的复发性C。沙眼感染，与伴侣通知或治疗无关。耻辱感和缺乏性传播感染知识是不将性传播感染告知伴侣的原因。性传播感染伴侣的通知和治疗是青年人面临的一项挑战。需要新的战略来克服沿着STI护理级联的障碍。
Partner notification and treatment are essential components of sexually transmitted infection (STI) management, but little is known about such practices among adolescents and young adults. Using data from a prospective cohort study (AYAZAZI) of youth aged 16-24 years in Durban, South Africa, we assessed the STI care cascade across participant diagnosis, STI treatment, partner notification, and partner treatment; index recurrent STI and associated factors; and reasons for not notifying partner of STI. Participants completed laboratory-based STI screening (Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis) at enrollment and at 12 months. Of the 37/216 participants with STI (17%), 27/37 (73%) were women and 10/37 (27%) were men. Median age was 19 years (IQR: 18-20). Of the participants with STI, 23/37 (62%) completed a Treatment and Partner Tracing Survey within 6 months of diagnosis. All survey participants reported completing STI treatment (100%), 17/23 (74%) notified a partner, and 6/23 (35%) reported partner treatment. Overall, 4/23 (11%) participants had 12-month recurrent C. trachomatis infection, with no association with partner notification or treatment. Stigma and lack of STI knowledge were reasons for not notifying partner of STI. STI partner notification and treatment is a challenge among youth. Novel strategies are needed to overcome barriers along the STI care cascade.