激励社区基的梅毒查:吸收率,产量和成本
Meghan Curry O'Connell1, Tinka Duran1, Sarah Shewbrooks1
1Great Plains Tribal Leaders Health Board, Great Plains Tribal Epidemiology Center, Rapid City, South Dakota.
Sexually transmitted diseases
|July 10, 2025
概括
在南达科他州的社区梅毒测试发现,未被诊断的感染率为5.3%. 激励措施增加了美国印第安人/阿拉斯加原住民人口获得重要查和治疗的机会.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 社区卫生干预措施 社区卫生干预
背景情况:
- 梅毒的发病率惊人高,在美国印第安人/阿拉斯加原住民 (AI/AN) 社区中不断增加,尤其影响妇女和婴儿.
- 需要紧急干预,为性活跃的AI/AN人口提供梅毒测试和及时治疗.
研究的目的:
- 在南达科他州拉皮德城实施和评估一个基于社区的梅毒查计划.
- 评估未被诊断的梅毒的患病率和激励措施在目标人群中的有效性.
主要方法:
- 大平原部落流行病学中心与当地医疗保健机构之间的合作伙伴关系,从2022年12月到2024年6月,为社区提供免费的梅毒,艾滋病毒和HCV测试.
- 参与者在进行测试时获得了现金激励.
- 进行了15次测试活动,测试了1434名独特的个人.
主要成果:
- 在以前未被诊断的个人中发现了5.3% (76/1434) 的梅毒患病率,其中67.1%是女性.
- 在被诊断患有梅毒的患者中,有80.3%的患者在平均36天内接受了治疗.
- 每次测试的成本为88美元,识别新病例的成本为2079.9美元.
结论:
- 基于社区的查有效地发现了未被诊断的梅毒的高患病率.
- 激励措施在鼓励社区成员参与查服务方面发挥了关键作用.
- 合作,以社区为中心的方法有利于梅毒的诊断和治疗,但需要持续的资源.
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