Automated, Computer Generated Reminders and Increased Detection of Gonorrhoea, Chlamydia and Syphilis in Men Who Have Sex with Men.docVIP

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2017-05-07 发布于上海
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Automated, Computer Generated Reminders and Increased Detection of Gonorrhoea, Chlamydia and Syphilis in Men Who Have Sex with Men.doc

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Automated, Computer Generated Reminders and Increased Detection of Gonorrhoea, Chlamydia and Syphilis in Men Who Have Sex with Men

Automated,ComputerGeneratedRemindersand IncreasedDetectionofGonorrhoea,Chlamydiaand SyphilisinMenWhoHaveSexwithMen HuachunZou1,ChristopherK.Fairley1,2,RebeccaGuy3,JadeBilardi4,CatrionaS.Bradshaw1,2, SuzanneM.Garland5,6,7,JunKitSze2,AfrizalAfrizal2,MarcusY.Chen1,2* 1SexualHealthUnit,SchoolofPopulationHealth,UniversityofMelbourne,Melbourne,Australia,2MelbourneSexualHealthCentre,AlfredHealth,Melbourne,Australia, 3KirbyInstitute,UniversityofNewSouthWales,Sydney,Australia,4DepartmentofEpidemiologyandPreventativeMedicine,MonashUniversity,Melbourne,Australia, 5Department of Microbiology and Infectious Diseases, Royal Women’s Hospital, Melbourne, Australia, 6Department of Obstetrics and Gynaecology, University of Melbourne,Melbourne,Australia,7MurdochChildrensResearchInstitute,Melbourne,Australia Abstract Background:Guidelinesrecommendfrequentscreeningofmenwhohavesexwithmen(MSM)forsexuallytransmissible infections(STIs)butfewinterventionshavedemonstratedincreasedtestinganddetectionofbacterialSTIsamongMSMin controlledstudies. Methods:Weusedautomatedtextmessageandemailremindersgeneratedbycomputerassistedself-interview(CASI)to remindMSMtoretestforsyphilis.Wecomparedclinicvisits,STItestinganddetectionratesover12monthbetweenmen receivingreminders(remindergroup)andmennotofferedthereminders(concurrentcontrolgroup). Results:Menwhochose3-monthlyremindershadmoreclinicvisits(median3vs1)andhighertestingratesforpharyngeal gonorrhoea(67.0%vs33.6%),rectalgonorrhoea(62.7%vs31.1%),urethralchlamydia(67.3%vs39.3%),rectalchlamydia (62.9% vs 31.3%), syphilis (67.0% vs 39.3%) and HIV (64.9% vs 36.7%) (all p,0.001) than concurrent controls, within 12 monthsaftertheirfirstvisit.Also,menreceivingremindershadahighercombinedtestingrateforalltheaforementioned STIsatasamevisit(55.7%vs25.5%,p,0.001)comparedwithconcurrentcontrols.Thisassociationremainedafteradjusting fordifferencesincharacteristicsbetweenthetwogroups(adjustedoddsratio:1.77,95%confidenceinterval:1.51-2.08).Men receiving reminders also ha