| 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].Chinese journal of Epidemiology,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 |
| Received:July 22, 2016 |
| DOI：10.3760/cma.j.issn.0254-6450.2017.03.018 |
| KeyWord: 生殖道沙眼衣原体 危险因素 性病门诊 男性 |
| English Key Word: Genital Chlamydia trachomatis Risk factor Sexually Transmitted Disease Clinic Male |
| FundProject:广东省自然科学基金（2015A030313895） |
| Author Name | Affiliation | E-mail | | Shen Hongcheng | Dermatology Hospital of Southern Medical University/Guangdong Provincial Dermatology Hospital, Guangzhou 510095, China | | | Huang Shujie | Dermatology Hospital of Southern Medical University/Guangdong Provincial Dermatology Hospital, Guangzhou 510095, China | | | Qin Xiaolin | Dermatology Hospital of Southern Medical University/Guangdong Provincial Dermatology Hospital, Guangzhou 510095, China | | | Zhao Peizhen | Dermatology Hospital of Southern Medical University/Guangdong Provincial Dermatology Hospital, Guangzhou 510095, China | | | Lan Yinyuan | Dermatology Hospital of Southern Medical University/Guangdong Provincial Dermatology Hospital, Guangzhou 510095, China | | | Zou Huachun | Dermatology Hospital of Southern Medical University/Guangdong Provincial Dermatology Hospital, Guangzhou 510095, China | | | Ou Jiangli | Dermatology Hospital of Southern Medical University/Guangdong Provincial Dermatology Hospital, Guangzhou 510095, China | | | Chen Lei | Dermatology Hospital of Southern Medical University/Guangdong Provincial Dermatology Hospital, Guangzhou 510095, China | | | Luo Xiaomin | Guangdong Pharmaceutical University, Guangzhou 510310, China | | | Zheng Heping | Dermatology Hospital of Southern Medical University/Guangdong Provincial Dermatology Hospital, Guangzhou 510095, China | zhhpf@hotmail.com | | Li Yan | Guangdong Pharmaceutical University, Guangzhou 510310, China | | | Yang Bin | Dermatology Hospital of Southern Medical University/Guangdong Provincial Dermatology Hospital, Guangzhou 510095, China | |
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| Abstract: |
| 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。 |
| English Abstract: |
| 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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