在青少年中使用点对点短信增加诊所就诊和性传播感染检测的可接受性和可行性卡塔尔世界杯8强波胆分析中断时间序列分析%A Lightfoot, marguerite %A Jackson-Morgan,Joi %A Pollack,Lance %A Bennett,Ayanna %+加州大学旧金山分校医学系预防科学部，加利福尼亚州旧金山16街550号3楼，94143，美国，1415 502 4320。lightfom@ohsu.edu %K艾滋病毒预防%K性传播感染预防%K青少年%K青少年%K短信%K短信%K同伴间干预%K艾滋病毒%K STI %K艾滋病毒检测%D 2022 %7 9.6.2022 %背景:青少年受到性传播感染(STI)，包括艾滋病毒的不成比例的影响。许多患有无症状性传播感染或相关症状的青少年不寻求治疗，如果出于其他原因进入卫生保健系统，可能也不会进行筛查。目的:我们检查了干预的完成情况和新患者数量、性传播感染或艾滋病毒检测数量以及患者的性风险概况随时间的变化，以确定同伴驱动的短信策略将青少年与性传播感染和艾滋病毒服务联系起来的可行性和可接受性。方法:干预招募了一家青少年医学诊所的连续患者，向5名他们认为性活跃且住在诊所服务区的同龄人发送短信。干预措施采用中断时间序列设计进行评估，其中在35周的引入期记录基线诊所服务水平，随后是20周的干预实施期，以及16周的持续临床观察期。通过从整个研究期间的摄入表格中提取图表，获得了临床和患者数据。2015年进行的分析使用了广义线性混合模型。结果:在153名患者中，有100人同意发送短信。 Most (n=55, 55%) reported no concerns with sending the text message. No adverse events or negative outcomes were reported. Adolescent STI testing, positive test results, and reported risk behavior increased post intervention, although this was not statistically significant, likely because of the small sample size. Conclusions: Given low youth uptake of health care services, and STI/HIV screening, in particular, new strategies are needed to address access barriers. Common approaches for reaching youth are resource-intensive and often miss those not connected to school or community programs. The peer-based text messaging strategy showed promise for both increasing the number of youths accessing health services and finding youths engaging in sexual risk behaviors and most in need of sexual health screening and services. %M 35686737 %R 10.2196/32416 %U https://formative.www.mybigtv.com/2022/6/e32416 %U https://doi.org/10.2196/32416 %U http://www.ncbi.nlm.nih.gov/pubmed/35686737