珠海市2 546例性病高危人群性传播疾病流行病学分析

目的:了解2003～2007年珠海市卖淫嫖娼劳教人员中性传播疾病(STDs)流行状态,为性病防治策略提供参考.方法:收集整理2003～2007年珠海市某收容教育所卖淫嫖娼劳教人员体检资料及实验室检验资料,并作流行病学分析.结果:在2 546例卖淫嫖娼劳教人员中,共检出性病1 426例,总检出率为56.01%;其中女性1 352例,男性74例,检出阳性率分别为58.15%,32.89%,两组之间有显著性差异(P＜0.01),其中支原体感染最多,衣原体感染、梅毒、尖锐湿疣、淋病等次之.年龄越大,文化程度越低,检出阳性率越高.结论:卖淫嫖娼人员是性病传播的主要传染源,卖淫妇女更是性病防治工作的重中之重人群,应进一步加强对高危人群的宣传和干预措施.     

2001年广东省深圳市性罪错人员性病流行病学分析

目的：了解深圳市性罪错人员中STD流行情况。方法：对2001年深圳市收教所的1870名性罪错人员进行体检，以及性病实验室检测，并收集相关资料作流行病学和统计学分析。结果：在1870名被检测者中，共检出STD254例，总检出率为13．6％。其中梅毒居首位，尖锐湿疣、淋病等次之。结论：性罪错人员是性病的重要传染源，加强对性罪错人员的性病流行病学监测是预防和控制性病流行的有效措施之一。     

广州市暗娼嫖客收教人员性病感染情况分析

目的:了解广州市暗娼嫖客收教人员的性病感染情况。方法:选取2005²011年间广州市公安局收容教育所共3 076名暗娼(FSWs)及嫖客收教人员,调查其人口学特征,进行HIV、淋病、梅毒等性病的临床和实验室检查。结果:3 076名学员中,324人患1种性病,8名女性学员同时患2种性病,1名女性学员同时患3种性病,总感染率为10.83%。共检出各类性病343例,性病检出率为11.15%(343/3 076),以梅毒检出率最高为6.05%(186/3 076),其次为尖锐湿疣2.34%(72/3 076)和滴虫感染1.33%(41/3 076),HIV阳性检出率为0.19%(6/3 076)。男女性病检出率分别为4.17%(48/1 150)和15.32%(295/1 926),差异有统计学意义(2=90.24,P<0.01)。20052011年间广州市公安局收容教育所共3 076名暗娼(FSWs)及嫖客收教人员,调查其人口学特征,进行HIV、淋病、梅毒等性病的临床和实验室检查。结果:3 076名学员中,324人患1种性病,8名女性学员同时患2种性病,1名女性学员同时患3种性病,总感染率为10.83%。共检出各类性病343例,性病检出率为11.15%(343/3 076),以梅毒检出率最高为6.05%(186/3 076),其次为尖锐湿疣2.34%(72/3 076)和滴虫感染1.33%(41/3 076),HIV阳性检出率为0.19%(6/3 076)。男女性病检出率分别为4.17%(48/1 150)和15.32%(295/1 926),差异有统计学意义(2=90.24,P<0.01)。2005²011年性病检出率总体呈稳中下降的趋势,2011年检出率较2005年下降了56.95%。结论:广州市暗娼嫖客性病感染情况仍然不容忽视,以梅毒的危害性最为严重,应加强对该人群的健康教育和行为干预。     

长沙市卖淫嫖娼人员性病调查报告

一、资料来源和方法1.对象为我所六年收容的卖淫嫖娼人员。2.报告病种为卫生部防疫司1993年《性病防治手册》中规定的八种重点性病。3.诊断标准按照1993年卫生防疫司《性病防治手册》执行。二、结果1.检出率:在5613人(男2930人,女2683人)中检出性病2693人,检出率为47.98％。其中男性患者1142人,检出率为38.98％,女性患者1551人,检出率为57.81％。2.病种构成:淋病2035例,占75.57％;非淋菌性     

