目前的性病史和性传播疾病的住院查实践:抓住机会
Gargi Mukherjee1, Chao Zhang1, Swaminathan Kandaswamy1
1Department of Pediatrics, Emory University/Children's Healthcare of Atlanta-Egleston Hospital, Atlanta, GA, USA.
Clinical pediatrics
|July 10, 2023
概括
住院提供了青少年性健康检查的机会. 然而,儿童医院医疗服务的性病史记录和性传播感染检测率仍然很低,这表明需要改进.
科学领域:
- 儿科医院医药 儿科医院医药
- 青少年的性健康 青少年的性健康
- 公共卫生 公共卫生
背景情况:
- 美国儿科学会倡导使用住院进行青少年性健康查.
- 目前在住院青少年中进行性病史记录 (SHxD) 和性传播感染 (STI) 检测的实践尚不清楚.
研究的目的:
- 描述当前在儿童医院医疗服务中接受治疗的青少年中进行SHxD和STI测试的实践.
- 为了确定与SHxD和STI查相关的因素.
- 为了确定测试青少年中性传播感染的流行率.
主要方法:
- 对接受儿科医院医疗服务的青少年 (14-19岁) 的回顾性横截面研究 (2017-2019).
- 数据提取包括患者,住院和医生的特征.
- 使用自然语言处理算法来识别SHxD.
- 进行了单变量和多变量分析,以确定SHxD和STI查的预测因素.
主要成果:
- 在2242次遭遇中,SHxD和STI测试率分别为40.9%和17.2%.
- 患者的性别,种族,缺乏复杂的慢性病症以及居民参与预测了SHxD和STI测试.
- SHxD显著增加了STI测试的几率 (OR 5.06).
- 克拉米迪亚是测试者中最常见的性传播感染病 (11.2%) .
结论:
- 在青少年的医院环境中,性健康查率很低.
- 未来需要采取措施,改善住院期间的性健康查.
- 在这个人群中,SHxD是STI测试的重要预测因素.
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