Abstract：
Shigellosis is spread through the fecal-oral route, including sexual activity. The Centers for Disease Control and Prevention recommends collecting a sexual history from people diagnosed with shigellosis to enhance the understanding of its epidemiology and outbreak detection and the design of disease prevention messaging, although individual jurisdictions decide if and how this is done. Moreover, enteric disease interviewers typically receive in-depth general interviewing training, but often not sexual history question training. The goal of this project was to inform national practices around sexual history questions asked during shigellosis interviews by collecting information from U.S. state health agencies and evaluating sexual history data from people diagnosed with shigellosis in Colorado. From November 2021 to January 2022, information on sexual history questions asked of persons with reported shigellosis and accompanying training resources were collected from U.S. state health departments. Data completeness and quality of shigellosis sexual history questions from Colorado\'s notifiable disease database from 2018 to 2022 were also evaluated. Of 48 states, 54% reported routinely asking all adults about their sexual history during shigellosis interviews. Of 44 states, 18% indicated having accompanying training materials for interviewers. In Colorado, the proportion of unknown/missing responses to questions about recent sexual contact with male and female partners was lower for males (3.3% unknown and 3.3% missing) than females (5.4% and 6.2%) and highest among those 66 years and older (6.7% and 10%). Among those reporting new sexual partners, 93.5% indicated how they met. The evaluation of Colorado data demonstrates that routine collection of complete, high-quality, actionable sexual history data from all adults with reported shigellosis is feasible. Nearly half of the responding states indicated not doing so, and few had training resources. We recommend training enteric disease interviewers to routinely ask all adults with reported shigellosis about their sexual history, including new partner meeting location.
摘要：
志贺氏菌病通过粪-口途径传播,包括性活动。疾病控制和预防中心建议从被诊断患有志贺氏菌病的人中收集性史，以增强对其流行病学和爆发检测以及疾病预防信息设计的了解，尽管个别司法管辖区决定是否以及如何做到这一点。此外，肠道疾病面试者通常接受深入的一般面试培训，但往往不是性史提问训练。该项目的目标是通过收集美国州卫生机构的信息并评估科罗拉多州被诊断患有志贺氏菌病的人的性史数据，从而为有关志贺氏菌病访谈中询问的性史问题的国家实践提供信息。从2021年11月到2022年1月，从美国州卫生部门收集了有关据报患有志贺氏菌病的人的性史问题的信息以及随附的培训资源。还评估了2018年至2022年科罗拉多州应报告疾病数据库中志贺氏菌性史问题的数据完整性和质量。48个州中,54%的人报告说，在志贺氏菌病访谈期间，他们经常询问所有成年人的性史。44个州中,18%的人表示有随行的面试官培训材料。在科罗拉多,男性对最近与男性和女性伴侣的性接触问题的未知/缺失回答比例(3.3%未知和3.3%缺失)低于女性(5.4%和6.2%),在66岁及以上人群中最高(6.7%和10%).在那些报告新性伴侣的人中，93.5％表示他们是如何见面的。对科罗拉多州数据的评估表明，常规收集完整的，高品质，从所有据报患有志贺氏菌病的成年人中获得可行的性病史数据是可行的.近一半的答复国表示没有这样做，很少有培训资源。我们建议培训肠道疾病面试者，定期询问所有据报患有志贺氏菌病的成年人的性史，包括新的合作伙伴会议地点。
