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The Psychosocial Impact of Testing Individuals with No Prior History of Genital Herpes for Herpes Simplex Virus Type 2 KR Turner, T Miyai, CK Kent, JD Klausner STD Prevention and Control Services, San Francisco Department of Public Health
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Background CDC Prevention Agenda for Genital Herpes Assess the psychosocial impact of HSV serologic diagnosis among persons with no history of genital herpes HSV-2 serologic testing at STD Clinic began in May 2000 Clinicians initially concerned about psychosocial impact
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Study Objectives 1.To measure changes in perception of trauma associated with genital herpes 2.To measure changes in general mental health and wellbeing following serologic HSV-2 testing 3.To measure changes in sexual attitudes following serologic HSV-2 testing 4.To evaluate the impact a positive HSV-2 result had on quality of life
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Study Design Prospective cohort study Participants: patients attending STD Clinic between April and August 2001 who expressed interest in HSV-2 testing and had no prior diagnosis of genital herpes Participant enrolled; baseline interview conducted; HSV-2 test (In Person) Enrollment Participant receives HSV-2 results Week 1 First follow-up interview (Telephone) Week 2 Final follow-up interview (Telephone) Week 13
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Measures of psychosocial morbidity: 1.Genital herpes trauma score (ASHA) 2.Adjusted Rand Mental Health Inventory 5 item version 3.Adapted Multidimensional Sexual Self- Concept Questionnaire (Snell) 4.Herpes Quality of Life (HQoL) questionnaire among HSV-2 infected (Galen)
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Data analysis: Compared the mean scores at baseline to mean scores at follow-up by HSV-2 status. Quality of Life scores among HSV-2 positives at Follow-Up interviews Odds ratios, 95% confidence intervals, and Chi Square tests for significance were calculated
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201 enrolled in study, completed baseline questionnaire 196 eligible for 1 st f/u interview 41 = HSV2(+)155 = HSV2(-) 36 (88%) completed 1 st f/u interview 144 (93%) completed 1 st f/u interview 29 (71%) completed 2 nd f/u interview 129 (83%) completed 2 nd f/u interview Follow-Up
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Good Metal Health Poor Metal Health
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Positive Sexual Attitudes Negative Sexual Attitudes
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4. Good Quality of Life Among Persons with Asymptomatic HSV-2 Infection at Follow-Up Follow-Up 1 Follow-Up 2 Top Quartile
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Limitations Sample size Follow-up rate Sensitivity of questionnaires
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Conclusions and Recommendations No significant differences in psychosocial morbidity by HSV-2 status in this population Psychosocial morbidity should not be a barrier to testing for HSV-2
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Acknowledgements San Francisco STD Prevention and Control Services: Tomio Miyai SFCC Clinicians SFCC DCIs and Health Educators Joe Catania, UCSF Galen Research for HQoL ASHA for questions about perception of trauma
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