État des lieux des IST et du dépistage chez les internes : une étude descriptive et transversale

Abstract : Background: Sexually transmitted diseases have become a major health issue. Their incidence have been increasing in the past 20 years as has the diversity of sexual practices but screening of people at risk has been insufficient. Among those at risk are young people therefore junior doctors who should be sensitive to problem. Junior doctors have a renowned high drink and drugs consumption. However they have poor health care and a high self-prescription rate. Aim: To describe risk factors and screening methods of STD’s amongst junior doctors in France. Method: This was an epidemiological, descriptive, transversal, self-declared, multicenter enquiry conducted with the help of anonymous surveys. Results. Junior doctor unions in 29 cities in France were solicited between June and August 2018. Following these requests, 456 junior doctors answered fully from 12 cities. The main risk factors found were sexual intercourse under the influence of psycho active products for 68 %, internet based encounters for 27% and not using a condom systematically with a partner of unknown serological status for 18 %. The majority had screened themselves for STD’s by self-prescription 46 % and 38 % admitted not screening systematically at the beginning of every new relationship. Moreover, 34 % did not either when believing a sexual risk had been taken. For those who had undergone screening, 9,4 % had been infected by Chlamydia and 3,4 % by HPV. The main obstacles for screening were trust in the sexual partner for 18 % and lack of time for 12 %. However the vast majority (72 %) were in favor of installing screening sessions for them in their work establishment. Conclusion. Junior doctors present risk factors for STD’s mainly linked to the use of psycho active products and have insufficient screening methods. Targeted screening sessions are called for and would help improve junior doctor’s health which relies highly on self-prescription.
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Master Thesis
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Laetitia Blackhouse. État des lieux des IST et du dépistage chez les internes : une étude descriptive et transversale. Médecine humaine et pathologie. 2019. ⟨dumas-01993112⟩

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