通过网络空间追踪梅毒的爆发
J D Klausner1, W Wolf, L Fischer-Ponce
1STD Services, 1360 Mission St, Suite 401, San Francisco, CA 94103, USA. jeff_klausner@dph.sf.ca.us
JAMA
|July 25, 2000
概括
在网上遇到性伴侣与同性恋男性传播梅毒有关. 公共卫生必须使疾病控制适应新的数字场所,同时平衡隐私和安全.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 在互联网聊天室用户中爆发梅毒疫情挑战了传统的合作伙伴通知.
- 有限的合作伙伴信息 (屏幕名) 和隐私问题阻碍了联系人追踪.
- 传统的公共卫生方法对于数字化介导的性网络来说是不够的.
研究的目的:
- 调查互联网使用与梅毒感染之间的关联.
- 描述在线环境中的创新合作伙伴通知策略.
- 了解在网络连接的人群中梅毒的流行病学.
主要方法:
- 进行了与在线聊天室相关的同性恋男性早期梅毒疫情调查.
- 进行了一项病例对照研究,将梅毒病例与对照进行比较.
- 分析了互联网使用模式和合作伙伴通知的有效性.
主要成果:
- 在网上遇到性伴侣的个人患梅毒的可能性显著增加 (67%对19%).
- 与互联网使用相关的梅毒感染率为8.7 (P =.03).
- 42%的姓名合伙人被通知并接受了测试;平均每例5.9个合伙人被评估.
结论:
- 基于互联网的伴侣获取与同性恋男性中梅毒传播有关.
- 公共卫生战略需要适应,以解决新数字场所的疾病控制问题.
- 在网络空间中,平衡个人隐私权与公共卫生保护至关重要.
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