Nursing for women's health · 2025
Scoping Review of Factors Associated With Treatment of Bacterial Sexually Transmitted Infections.
СтатьяScoping ReviewНазвание и аннотация: Перевод в очереди
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Mueller Susan, Sutherland Jodi L, Sutherland Melissa A
Аннотация
OBJECTIVE: To explore experiences related to sexually transmitted infection (STI) treatment guidelines and the influence of social determinants of health (SDOH) on the treatment of STIs.
DATA SOURCES: We followed the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews) protocol. Three databases (CINAHL, MEDLINE, APA PsycInfo) were searched.
STUDY SELECTION: We identified peer-reviewed articles focused on treatment in the United States published from 2014 to 2024 in English. Titles and abstracts of 247 articles were reviewed; 16 were included in this synthesis.
DATA EXTRACTION: We extracted data based on methodology, population, infection, and key findings related to individual-, interpersonal-, and ecological-level factors that impact effective treatment.
DATA SYNTHESIS: Twelve articles (75%) were quantitative, three (19%) were qualitative, and one (6%) was mixed-methods. Four themes were identified: Medication Adherence, Partner Notification/Treatment, SDOH/Social Context, and Interventions. Five articles described patient medication adherence challenges, and 13 articles focused on partner notification and treatment. Of the 14 articles that examined specific SDOH/social context, intimate partner violence was most frequently explored. Language barriers, sexual gender minority identity, and income-related barriers were also identified as relevant to STI treatment. No articles addressed abstinence from intercourse during the treatment period.
CONCLUSION: Findings suggest that SDOH/social context influence patient treatment adherence and bacterial STI outcomes. Of the SDOH, intimate partner violence was commonly highlighted as a barrier to partner notification, medication adherence, and treatment completion. Systems-level interventions were more effective than individual-level interventions. A syndemic framework may improve STI treatment outcomes by addressing sociocultural and structural factors alongside biomedical priorities.
DATA SOURCES: We followed the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews) protocol. Three databases (CINAHL, MEDLINE, APA PsycInfo) were searched.
STUDY SELECTION: We identified peer-reviewed articles focused on treatment in the United States published from 2014 to 2024 in English. Titles and abstracts of 247 articles were reviewed; 16 were included in this synthesis.
DATA EXTRACTION: We extracted data based on methodology, population, infection, and key findings related to individual-, interpersonal-, and ecological-level factors that impact effective treatment.
DATA SYNTHESIS: Twelve articles (75%) were quantitative, three (19%) were qualitative, and one (6%) was mixed-methods. Four themes were identified: Medication Adherence, Partner Notification/Treatment, SDOH/Social Context, and Interventions. Five articles described patient medication adherence challenges, and 13 articles focused on partner notification and treatment. Of the 14 articles that examined specific SDOH/social context, intimate partner violence was most frequently explored. Language barriers, sexual gender minority identity, and income-related barriers were also identified as relevant to STI treatment. No articles addressed abstinence from intercourse during the treatment period.
CONCLUSION: Findings suggest that SDOH/social context influence patient treatment adherence and bacterial STI outcomes. Of the SDOH, intimate partner violence was commonly highlighted as a barrier to partner notification, medication adherence, and treatment completion. Systems-level interventions were more effective than individual-level interventions. A syndemic framework may improve STI treatment outcomes by addressing sociocultural and structural factors alongside biomedical priorities.