Brief Enhanced Partner Notification and Risk Reduction Counseling to Prevent Sexually Transmitted Infections, Cape Town, South Africa.
Brief Enhanced Partner Notification and Risk Reduction Counseling to Prevent Sexually Transmitted Infections, Cape Town, South Africa.
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简要加强伴侣通知和减少风险咨询以预防性传播感染，开普敦，南非。
DOI：
10.1097/olq.0000000000001295
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发表时间：
2021-03-01
影响因子：
3.1
通讯作者：
Mathews C
中科院分区：
文献类型：
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作者：
Kalichman S;Banas E;Kalichman M;Dewing S;Jennings K;Daniels J;Berteler M;Mathews C
南非开普敦的一项随机临床试验发现，简短的降低性风险咨询增加了男性和女性的安全套使用，减少了接受性传播感染服务的女性的诊所复诊。需要采取循证干预措施来遏制性传播感染。诊所提供的咨询仍然是有效预防性传播感染的重要途径。一项3组随机临床试验比较了（a）STI健康教育控制条件，（B）风险降低咨询，和（c）加强伴侣通知咨询。从南非开普敦的STI诊所招募男性和女性（n = 1050）。基线评估后，参与者被随机分配接受3次单次咨询干预中的1次，并随访9个月的行为评估和12个月的STI诊所服务电子病历摘要。在3个月和6个月的随访中，减少性风险咨询报告的避孕套使用率高于其他2种情况。此外，接受降低风险咨询的妇女返回性病诊所接受服务的可能性明显降低，但一年中性病诊所就诊的次数没有差异。简短的单次性传播感染预防咨询显示出显著的针对性成果。研究结果表明，咨询方法，以增加安全套的使用和提高合作伙伴的通知可能会提供更强大和持续的结果，并应在未来的研究进行测试。
A randomized clinical trial found that brief sexual risk reduction counseling increased condom use for men and women and reduced clinic revisits for women receiving sexually transmitted infection services in Cape Town, South Africa. Evidence-based interventions are needed to stem sexually transmitted infections (STIs). Clinic-delivered counseling remains an important avenue for effective STI prevention. A 3-arm randomized clinical trial compared (a) STI health education control condition, (b) risk reduction counseling, and (c) enhanced partner notification counseling. Men and women (n = 1050) were recruited from an STI clinic in Cape Town, South Africa. After baseline assessments, participants were randomly allocated to receive 1 of the 3 single-session counseling interventions and were followed up for 9 months of behavioral assessments and 12 months of electronic medical records abstraction for STI clinic services. Sexual risk reduction counseling reported greater condom use than did the other 2 conditions during the 3 and 6 months follow-ups. In addition, women receiving risk reduction counseling were significantly less likely to have returned for STI clinic services but did not differ in the number of STI clinic visits over the year. Brief single-session STI prevention counseling demonstrates significant targeted outcomes. The findings suggest that counseling approaches to both increase condom use and enhance partner notification may offer more robust and sustained outcomes and should be tested in future research.