全球控制性传播感染的全球控制
Nicola Low1, Nathalie Broutet, Yaw Adu-Sarkodie
1Department of Social and Preventive Medicine, University of Bern, Bern, Switzerland. low@ispm.unibe.ch
Lancet (London, England)
|December 5, 2006
概括
性传播感染 (STIs) 需要多方面的方法来有效控制. 提出了一个审查个人,伙伴关系和人口水平的框架,以改善全球卫生结果并打击被忽视的公共卫生优先事项.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 性传播感染 (STIs) 是全球重要的健康问题,但在历史上一直被忽视,导致持续的控制失败.
- 性传播感染会影响伙伴关系和更广泛的性网络中的个人,需要全面了解传播动态.
研究的目的:
- 提出一个框架来分析个人,伙伴关系和人口层面的性传播感染及其控制干预措施的影响.
- 强调需要多方面的战略,改进数据,证据,政策整合和倡导有效的STI控制.
主要方法:
- 该研究提出了一个概念框架,将干预和影响分为三个层:个人,伙伴关系和人口.
- 它审查了现有的干预措施,包括诊断,治疗,疫苗,综合征管理,合作伙伴通知,产前查和基础设施改进.
主要成果:
- 个人级别的干预措施,如诊断和治疗是有效的,但在资源贫困的环境中往往无法获得.
- 合作伙伴级别的干预措施,如对合作伙伴的通知和产前梅毒查,显示了预防感染的潜力.
- 人口层面的干预,特别是针对高风险群体和改善治疗基础设施的干预,提供了最大的潜在影响,尽管对许多人的证据很少.
结论:
- 有效控制性传染病需要一个全面的多层次战略,整合个人,伙伴关系和人口层面的干预措施.
- 解决像耻辱感这样的障碍,并通过宣传和承诺确保正确的实施,对于成功至关重要.
- 需要进一步的研究来加强各种STI控制干预措施的证据基础,特别是在人口层面.
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