Partner notification for sexually transmitted diseases: an overview of the evidence.
نویسندگان
چکیده
OBJECTIVE To compare the effectiveness of alternative partner notification strategies for gonorrhea, chlamydia, syphilis, HIV and hepatitis B. DATA SOURCES Studies were identified using MEDLINE, EMBASE, SCISEARCH and other databases, review of reference lists and personal contact with over 80 international experts. STUDY SELECTION Studies with at least two comparison groups exposed to different partner notification strategies were included. DATA EXTRACTION Methodological rigor was assessed, and information regarding study populations, interventions and outcomes was extracted independently by two reviewers. MAIN RESULTS Twelve studies met our inclusion criteria; five were methodologically strong; seven provided data on the referral process; four provided data on trained interviewers compared with routine care providers; and three provided data on the interview process. CONCLUSIONS Only limited, broad conclusions regarding the effectiveness of various partner notification approaches could be drawn from these comparative studies. Until newer data become available, practice guidelines must be based to a large extent on other grounds.
منابع مشابه
مطالعهی تطبیقی رازداری پزشکی در بیماریهای مقاربتی
Confidentiality has long been protected in criminal law as an important ethical principle. With regard to the issue of sexually transmitted diseases, however, health care providers are faced with certain challenges. On the one hand, it is their obligation and duty to respect patient confidentiality, and on the other hand, the possibility of transmission of infection to sexual partners is a rath...
متن کاملPartner notification for sexually transmitted diseases in Peru: knowledge, attitudes, and practices in a high-risk community.
OBJECTIVES Notification and treatment of sex partners after diagnosis of a sexually transmitted disease (STD) is essential to reduce reinfection and further transmission. GOAL The goal of this study was to determine the prevalence of partner notification and subsequent health-seeking behavior in a high-risk population in Lima, Peru. STUDY DESIGN STD-infected participants of an HIV/STD preve...
متن کاملThe role of self-efficacy and relationship quality in partner notification by adolescents with sexually transmitted infections.
OBJECTIVE To evaluate the role of self-efficacy, anticipated negative consequences, and relationship quality in patient-initiated sex partner notification following treatment for sexually transmitted infections. SUBJECTS Two hundred forty-one 13- to 20-year-old subjects (83% women; 83% African American) diagnosed with gonorrhea, chlamydia, trichomonas, or nongonococcal urethritis. Subjects we...
متن کاملPhysicians' opinions about partner notification methods: case reporting, patient referral, and provider referral.
BACKGROUND The United States has relied upon partner notification strategies to help break the chain of infection and re-infection for sexually transmitted diseases (STD). Physicians are a vital link in the system of STD control, but little is known of physician opinions about partner notification strategies. METHODS We collected opinions about partner notification from a national probability...
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عنوان ژورنال:
- Canadian journal of public health = Revue canadienne de sante publique
دوره 85 Suppl 1 شماره
صفحات -
تاریخ انتشار 1994