杭州市1099例性高危人群性传播疾病流行病学分析

目的 了解2008年1月-2011年12月杭州市卖淫嫖娼拘留人员的性传播疾病的感染情况.方法 对2008年1月-2011年12月派出所拘留的卖淫嫖娼人员进行性病艾滋病的实验室检查,并收集相关资料作流行病学分析.结果 在1099例卖淫嫖娼人员中共检出性病199例,总检出率18.11％,其中以梅毒感染最多,达到10.19％.4年内卖淫组梅毒感染74例,嫖娼组感染38例,2组间差异有统计学意义(P＜0.01).4年内卖淫组淋球菌感染25例,嫖娼组感染5例,2组间差异有统计学意义(P＜0.01).2008年卖淫嫖娼2组之间梅毒感染差异有统计学意义,卖淫组显著高于嫖娼组.2009年和2010年2组淋球菌感染差异有统计学意义,卖淫组均高于嫖娼组.沙眼衣原体和人类免疫缺陷病毒(HIV)感染在卖淫组和嫖娼组间差异无统计学意义.结论 卖淫嫖娼人员是性病的重要传染源,加强对这类人群的性病流行病学监测是预防和控制性病流行的重要措施之一.     

上海市金山区卖淫嫖娼人员892人性病状况分析

目的了解上海市金山区2005～2007年公安强制送检的892名卖淫嫖娼人员的性病状况及其特点,为制订防病政策提供依据。方法对892名金山区各派出所强制送检的卖淫嫖娼人员的一般资料进行分析,对采集的标本进行淋病奈瑟菌(NG)的分离培养、解脲脲原体(UU)培养、沙眼衣原体(CT)检测、梅毒甲苯胺红不加热血清试验(TRUST)、梅毒螺旋体抗体凝集试验(TPPA)及人类免疫缺陷病毒(HIV)1+2型抗体(ELISA)的检测。结果892名卖淫嫖娼人员中以外省人员居多(880人),文化程度初中及以下最多(771人);该3年平均阳性检出率:448名卖淫人员中NG感染为10.49%,UU感染为74.33%,CT为感染7.14%,梅毒12.28%,HIV为0;444名嫖娼人员依次分别为2.25%,45.27%,1.35%,2.93%,0人;同时患两种性病的卖淫人员17.41%,多于嫖娼人员的2.93%,同时患3种性病的卖淫人员4.02%,多于嫖娼人员的0.68%,同时患4种性病的0.22%,多于嫖娼人员的0人。结论卖淫嫖娼人员性病感染率较高,尤其UU感染和梅毒,是艾滋病性病的重要传染源。加强对卖淫嫖娼人员的主动监测和规范治疗,提倡安全性行为,是预防与控制艾滋病性病的有效措施。     

1028名性罪错人员性病监测调查分析

目的：了解性罪错人员的性病发病情况，寻找预防和控制性病流行的办法。方法：在1993－2001年对北海市某收教所的性罪错人员进行连续性的性病监测，并收集和分析所获得有关资料。结果：在1028名性罪错中，共检出性病180例，总检出率为17.5%，其中梅毒检出数最多，尖锐湿疣、淋病其次，并检出2例抗－HIV抗体阳性。结论：加强性罪错人群的性病监测，对性病、艾滋病的预防和控制有重要意义。     

深圳市性滥妇女性传播感染调查分析

目的：了解深圳市公安局收容教育所性滥妇女性传播感染(STI)情况。方法：收集整理1998～2002年10月深圳市某监测点性滥妇女体检资料及实验室检测资料，并作流行病学分析。结果：在6673例性滥妇女中，共检出性病1396例，检出率为20．92％。其中梅毒检出例数最多，尖锐湿疣、NGU、淋病等次之。结论：性滥妇女性病检出率高，是性病传播的主要传染源，也是性病防治的重点人群，梅毒是当前该地区应重点监控的病种。     

223例卖淫嫖娼人员性传播性疾病体检检测结果分析

目的:掌握卖淫嫖娼人员中性传播性疾病的实际发病情况。方法:对丰台区看守所羁押的卖淫嫖娼人员进行性传播性疾病流行病学调查及体检检测。结果:检出性传播性疾病7种77例,检出率为34.53%。结论:卖淫嫖娼人员性传播性疾病发病率明显高于一般人群,是性传播性疾病主要传染源。     

南汇区991例性罪错人员性病流行病学分析

目的：了解南汇区看守所在押性罪错人员性传播疾病感染情况。方法：对2006～2008年南汇区看守所在押991例性罪错人员进行问卷调查、体格检查及性传播疾病实验室检测,收集相关资料进行流行病学分析。结果：991例性罪错人员检出性传播疾病173例,感染率为17.46%;女性检出率高于男性。结论：性罪错人员作为传播性传播疾病的高危人群,必须加强对该类人群的性病流行病学监测及干预。     

