我国九省市男性生殖道感染发生率及其多水平影响因素分析

目的:了解我国不同地区男性生殖道感染(RTI)的发生率及其影响因素。方法:采用分层整群抽样的方法,在2009年调查我国九省市育龄男性家庭及其生殖健康状况。以对象自诉过去1年曾发生的RTI症状为分析指标,采用χ2及多水平logistic回归模型进行统计分析。结果:共调查13794名育龄男性,其中6.1%自报过去1年中曾发生RTI感染症状,未婚者RTI发生率为2.8%,已婚者为6.8%。仅约50%的感染者曾经就医,未婚者就医和治愈率比已婚者低。多水平logistic模型分析表明,男性RTI的发生除与婚姻、职业及烟酒行为有关外,还与家庭饮用水类型、排烟措施相关。男性RTI发生存在明显的地区差异。结论:男性RTI发生水平较高但就诊率低,地区差异明显,预防重点为农村、家庭卫生条件差且有不良嗜好的已婚男性,RTI防治知识和患者治疗率亟待加强。

Male's Reproductive Tract Infections in 9 Provinces of China: Self-reported Prevalence and Determinants

Objective: To explore the prevalence and determinants of male's RTI in 9 provinces of China.Method: By using multi-stage cluster sampling method,a retrospective survey was conducted in 9 provinces of China.Male adults aged 20-49 years old were interviewed and the data on their living conditions,demography information,reproductive health and symptoms of RTI occurred in last 12 months were collected.Four symptoms including 'Urethra itches','Have sores or burns when urinating','Have blebs or ulcers near penis',and 'Abnormal discharge near penis',were used as indicators of RTI.The rate and determinants of RTIs were explored.Chi-square test and multinomial multilevel logistic regression were used for this analysis.Results: Among the 13 794 adult males,6.1% reported at least one symptom of RTIs during last year.The prevalence were 2.8% among unmarried males and 6.8% among married males.Only half of the males who had any symptom of RTIs went to see a doctor.Multilevel logistic regression analysis indicated that married men,farmers,men who smoke and/or drunk were more likely to report symptoms than their counterparts.Moreover,male's symptoms were significantly associated with poor living conditions,including no tap water and no chimney in the kitchen.It was also found that the incidence of male's RTI was significantly higher in some regions than others.Conclusion: Male's incidence of RTI is high but about half of infected men seek medical treatment.Men who live in rural areas with poor living condicions and who smoke and / or drinking alcohol are associated with higher risk of RTIs than their counterparts and more health education for RTI prevention is needed in rural areas.