HEALTH CARE-SEEKING BEHAVIOR RELATED TO THE TRANSMISSION OF SEXUALLY-TRANSMITTED DISEASES IN KENYA
HEALTH CARE-SEEKING BEHAVIOR RELATED TO THE TRANSMISSION OF SEXUALLY-TRANSMITTED DISEASES IN KENYA
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DOI：
10.2105/ajph.84.12.1947
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发表时间：
1994-12-01
影响因子：
12.7
通讯作者：
PLUMMER, FA
中科院分区：
文献类型：
--
作者：
MOSES, S;NGUGI, EN;PLUMMER, FA
目标.本研究的目的是确定卫生保健寻求和相关行为控制性传播疾病在肯尼亚。共380例性传播疾病患者（n = 189名男性和191名女性）在8个公共诊所进行了询问，他们的医疗保健和性行为：结果。女性比男性等待更长时间才去研究诊所，并且更有可能在症状出现时继续发生性行为。很大一部分患者之前曾在公共和私营部门寻求治疗，但症状没有缓解，导致延迟到研究诊所就诊。对于女性来说，已婚和提供最近的性交易史都与在分居期间继续发生性行为独立相关。在肯尼亚减少性传播疾病的传播将需要改善特别是妇女获得有效保健服务的机会，最好是在与保健系统第一次接触时。鼓励人们在出现症状时减少性活动、及时寻求治疗和增加安全套的使用也至关重要。
Objectives. The purpose of this study was to identify health-care seeking and related behaviors relevant to controlling sexually transmitted diseases in Kenya.Methods. A total of 380 patients with sexually transmitted diseases (n = 189 men and 191 women) at eight public clinics were questioned about their health-care seeking and sexual behaviors:Results. Women waited longer than men to attend study clinics and were more likely to continue to have sex while symptomatic. A large proportion of patients had sought treatment previously in both the public and private sectors without relief of symptoms, resulting in delays in presenting to study clinics. For women, being married and giving a recent history of selling sex were both independently associated with continuing to have sex while symptomatic.Conclusions. Reducing the transmission of sexually transmitted diseases in Kenya will require improved access, particularly for women, to effective health services, preferably at the point of first contact with the health system. It is also critical to encourage people to reduce sexual activity while symptomatic, seek treatment promptly, and increase condom use.