文章摘要
沈鸿程,黄澍杰,覃晓琳,赵培祯,蓝银苑,邹华春,欧江丽,陈磊,罗晓敏,郑和平,李艳,杨斌.广东省9个城市性病门诊男性就诊者生殖道沙眼衣原体感染危险因素分析[J].中华流行病学杂志,2017,38(3):364-368
广东省9个城市性病门诊男性就诊者生殖道沙眼衣原体感染危险因素分析
Genital Chlamydia trachomatis infection and associated risk factors in male clients attending sexually transmitted disease clinics in 9 cities in Guangdong province
收稿日期:2016-07-22  出版日期:2017-03-18
DOI:10.3760/cma.j.issn.0254-6450.2017.03.018
中文关键词: 生殖道沙眼衣原体;危险因素;性病门诊;男性
英文关键词: Genital Chlamydia trachomatis;Risk factor;Sexually Transmitted Disease Clinic;Male
基金项目:广东省自然科学基金(2015A030313895)
作者单位E-mail
沈鸿程 510095 广州, 南方医科大学皮肤病医院/广东省皮肤病医院  
黄澍杰 510095 广州, 南方医科大学皮肤病医院/广东省皮肤病医院  
覃晓琳 510095 广州, 南方医科大学皮肤病医院/广东省皮肤病医院  
赵培祯 510095 广州, 南方医科大学皮肤病医院/广东省皮肤病医院  
蓝银苑 510095 广州, 南方医科大学皮肤病医院/广东省皮肤病医院  
邹华春 510095 广州, 南方医科大学皮肤病医院/广东省皮肤病医院  
欧江丽 510095 广州, 南方医科大学皮肤病医院/广东省皮肤病医院  
陈磊 510095 广州, 南方医科大学皮肤病医院/广东省皮肤病医院  
罗晓敏 510310 广州, 广东药科大学  
郑和平 510095 广州, 南方医科大学皮肤病医院/广东省皮肤病医院 zhhpf@hotmail.com 
李艳 510310 广州, 广东药科大学  
杨斌 510095 广州, 南方医科大学皮肤病医院/广东省皮肤病医院  
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中文摘要:
      目的 了解性病门诊男性就诊者生殖道沙眼衣原体(genital Chlamydia trachomatis,GCT)感染现状及危险因素,加强该人群GCT监测,为针对该人群开展干预工作提供依据。方法 2015年4-6月结合HIV监测哨点开展研究,选取性病门诊男性就诊者为调查对象,开展匿名问卷调查及检测。结果 本次共纳入就诊者1 749例,平均年龄(39.53±14.36)岁,多数为已婚(73.87%,1 292/1 749)、广东籍(92.28%,1 614/1 749)、汉族(99.49%,1 740/1 749);GCT阳性率、HIV阳性率、梅毒阳性率、HCV阳性率、淋球菌阳性率、尿常规白细胞阳性率分别为6.06%(106/1 749)、0.46%(8/1 749)、3.43%(60/1 749)、0.45%(7/1 550)、2.74%(48/1 749)、7.89%(138/1 749)。多因素logistic分析显示,GCT感染相关危险因素包括注射吸毒(OR=13.98,95% CI:3.35~58.38)、与男性发生过肛交(OR=3.11,95% CI:1.45~6.71)、淋球菌阳性(OR=9.64,95% CI:5.09~18.24)、尿常规白细胞阳性(OR=1.96,95% CI:1.08~3.55)。结论 广东省性病门诊男性就诊者GCT感染率较高,该人群为性病艾滋病防控的高危人群,应针对不同地区的人群特点,实施精准干预。
英文摘要:
      Objective To investigate the prevalence of genital Chlamydia trachomatis (GCT) infection and associated risk factors in male clients attending sexually transmitted disease (STD) clinics in Guangdong and provide integrated intervention strategy for this group. Methods Convenient sampling was used to recruit participants from April to June in 2015 in Guangdong province. The information about their socio-demographic characteristics and sexual behaviors were collected by using a questionnaire, and blood samples were taken from them to test the antibodies against HIV, syphilis and HCV. First pass urine was taken to test GCT and gonorrhea. Results A total of 1 749 participants with the average age of 39.53 years were recruited. The majority of them were married (73.87%, 1 292/1 749), residents of Guangdong (92.28%, 1 614/1 749) and in Han ethnic group (99.49%, 1 740/1 749). The positive rates for GCT, HIV, syphilis, HCV, Neisseria gonorrhea, and WBC in urinalysis were 6.06% (106/1 749), 0.46% (8/1 749), 3.43% (60/1 749), 0.45% (7/1 550), 2.74%(48/1 749), 7.89% (138/1 749) respectively. Multivariate analysis showed that risk factors for GCT infection include IDUs (OR=13.98, 95%CI:3.35-58.38), anal sex with men (OR=3.11, 95%CI:1.45-6.71), Neisseria gonorrhea positive (OR=9.64, 95%CI:5.09-18.24), and WBC positive (OR=1.96, 95%CI:1.08-3.55). Conclusions This study demonstrated the high prevalence of GCT infection in male clients attending STD clinics in Guangdong. Therefore precision intervention should target this population at high-risk.
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