Effects of enhanced STI partner notification counselling and provider-assisted partner services on partner referral and the incidence of STI diagnosis in Cape Town, South Africa: randomised controlled trial.
Effects of enhanced STI partner notification counselling and provider-assisted partner services on partner referral and the incidence of STI diagnosis in Cape Town, South Africa: randomised controlled trial.
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南非开普敦加强STI伴侣通知咨询和提供者协助的伴侣服务对伴侣转诊和STI诊断发生率的影响：随机对照试验
DOI：
10.1136/sextrans-2020-054499
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发表时间：
2021-03
影响因子：
3.6
通讯作者：
Kalichman SC
中科院分区：
文献类型：
--
作者：
Mathews C;Lombard C;Kalichman M;Dewing S;Banas E;Dumile S;Mdlikiva A;Mdlikiva T;Jennings KA;Daniels J;Berteler M;Kalichman SC
我们调查了在开普敦一家公立诊所诊断为性传播感染的患者中，通过提供提供者协助的转诊，增强的伙伴通知(PN)咨询干预的效果。参与者是在社区诊所被诊断为性传播感染的成年人。在标准的性传播感染咨询后，参与者被按1：1：1的比例随机分配到(1)‘HE’：20 分钟健康教育；(2)‘RR’：45 分钟降低风险技能咨询；或(3)‘ ’：45 GMIN增强伙伴通知沟通技能咨询和提供提供者协助的转介。主要结果是在招募后12个 月内再次诊断性传播感染的发生率，次要结果是参与者在诊断后2 周通知最近的伴侣的报告。采用Poisson回归模型，用发病率比(IRR)比较两组患者的发病率。样本包括1050名参与者，每组350人，他们在2014年6月至2017年8月期间被诊断为性传播感染。我们回顾了1048例(99%)参与者的记录，发现EPN组有136例重复STI诊断，RR组有138例，HE组有141例。EPN组与HE组(IRR1.0；95% CI 0.7~1.3)、RR组与HE组(IRR：0.9；95% CI 0.7~1.2)的STI年发病率差异无统计学意义。与HE条件相比，EPN条件下伴侣得到通知的机会更大，分别为64.3%和53.8%，但RR和HE组之间没有差异。提供提供者辅助服务的PN咨询和教育有可能改变被诊断为性传播感染的人的行为，使他们通知的伴侣数量增加10%以上。然而，这些行为的改变并没有减少重复的性传播感染诊断。PACTR201606001682364。
We investigated the effects of an enhanced partner notification (PN) counselling intervention with the offer of provider-assisted referral among people diagnosed with STI in a Cape Town public clinic. Participants were adults diagnosed with STI at a community clinic. After the standard STI consultation, participants were randomly allocated in a 1:1:1 ratio to (1) ‘HE’: 20 min health education; (2) ‘RR’: 45 min risk reduction skills counselling; or (3) ‘ePN’: 45 min enhanced partner notification communication skills counselling and the offer of provider-assisted referral. The primary outcome was the incidence of repeat STI diagnoses during the 12 months after recruitment, and the secondary outcome was participants’ reports 2 weeks after diagnosis of notifying recent partners. Incidence rate ratios (IRRs) were used to compare the incidence rates between arms using a Poisson regression model. The sample included 1050 participants, 350 per group, diagnosed with STI between June 2014 and August 2017. We reviewed 1048 (99%) participant records, and identified 136 repeat STI diagnoses in the ePN arm, 138 in the RR arm and 141 in the HE arm. There was no difference in the annual incidence of STI diagnosis between the ePN and HE arms (IRR: 1.0; 95% CI 0.7 to 1.3), or between the RR and HE arms (IRR: 0.9; 95% CI 0.7 to 1.2). There was a greater chance of a partner being notified in the ePN condition compared with the HE condition, 64.3% compared with 53.8%, but no difference between the RR and HE arms. PN counselling and education with provider-assisted services has the potential to change the behaviour of people diagnosed with STIs, increasing the number of partners they notify by more than 10%. However, these changes in behaviour did not lead to a reduction of repeat STI diagnoses. PACTR201606001682364.
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影响因子：
56.3
作者：
Boily, Marie-Claude;Baggaley, Rebecca F.;Wang, Lei;Masse, Benoit;White, Richard G.;Hayes, Richard J.;Alary, Michel
通讯作者：
Alary, Michel
影响因子：
12.7
作者：
Kalichman, Seth C;Cain, Demetria;Simbayi, Leickness C
通讯作者：
Simbayi, Leickness C
影响因子：
3.6
作者：
Althaus, Christian L.;Turner, Katherine M. E.;Low, Nicola
通讯作者：
Low, Nicola
影响因子：
3.1
作者：
Brewer, DD;Potterat, JJ;Cox, PA
通讯作者：
Cox, PA
影响因子：
4.5
作者：
Alam, Nazmul;Chamot, Eric;Kristensen, Sibylle
通讯作者：
Kristensen, Sibylle