荧光定量PCR检测女性商业性性工作者性传播感染

目的：了解女性商业性性工作者(FSWs)沙眼衣原体(Ct)、淋球菌(NG)、单纯疱疹病毒(HSV)及人乳头瘤病毒(HPV)等常见性传播感染(STI)的患病情况。方法：选取深圳市收容教育所2002年11～12月因卖淫而收容教育的130例FSWs作为研究对象，采用荧光定量PCR(FQ—PCR)检测宫颈分泌物Ct、NG、HSV及HPV感染。结果：FQ—PCR检测130例FSWs宫颈分泌物的Ct阳性检出率为32．3％、NG阳性检出率为16．2％、HSV为5．4％、HPV6／11、HPV16和HPV18分别为7．7％、23．8％和12．3％。STI总的阳性检出率为60．8％，混合感染率为25．4％。结论：女性商业性性工作者的STI患病率高，应引起足够重视。     

Investigation of a suspected outbreak of vaginal trichomoniasis among female inmates.

BACKGROUND AND OBJECTIVES: Female inmates have high rates of sexually transmitted diseases (STDs), and many incarcerated women and jail providers believe STDs are acquired within the jail. We investigated a suspected outbreak of trichomoniasis among female inmates and described the epidemiology of trichomonas infection. GOALS OF THIS STUDY: To determine the likelihood of within-jail acquisition of trichomoniasis. STUDY DESIGN: Retrospective chart review of gynecologic visits to the jail medical clinic and comparison of trichomoniasis surveillance data over a 6-year time period. RESULTS: The minimum prevalence of trichomoniasis infection among 450 female inmates presenting to the medical clinic for gynecologic evaluation was 37%. Most infections were diagnosed early after incarceration, no woman developed a new infection after adequate treatment, and there was no clustering of cases by time or location. CONCLUSION: There was no evidence to support within-jail acquisition of trichomoniasis. The high rate of trichomoniasis and other STDs among incarcerated women warrant more comprehensive jail-based STD screening programs.     

Characteristics and sexually transmitted diseases of male rural migrants in a metropolitan area of Eastern China

GOAL: The goal of this study was to identify the correlates and determine the prevalence of sexually transmitted diseases (STDs) among male rural migrants in Shanghai, China. STUDY: The authors conducted a community-based cross-sectional study with an anonymous questionnaire interview and collection of blood and first-void urine samples for STD screening. RESULTS: One thousand eighty-six (85.3%) of 1273 male rural migrants approached were interviewed. Among the 986 sexually active migrants, the prevalence of chlamydia, gonorrhea, and syphilis was 3.5%, 0.5%, and 1.0%, respectively. None were infected with HIV. The prevalence of STDs was 3.2% for construction workers, 5.6% for market vendors, and 5.6% for factory workers. Risk factors for STDs were longer duration in Shanghai, frequent hometown visits, having multiple sex partners, and the desire to have multiple sex partners. CONCLUSIONS: The prevalence of STDs among male rural migrants is relatively low. Maintaining the current low prevalence can reduce the risk of an HIV epidemic among Shanghai migrants, but prevention messages need to be tailored to the low level of literacy in many migrants.     

Prevalence of sexually transmitted infections among clients of female commercial sex workers in Thailand

BACKGROUND: Clients of commercial sex workers are considered at high risk for the acquisition and transmission of sexually transmitted diseases (STDs). Identification and treatment of infections in this group could help to reduce the transmission of STDs. GOAL: To ascertain the prevalence of sexually transmitted organisms in male clients of female sex workers in Thailand by analysis of seminal fluid collected after intercourse. STUDY DESIGN: Used condoms were collected from 291 male clients attending a brothel in Hat Yai, Thailand during a 7-day period. Nucleic acid was extracted from seminal fluid and tested by polymerase chain reaction for the presence of Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, herpes simplex virus (HSV) and HIV sequences. RESULTS: Overall, 17 (6%), 47 (16%), and 2 (1%) of specimens were positive for C trachomatis, N gonorrhoeae and T vaginalis respectively. HSV sequences were found in 24 (8%) of the specimens: 14 specimens (5%) with HSV type 1, and 11 specimens (4%) with HSV type 2. HIV RNA was detected in two samples (1%). Overall, 75 specimens (26%) were positive for one or more infections, and more than one pathogen was detected in 16 specimens (5%). CONCLUSION: This study reports a high rate of STDs among clients of female sex workers in Thailand. Consequently, this population is a significant risk for transmitting STDs to commercial sex workers and to other noncommercial partners. Strategies that target this population of men are needed to reduce STD and HIV transmission.     

