预防性传播感染的行为咨询干预措施:美国预防服务工作组的最新证据报告和系统审查
Jillian T Henderson1, Caitlyn A Senger1, Michelle Henninger1
1Kaiser Permanente Evidence-based Practice Center, Center for Health Research, Kaiser Permanente, Portland, Oregon.
JAMA
|August 19, 2020
概括
行为辅导干预有效地减少了初级保健机构的性传播感染. 较长时间的辅导会议显示性传播疾病的减少较大,尽管长期的持续性需要进一步研究.
科学领域:
- 公共卫生
- 预防医学
- 行为科学
背景情况:
- 美国可预防性传播感染率的上升带来了重大的健康和经济挑战.
- 行为咨询是预防性感染的关键策略,特别是在风险群体中.
研究的目的:
- 综合现有关于行为咨询干预措施预防性病的证据.
- 为美国预防服务工作组 (USPSTF) 提供有关性传播疾病预防策略的指导方针.
主要方法:
- 2013-2020年随机和非随机对照试验的系统审查和元分析.
- 包括来自初级保健机构的研究,重点关注性病风险较高的青少年和成年人.
- 使用汇总的概率比率来评估STI诊断和行为变化的干预效果的数据提取和合成.
主要成果:
- 行为咨询干预与性病发病率显著降低有关 (OR,0.66).
- 干预还导致自我报告的行为变化,例如增加避孕套的使用 (OR, 1.31).
- 较长的咨询会 (> 2 小时) 显示性病发病率降低较大,长期持续的证据有限.
结论:
- 在初级保健机构提供的行为咨询干预措施有效降低性病发病率.
- 咨询的持续时间和强度可能会影响性传播感染的减少程度.
- 需要进一步研究以了解这些干预措施的长期有效性.
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