Effect of single session counselling on partner referral for sexually transmitted infections management in Bangladesh
Effect of single session counselling on partner referral for sexually transmitted infections management in Bangladesh
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DOI：
10.1136/sti.2009.040998
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发表时间：
2011-02-01
影响因子：
3.6
通讯作者：
Kristensen, Sibylle
中科院分区：
文献类型：
--
作者：
Alam, Nazmul;Streatfield, Peter Kim;Kristensen, Sibylle
目的 本研究评估了在孟加拉国诊断为性传播感染 (STI) 的指示病例中单次咨询对伴侣转诊的作用。方法对 3 个公立诊所和 3 个非政府组织经营的诊所的 1339 名有症状性传播感染的指示病例进行了半随机试验。结果在 1339 名指示病例中，咨询组中的伴侣转诊率为 37%，非咨询组中为 27%。咨询组和非咨询组的指标病例在安全套使用率、性传播感染症状和病程方面相似。四分之一的指标病例报告在过去 3 个月内有超过一个性伴侣，39% 的病例报告有商业性伴侣。只有 8% 的索引病例报告在最近一次性行为中使用了安全套。在年龄较大、收入较高的指数客户、参加非政府组织诊所的客户、只有一名合作伙伴的客户以及没有商业合作伙伴的客户中，合作伙伴推荐率较高，但咨询对所有这些亚组都有显着的积极影响。在多变量分析中，与非咨询组中的指标病例相比，咨询组中的指标病例中伴侣转诊的概率高出 1.3 倍（患病率 1.3；95% CI 1.1 至 1.6）。结论 在孟加拉国，以患者为导向的单次咨询对增加性传播感染伴侣转诊具有适度但显着的作用，应更加重视检查性传播感染护理机构中伴侣转介咨询的进一步发展和传播。
Objectives This study evaluated the role of single session counselling on partner referral among index cases diagnosed as having sexually transmitted infections (STIs) in Bangladesh.Methods A quasirandomised trial was conducted in 1339 index cases with symptomatic STIs in 3 public and 3 non-government organisation operated clinics.Results Out of 1339 index cases, partner referral was achieved by 37% in the counselling group and 27% in the non-counselling group. Index cases in the counselling group and non-counselling group were similar in terms of condom use rates, STI symptoms and duration of disease. A quarter of the index cases reported having more than one sex partner in last 3 months, and 39% reported having commercial sex partners. Only 8% of the index cases reported using condoms during their last sex act. Partner referral rates were higher among index clients with higher age, higher income, those who attended NGO clinics, those who had only one partner and among those who had no commercial partners, but counselling had significantly positive impact in all of these subgroups. In multivariate analysis, the probability of partner referral was 1.3 times higher among index cases in the counselling group (prevalence ratio 1.3; 95% CI 1.1 to 1.6) as compared to index cases in the non-counselling group.Conclusions Patient-oriented single session counselling was found to have a modest but significant effect in increasing partner referral for STIs in Bangladesh, greater emphasis should be placed on examining further development and dissemination of partner referral counselling in STI care facilities.