检测性传播感染:谁,在哪里? 在荷兰鹿特丹地区使用人口和提供者数据进行数据链接研究,荷兰
Denise E Twisk1,2,3, Abraham Meima2,3, Jan Hendrik Richardus1,2
1Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Family practice
|August 11, 2023
概括
一般医生 (GPs) 在性传播感染 (STI) 检测中发挥着关键作用,特别是在年轻人和移民人群中. 一般医生和性健康中心 (SHCs) 之间的合作对于接触弱势群体至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防传染病 预防传染病
背景情况:
- 对荷兰的性传播感染 (STI) 检测模式和患者特征的洞察力有限.
- 一般医生 (GPs) 和性健康中心 (SHCs) 是STI测试的关键提供者,但数据整合一直是一个挑战.
- 在全科医生诊所经常缺乏社会人口统计数据的注册,这阻碍了全面的分析.
研究的目的:
- 将一般医生和保健中心的STI测试数据与人口登记册数据联系起来.
- 确定鹿特丹地区的STI测试比例,阳性率和相关因素.
- 为了比较全科医生和SHC之间的STI测试率,并确定每个服务的不同患者群体.
主要方法:
- 将全科医生和保健中心的个人STI测试数据与人口登记数据联系起来 (罗德堡地区,2015-2019年).
- 利用负二项式通用添加模型用于STI阳性和测试比例.
- 采用后勤回归与一般化的估计方程来识别与STI测试相关的因素.
主要成果:
- 在年轻人和移民群体中,STI测试达到了9.8%,阳性率差异很大 (3.0-35.3%).
- 整体医生进行的性传播疾病检测比SHC多三倍,检测率差异最小的是20-24岁的年轻人.
- 年龄较小,非西方移民背景,收入较低和城市生活与更高的性病感染测试有关;全科医生测试了更多的女性和受教育程度较低的个人,而SHC测试了更多的男性和受教育程度较高的个人.
结论:
- 一般医生是STI测试工作中不可或缺的一部分,因此需要继续支持他们在预防,诊断和治疗方面的作用.
- 一般医生和医疗保健中心之间的合作和专业间交流对于有效接触和测试弱势群体至关重要.
- 需要有针对性的战略来优化STI测试覆盖率并减少传播,特别是在风险人口中.
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