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Outreach Syphilis Testing Services by Different Health Providers to Female Sex Workers in Southern China

机译：不同医疗机构对华南地区性工作者的梅毒检测服务

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摘要

Health providers have played important roles on delivering prevention and care services to control syphilis in China. The current study was aimed to evaluate the performance of different health providers in providing outreach syphilis testing services to female sex workers (FSWs). The current study carried out during April to August 2009 in Liuzhou was aimed to investigate the services delivered by two different types of clinics in China. A total of 1,808 FSWs recruited from sex work venues were included in the study. Prevalence of positive syphilis test (6.4%) among FSWs accessed by the local center for disease control outreach teams (CDC teams) was significantly lower than that (9.3%) among FSWs accessed by the local reproductive health hospital outreach teams (RHH teams). As compared with CDC teams, RHH teams had more FSWs to be successfully referred to the designated STD clinics for further syphilis confirmation and intervention (85.7% vs. 26.7%, P<0.001). These findings indicate that RHH teams may be more efficient than CDC teams to provide outreach-based services to FSWs. Participation of the reproductive health providers or other medical facilities in outreach services to FSWs should be considered in developing intervention programs in China.
机译：卫生服务提供者在提供预防和护理服务以控制梅毒方面发挥了重要作用。当前的研究旨在评估不同健康提供者向女性性工作者提供外展梅毒测试服务时的表现。当前的研究于2009年4月至8月在柳州进行，旨在调查中国两种不同类型诊所提供的服务。从性工作场所招募的1,808名FSW包括在研究中。在当地疾病控制外联中心（CDC团队）访问的FSW中，梅毒阳性检出率（6.4％）明显低于在当地生殖健康医院外联团队（RHH组）访问的FSW中的梅毒检出率（9.3％）。与CDC小组相比，RHH小组有更多的FSW可成功转诊到指定的STD诊所进行进一步的梅毒确诊和干预（85.7％对26.7％，P <0.001）。这些发现表明，RHH团队可能比CDC团队更有效率向FSW提供基于扩展的服务。在中国制定干预计划时，应考虑让生殖健康提供者或其他医疗机构参与向FSW提供的外展服务。

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