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Master Thesis

Stratégies de repérage et interventions de réduction des comportements à risque d’infections sexuellement transmissibles proposées en soins premiers dans les pays de l’OCDE Revue systématique de la littérature

Abstract : Introduction: sexually transmitted infections (STIs) are a major public health issue, both in France and worldwide. Primary healthcare professionals play a key role for sexual health and prevention, but few take on this subject. In order to develop a tool to make sexual prevention easier in primary care, we conducted a systematic review to analyze sexual risk behaviors assessment strategies and risk reduction interventions in OECD countries in primary healthcare settings. Methods: we searched for controlled trials (randomized or not), diagnostic accuracy studies and studies developing an assessment tool on the following databases: PubMed, Cochrane Library, Scopus, PsycINFO, PsycArticle, PBSC, SocINDEX, Google Scholar and CAIRN. Due to the diversity of interventions no meta-analysis was done. Results: 37 studies were included for analysis. We brought four kind of risk assessment tools to light: questionnaires, scores, event history calendars and risk stratification algorithms. There are efficient interventions for reducing sexual risk behaviors and/or incident STIs. Their efficiency seems to grow with the length and intensity of the intervention. Discussion: diverse tools can be used in primary care, with probable efficiency though some results are difficult to generalize. Very few assessment tools are studied and validated. Future research should also focus on older population given the epidemiological evolutions.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02498644
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Submitted on : Wednesday, March 4, 2020 - 3:53:59 PM
Last modification on : Wednesday, March 18, 2020 - 1:18:18 AM
Long-term archiving on: : Friday, June 5, 2020 - 3:21:19 PM

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Racha Onaisi-Chantrel, Camille Pontgratz. Stratégies de repérage et interventions de réduction des comportements à risque d’infections sexuellement transmissibles proposées en soins premiers dans les pays de l’OCDE Revue systématique de la littérature. Médecine humaine et pathologie. 2019. ⟨dumas-02498644⟩

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