Syphilis testing among spouses of patients with syphilis in Japan: an epidemiological study using an administrative claims database
Syphilis testing among spouses of patients with syphilis in Japan: an epidemiological study using an administrative claims database
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DOI：
10.1177/0956462419892779
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发表时间：
2020-01-28
影响因子：
1.4
通讯作者：
Kawakami, Koji
中科院分区：
文献类型：
--
作者：
Matsubayashi, Keisuke;Kawakami, Koji
日本报告的梅毒病例数量自2014年以来一直在增加，主要通过异性接触传播。然而，日本尚未推出合作伙伴服务计划，目前尚不清楚梅毒患者的接触者是否接受检测。本研究旨在估计梅毒患者的配偶接受梅毒检测的比例。我们从 2010 年至 2017 年间收集的日本员工健康保险计划索赔数据库中回顾性地确定了最近开始梅毒治疗的患者及其配偶。配偶梅毒检测被定义为指示患者开始治疗后三个月内的非梅毒螺旋体检测或密螺旋体检测。我们确定了配偶梅毒检测的比例，并分析了其与患者和配偶特征以及梅毒治疗年份的关联。在确定开始梅毒治疗的 217 名患者中，有 29 名（13.3%）配偶接受了梅毒检测：男性和女性指标患者中，妻子分别为 23/182（12.6%），丈夫为 6/35（17.1%）。在年长的妻子中
The number of syphilis cases reported in Japan, transmitted mainly by heterosexual contact, has been increasing since 2014. However, Japan has not introduced partner services programmes, and it remains unclear whether contacts of patients with syphilis undergo testing. This study aimed to estimate the proportion of spouses of patients with syphilis who underwent syphilis testing. We retrospectively identified patients who had recently started syphilis treatment as well as their spouses from a Japanese claims database for employee health insurance plans, collected between 2010 and 2017. Spousal syphilis testing was defined as either a nontreponemal or treponemal test within three months after the index patient started treatment. We determined the proportion of spousal syphilis testing and analysed its associations with patient and spouse characteristics, and year of syphilis treatment. Of the 217 patients who were identified to have started syphilis treatment, 29 (13.3%) spouses underwent syphilis testing: 23/182 (12.6%) among wives, and 6/35 (17.1%) among husbands, of male and female index patients, respectively. Among wives aged