A national survey of clinic sexual histories for sexually transmitted infection and HIV screening
A national survey of clinic sexual histories for sexually transmitted infection and HIV screening
复制标题
DOI：
10.1097/01.olq.0000154499.17511.0a
复制
发表时间：
2005-06-01
影响因子：
3.1
通讯作者：
Golden, MR
中科院分区：
文献类型：
--
作者：
Kurth, AE;Holmes, KK;Golden, MR
背景性传播感染（STI）和艾滋病毒风险评估的性史的最佳元素仍然undefined.Goal：本研究的目的是描述在美国各地的STI诊所使用的性史。研究：本研究包括对人口> 20万（n = 65）的城市设施的横断面调查。在每个城市中，随机选择一家公共卫生性病诊所（占样本的71%）或其他性病护理机构（占29%），并要求填写性史表格。从48个诊所获得的信息（74%的响应）。结果：大多数形式记录的症状和以前的性传播感染（96%），安全套的使用（88%），其他避孕（85%），和性伴侣的数量和性别（83%）的信息。常见的艾滋病毒风险问题是注射吸毒（IDU; 94%）、为毒品或金钱而发生性行为（58%）以及与艾滋病毒阳性或IDU伴侣发生性行为（52%）。确定风险发生的时间（接触期）从过去14天到过去12个月不等，只有38%的诊所使用任何一个时间段。很少有历史（17%）纳入了与男性发生性关系的男性（MSM）的问题。只有2（4%）的空间，以记录有关性行为的信息，由艾滋病毒的性伴侣的状态。避孕套的使用很少被评估为阴道和肛交（13%），避孕套的使用问题很少被探讨（10%）。大多数形式记录STI/HIV咨询，虽然很少（25%）包括具体的风险降低plannes.Conclusions：性史是高度可变的。虽然完成这项工作具有挑战性，但通过就性史中使用的核心问题达成共识，可以改善性病/艾滋病毒的护理、监测和预防。
Background. Optimal elements of a sexual history for sexually transmitted infection (STI) and HIV risk assessment remain undefined.Goal: The goal of this study was to describe sexual histories in use at STI clinics across the United States. Study: This study consisted of a cross-sectionaI survey of facilities in cities with populations > 200,000 (n = 65). Within each city, a public health STI clinic (71% of the sample) or other STI care facility (29%) was randomly selected and sexual history forms were requested. Information was obtained from 48 clinics (74% response).Results: Most forms recorded information on symptoms and prior STI (96%), condom use (88%), other contraception (85%), and numbers and gender (83%) of sex partners. Common HIV risk questions were injecting drug use (IDU; 94%), sex for drugs or money (58%), and sex with an HIV-positive or IDU partner (52%). Ascertainment of time during which risks occurred (contact periods) varied from the past 14 days to the past 12 months, with only 38% of clinics using any 1 time period. Few histories (17%) incorporated questions for men who have sex with men (MSM). Only 2 (4%) had space to record information about sexual behaviors by the HIV status of the sex partner. Condom use was infrequently assessed specifically for vaginal and anal sex (13%), and condom use problems were rarely explored (10%). Most forms documented STI/HIV counseling, although few (25%) included specific risk reduction plans.Conclusions: Sexual histories are highly variable. Although challenging to accomplish, STI/HIV care, surveillance, and prevention may be improved by developing consensus on core questions to be used in sexual histories.