Human immunodeficiency virus and other sexually transmitted infections among female sex workers in two major cities in Papua New Guinea

BACKGROUND: Treatable sexually transmitted infections are very common in developing countries and quite often are inadequately treated or remain untreated despite the fact that they enhance the transmission of human immunodeficiency virus (HIV). GOAL: To estimate the prevalence of HIV, syphilis, chlamydial infection, gonorrhea, and trichomoniasis among female sex workers in Port Moresby and Lae, Papua New Guinea, and to collect data on associated behaviors. STUDY DESIGN: Self-identified female sex workers recruited through our peer-mediated sexually transmitted disease (STD)/HIV risk-reduction community outreach program were invited to participate in the study. Participants underwent pretest counseling, were interviewed, and were asked to self-collect vaginal swab specimens for the detection of STDs and to provide 10 mL of blood for HIV and syphilis testing. RESULTS: A total of 407 female sex workers, 207 in Port Moresby and 200 in Lae, were enrolled in the study. The overall prevalence rates of HIV, syphilis, genital chlamydial infection, gonorrhea, and trichomoniasis among these women were estimated to be 10%, 32%, 31%, 36%, and 33%, respectively. The sex workers in Port Moresby had a significantly higher HIV infection rate (17%) than those in Lae (3%) and a significantly lower trichomoniasis rate (21%) than those in Lae (44%). Mixed infections were common, occurring in 45% of the cases. Despite a high rate of symptoms, the rate of treatment-seeking was low. Condom use among the sex workers was very inconsistent; 85% reported that they did not use condoms at all times when having sex with their clients. Common reasons cited were dislike by clients, unavailability, alcohol use, and familiarity with a client. CONCLUSIONS: STDs are very common among female sex workers in Port Moresby and Lae and very often present as multiple infections. Despite STD/HIV awareness campaigns, unsafe sex-particularly irregular use of condoms-continues among sex workers and their clients. Barriers to safer sexual behavior need to be addressed, as do improvements in provision of STD services.     

广东省2019年性病流行状况分析

 目的:了解广东省2019年性病发病情况及流行特征,为制定防控策略提供依据。方法：利用中国疾病预防控制信息系统数据,对2019年广东省梅毒、淋病、尖锐湿疣、生殖器疱疹、生殖道沙眼衣原体感染报告数据进行分析,描述三间分布情况。结果：2019 年广东省共报告5种性病203 959例,报告发病率为179.8/10万,较2018年上升3.3%;各病种中,生殖道沙眼衣原体感染报告发病率（72.2/10万）最高,梅毒报告发病率增长幅度（10.0%）最大。深圳市（435.2/10万）、珠海市（349.0/10万）、广州市（223.2/10万）、东莞市（216.4/10万）和清远市（209.4/10万）为发病率较高的地区。与2018年相比,男性5种性病报告发病率增长0.9%,女性增长5.2%。20~45岁年龄段为性病高发年龄,报告数占报病总数的52.0%;60岁以上老年人报告数占报病总数的32.8%。结论：2019年广东省性病疫情较上年呈上升趋势,防控形势依然严峻。传统的珠三角地区疫情防控问题依然存在,粤东西北地区疫情的上升、隐性梅毒报告发病率的增加及老年人群感染性病风险的升高等防控问题亦需重点关注,并采取相应防控策略。     

High prevalence of asymptomatic STDs in incarcerated minority male youth: a case for screening

BACKGROUND AND OBJECTIVES: To assess STD prevalence among a sample of incarcerated minority male youth in a southern US city. METHODS: A consecutive entrant, cross-sectional study of 284 minority males 14 to 18 years was performed. All adolescents were screened for gonorrhea and chlamydia using ligase chain reaction tests. RESULTS: Eighteen percent of youth were identified as having either gonorrhea, chlamydia, or both. Approximately 84% of those with sexually transmitted diseases (STDs) self-reported having no symptoms. Failure to use condoms in the past month was significantly associated with a positive test result for STDs (odds ratio = 1.9, 95% CI = 1.1-3.3). CONCLUSIONS: The findings indicate an urgent need for routine STD screening and STD-prevention programs for adolescent males in detention facilities. A study of 284 detained black male adolescents revealed 18% prevalence of gonorrhea, chlamydia, or both. Approximately 84% of those with sexually transmitted diseases self-reported not having symptoms.