Social and Behavioral Correlates of Pelvic Inflammatory Disease

Social and Behavioral Correlates of Pelvic Inflammatory Disease
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盆腔炎的社会和行为相关性

DOI:
--
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发表时间:
1998
影响因子:
3.1
通讯作者:
J. Wasserheit
J. Wasserheit
中科院分区:
医学4区
文献类型:
--
作者:
S. Aral;J. Wasserheit

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目的:回顾盆腔炎(PID)的社会和行为的相关性,在传染病的传播动力学的新的兴趣,新的重点是寻求医疗保健和卫生服务的提供,并增加了对影响发病率的背景和人口水平的因素的关注。研究方法:PID的社会和行为相关性使用一个概念性方案进行审查,该方案将暴露,获得和后遗症发展的风险因素之间的差异与个体水平风险因素和人群水平决定因素之间的差异进行矩阵化。结果如下:两个主要因素有助于PID的发展:宫颈的复发性(或持续性)衣原体感染,这是地理上集中的,并与背景变量相关,以及宫颈感染的检测和治疗的严重延迟,这是可以干预的。结论:广泛开展宫颈感染筛查,及时采取适当的治疗措施是预防盆腔炎的关键。需要改善寻求保健服务、提供者培训以及检测技术和药物的可获得性。
Objectives: To review the social and behavioral correlates of pelvic inflammatory disease (PID) in the light of the renewed interest in the transmission dynamics of communicable diseases, the new emphasis on health care seeking and health service provision, and increased attention to contextual and population level factors affecting morbidity. Methods: Social and behavioral correlates of PID are reviewed using a conceptual scheme that matrixes the differences among risk factors for exposure, acquisition, and development of sequelae with the differences between individual‐level risk factors and population‐level determinants. Results: Two major factors contribute to the development of PID: recurrent (or persistent) chlamydial infection of the cervix, which are geographically concentrated and associated with contextual variables, and critical delays in detection and treatment of cervical infection, which are amenable to interventions. Conclusions: Widespread screening for cervical infection followed by timely and appropriate treatment is key for prevention of PID. Health care seeking, provider training, and availability of detection technologies and drugs need to be improved.
与口服避孕药的使用相关的症状性衣原体盆腔炎的风险降低。
DOI: 10.1001/jama.1990.03440010052029
发表时间: 1990
期刊: JAMA
影响因子: --
作者:
Wølner-Hanssen,P;Eschenbach,DA;Paavonen,J;Kiviat,N;Stevens,CE;Critchlow,C;DeRouen,T;Holmes,KK
通讯作者: Holmes,KK
DOI: --
发表时间: 1993
影响因子: 7.2
作者:
Scholes,D;Daling,JR;Stergachis,A;Weiss,NS;Wang,SP;Grayston,JT
通讯作者: Grayston,JT
对到计划生育诊所就诊的妇女进行衣原体感染筛查。
DOI: --
发表时间: 1983
期刊: The Western journal of medicine
影响因子: --
作者:
Schachter,J;Stoner,E;Moncada,J
通讯作者: Moncada,J