Related Experiment Video
Updated: Jul 4, 2026
04:22
Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
A randomized controlled trial for reducing risks for sexually transmitted infections through enhanced patient-based
Tracey E Wilson1, Matthew Hogben, Edmond S Malka
1Department of Preventive Medicine and Community Health, Downstate Medical Center, State University of New York, Brooklyn, NY 11203, USA. tracey.wilson@downstate.edu
American Journal of Public Health
|June 17, 2008
Summary
A patient-based sexual partner notification program effectively reduced subsequent sexually transmitted infections (STIs) in urban, minority patients. This intervention improved partner notification and reduced unprotected sexual activity, particularly benefiting men.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Background:
- Sexually transmitted infections (STIs) remain a significant public health concern, particularly among urban and minority populations.
- Effective partner notification is crucial for controlling STI transmission but can be challenging to implement.
- Patient referral is a common strategy, but its efficacy requires ongoing evaluation.
Purpose of the Study:
- To evaluate the effectiveness of a patient-based sexual partner notification program for improving STI control.
- To assess the impact of enhanced counseling and follow-up on patient behavior and re-infection rates.
Main Methods:
- A randomized controlled trial involving 600 patients diagnosed with Neisseria gonorrhoeae or Chlamydia trachomatis.
- Participants were assigned to either standard care or an intervention group receiving enhanced counseling and follow-up.
- Data collected via interviews at baseline, 1 month, and 6 months, with laboratory confirmation of infection at 6 months.
Main Results:
- Intervention participants showed higher rates of sexual partner notification at 1 month (92% vs. 86%).
- Fewer intervention participants reported unprotected sexual intercourse at 6 months (48% vs. 38%).
- The intervention group had a significantly lower incidence of gonorrhea or chlamydial infection at follow-up (6% vs. 11%), with the greatest benefit observed in men.
Conclusions:
- Patient-based sexual partner notification programs are effective in reducing subsequent STI risks.
- This approach is particularly beneficial for urban, minority patients attending STI clinics.
- Enhanced interventions can improve patient outcomes and contribute to STI control efforts.
Related Concept Videos
01:26Sexually Transmitted Infections
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
01:18Trichomoniasis
Trichomonas vaginalis is a flagellated protozoan parasite and the causative agent of trichomoniasis, one of the most prevalent non-viral sexually transmitted infections in the United States. This extracellular parasite primarily colonizes the lower genitourinary tract in women—particularly the vagina—and in men, the urethra and prostate. Its structural and functional adaptations enable its survival, motility, and pathogenicity within the host environment.Structural Features and Host EntryT.
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:28Amebiasis
Entamoeba histolytica, a protozoan parasite, is responsible for intestinal and extraintestinal amebiasis. Though a significant proportion of infections remain asymptomatic, approximately 50 million individuals annually are estimated to present with clinical disease, resulting in up to 100,000 deaths globally. The disease burden is disproportionately high in regions with lower socioeconomic status, such as parts of India, Africa, Mexico, and Latin America.Etiology and TransmissionThe infective...
01:26Factors Affecting the Risk of Infection
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
01:17Transmission-based Precautions I: Contact, Enteric, and Droplets
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...