Experimental Effect Observation on Intensive Community STD Intervention

Abstract

Objective: To observe the implementation and effect of intensive community based sexually transmitted Disease (STD) intervention pilot in community. Methods: To adopt epidemiological experimental research method to establish the community experimental intervention group and the blank control group. To compare the intervention level and effect of venereal disease in each group after 1 years' work, and continue to follow up the pilot intervention group for next 2 years, and evaluated the pilot effect of intensive STD intervention. Results: During the first years of intervention, the two groups had no personnel changes, and there was no significant difference in the distribution of the two groups in the community population, the high-risk population and the vulnerable population (c²=1.864, P=0.172). In the first year, 1141 cases of sexually transmitted diseases were screened, including 748 cases of clinical diagnosis and treatment, and 1306 cases of symptomatic treatment, all of which were significantly higher than those of the control group (c²=11.92,211.3,73.64; P=0.001,0,0). In the intervention group of Neisseria gonorrhoeae and Candida, trichomonas, bacterial vaginosis positive screening rate significantly higher than that in control group (c²=4.45134.85,48.7,17.08; P=0.035,0,0,0). Intervention group of mycoplasma infection, condyloma acuminatum, Candida, trichomonas, bacterial vaginosis of 3, diagnosis and treatment effect significantly higher than that in control group (c²=17.6,4.055136.8,48.7,17.08; P=0,0.44,0,0,0). Two groups of pubic lice and scabies screening positive rate and the curative effect was 100%, but the intervention group treatment 14 cases which were higher than the control group of 3 cases. The intervention group of urethral secretions and vaginal secretions of symptomatic management 3 days efficiency is higher than that of the control group (c²=86.377, 37.239; P=0, 0). The number of STD clinics and the growth rate of total out-patient in intervention group were also significantly higher than those in control group (c²=82.87, 7.44; P=0, 0.006). The STD screening, the average etiological treatment, and the average symptomatic management in the next two years was increased compared with the first year, and the differences were statistically significant (c²=49.619, 12.559, 107.437; P=0,0,0) Conclusion: The effect of intensive STD intervention is much better than the current STD intervention service. Intensive STD intervention has good sustainability and is suitable to be popularized in urban community health service.