Partner notification for sexually transmitted infections in developing countries: a systematic review
Partner notification for sexually transmitted infections in developing countries: a systematic review
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DOI：
10.1186/1471-2458-10-19
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发表时间：
2010-01-18
影响因子：
4.5
通讯作者：
Kristensen, Sibylle
中科院分区：
文献类型：
--
作者：
Alam, Nazmul;Chamot, Eric;Kristensen, Sibylle
背景资料：性传播感染（STI）在发展中国家的合作伙伴通知（PN）的可行性和可接受性进行了评估，通过全面的文献综述，以帮助确定未来的干预needs.Methods：在Medline，Embase，和谷歌学术数据库进行检索，以确定1995年1月至2007年12月之间发表的研究STI PN在发展中国家。一个系统的审查研究提取的信息：（1）索引患者的意愿通知合作伙伴;（2）通知或转介的合作伙伴的比例;（3）客户报告的障碍，在通知合作伙伴;（4）基础设施的障碍，在通知合作伙伴;（5）PN的方法，在发展中countries.Results：609筛选的文章，39符合我们的标准。PN结果差异很大，更经常实施配偶的合作伙伴比休闲或商业合作伙伴。报告的障碍包括社会文化因素，如耻辱、害怕因性传播感染而受到虐待，以及与性传播疾病诊所数量有限、训练有素的提供者和可靠的诊断方法有关的基础设施因素。以客户为导向的咨询被认为是有效的，在提高合作伙伴转介outcomes.Conclusions：性病诊所可以提高PN与以客户为导向的咨询，这应该有助于客户克服感知障碍。作者推测，设计良好的PN干预措施，以评估对STI患病率和发病率的影响，沿着成本效益的组成部分，将激励发展中国家的政策制定者分配更多的资源用于STI管理。
Background: The feasibility and acceptability of partner notification (PN) for sexually transmitted infections (STIs) in developing countries was assessed through a comprehensive literature review, to help identify future intervention needs.Methods: The Medline, Embase, and Google Scholar databases were searched to identify studies published between January 1995 and December 2007 on STI PN in developing countries. A systematic review of the research extracted information on: (1) willingness of index patients to notify partners; (2) the proportion of partners notified or referred; (3) client-reported barriers in notifying partners; (4) infrastructure barriers in notifying partners; and (5) PN approaches that were evaluated in developing countries.Results: Out of 609 screened articles, 39 met our criteria. PN outcome varied widely and was implemented more often for spousal partners than for casual or commercial partners. Reported barriers included sociocultural factors such as stigma, fear of abuse for having an STI, and infrastructural factors related to the limited number of STD clinics, and trained providers and reliable diagnostic methods. Client-oriented counselling was found to be effective in improving partner referral outcomes.Conclusions: STD clinics can improve PN with client-oriented counselling, which should help clients to overcome perceived barriers. The authors speculate that well-designed PN interventions to evaluate the impact on STI prevalence and incidence along with cost-effectiveness components will motivate policy makers in developing countries to allocate more resources towards STI management.