群體生活中特別是在軍事團體中的性接觸傳染疾病
廖丞晞1,2,3、李建達1、賴金湖1,2、易志成1、沈敬棟1,2、王柏仁1、洪恭誠1,3
1國軍台中總醫院外科部泌尿外科 2中國醫藥大學生物醫學研究所 3國防醫學院臨床醫學研究所
Sexual Transmitted Infections (STIs) in Group Life, especially in Military Group
Cheng-Hsi Liao1,2,3, Jane-Dar Lee1, Chin-Hu Lai1,2, Chin-Cheng Yi1, Jing-Dung Shen1,2 , Bo-Ren Wang1, and Kung-Cheng Hung1,3
1Division of Urology, Department of Surgery, Taichung Armed Forces General Hospital, Taichung, Taiwan, R.O.C.; 2Graduate Institute of Biomedical Science, China Medical University, Taichung, Taiwan, R.O.C.; 3Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, R.O.C.
Purpose:
Interestingly, we’ve found that sexual transmitted infections (STIs) in group life, esp. in military group, seems to be a very important and common things. Improved management of STIs, along with condom promotion, will not only investigate and search the review of literature, but also consult the physical and psychosocial suffering associated with STI symptoms and complications, which may also be a cost-effective HIV-prevention measure. This will involve updating and disseminating STI clinical management guidelines and training health-care personnel about symptomatic management, which, in the absence of diagnostic tests, is the best available approach to combating STI transmission, esp. in military group.
Materials and Methods:
We recruited case for many years since 2005 in outpatient and admission clinical military patients, about hundreds of persons, and collected results and set-up database from our hospital, Taichung Armed Forces General Hospital Taichung, Taiwan(R.O.C), and demonstrate that continued scale-up of health education and counselling about STI risk reduction, condom promotion and provision, and STI symptom recognition are also essential components of STI care and prevention. PubMed, Medline, Cochrane Library, Public Health Database, and EMBASE databases were used to conduct searches. Information relating to studies, programs, participants, and quantitative outcome variables were extracted. Risk of bias was assessed and meta-analysis was conducted. This systematic review included 20 articles.
Results:
We’ve searched the literature and compare the difference in the military units, The outcomes were classified into behavioral and psychosocial categories. The behavioral category included sexual partners, sexual activity, condom use, STI/HIV testing, and alcohol/drug use before sex. The psychosocial category consisted of knowledge, motivational factors, and skills. Interventions had a significantly positive impact on both behavioral (OR, 1.28; 95% CI, 1.17–1.39) and psychosocial (OR, 1.92; 95% CI, 1.36–2.72) outcomes. Among the psychosocial outcomes, the interventions were most effective at promoting knowledge (OR, 3.17; 95% CI, 2.13–4.72), followed by enhancing motivational factors (OR, 1.69; 95% CI, 1.04–2.75) and increasing behavioral skills (OR, 1.43; 95% CI, 1.13–1.81).
Conclusion:
These results of this systematic review and case recruited from the clinical military patient, which provide empirical evidence for public health professionals and policy makers regarding planning, implementation, evaluation, and modification of STI preventive intervention programs in educational setting. Resources are needed to ensure that partner notification and treatment is implemented as an integral part of STI case management. Further, new work is needed to determine the most efficient and effective ways of ensuring treatment of sexual partners and reducing barriers such as partner violence(even homosexual ones) in the potential military cases. Modelling work is increasingly showing that strategies for partner notification and treatment are critical for STI control in a military population.
*Keywords: STIs; Military group; Educational settings; Preventive interventions; Management and effectiveness