性病门诊就诊者艾滋病知识态度行为调查

目的了解性病门诊就诊者艾滋病相关知识、态度和行为,探索对该人群实施行为干预的模式。方法采用国家性病艾滋病中心编制问卷对性病门诊就诊者进行随机、匿名问卷调查。结果共调查250人,收回有效问卷240份,调查对象对艾滋病知识关键问题知晓率较低,仅为21.05%,婚外性行为发生率较高为92.5%,安全套使用率较低,最近1次性行为时安全套使用率为40.42%。艾滋病知识主要来源于电视、网络、书籍、报刊、宣传栏、亲友同事。结论性病门诊就诊者对艾滋病知识知晓率低,安全套使用率低,应扩大安全套获取途径,提高安全套的使用率。     

海口市某性病门诊男性就诊者梅毒感染状况及影响因素分析

目的 分析性病门诊男性就诊者梅毒的感染状况和影响因素,为梅毒及性病防控提供依据。方法 选取2016年—2020年海南省第五人民医院性病门诊诊治的男性就诊者作为研究对象。对其开展艾滋病知识知晓、高危性行为情况调查,以及梅毒、人类免疫缺陷病毒(HIV)、丙型肝炎病毒(HCV)抗体检测,分析其影响因素。结果 2016年—2020年,共监测性病门诊男性就诊者2 028例,平均年龄(35.46±12.96)岁;在婚占56.71%;本省户籍占85.70%。其梅毒阳性率为11.39%;艾滋病知识知晓率为78.55%;近3个月与女性性工作者、临时性伴发生性行为者分别占17.31%、20.51%;与同性发生肛交性行为占2.91%,近1年曾患过性病占15.83%。多因素Logistic回归分析结果显示,性病门诊男性就诊者梅毒抗体阳性与近1年患有性病(OR=3.51,95%CI:2.48～4.98)和感染HIV(OR=6.33,95%CI:2.96～13.54)存在相关性(P<0.05)。结论 海口地区性病门诊男性就诊者的艾滋病知识知晓率偏低,存在一定的高危性行为,梅毒感染率高。应针对该人群制定针对性...     

2008～2012年惠州市艾滋病监测性病门诊哨点男性就诊者性病感染情况分析

目的:了解惠州市性病门诊男性就诊者艾滋病、梅毒及其他性病流行现状及趋势,为开展干预工作以及效果评价提供依据。方法:按照《全国艾滋病哨点监测方案》要求,收集惠州市艾滋病监测性病门诊哨点男性就诊者相关信息,数据用Excel 2003进行统计分析。结果:2008～2012年惠州市皮肤病防治研究所性病门诊每年调查400人,共2 000人,发现HIV抗体阳性21例(1.05%),梅毒64例(3.20%),HIV、梅毒阳性率呈逐年上升趋势,淋病等其他性病也有增加。结论:惠州市性病门诊男性就诊者HIV和梅毒感染率呈上升趋势,尤其是男男同性恋就诊者HIV的检出率比较高,应加强性病门诊就诊者的HIV检测及监测。     

上海市嘉定区性病门诊就诊者艾滋病高危行为特征及血清学监测结果分析

目的了解嘉定区性病门诊就诊者性病艾滋病知识、行为和态度,以及艾滋病/梅毒感染情况。方法对性病门诊就诊者进行问卷调查,同时采集血样进行HIV及梅毒血清学检测。结果共调查性病门诊就诊者437人,2例HIV抗体阳性,66例RPR初筛阳性,占15.1%。调查对象对性、血液、母婴三大传播途径的知晓率分别为89.5%,90.4%和87.4%。最近3个月内,35.9%发生过商业性行为,其中34.6%有1个以上商业性伴,商业性伴平均数(1.52±0.84)个。最近一次发生商业性行为时71.3%没有使用安全套。没有使用安全套的主要原因:51.8%为不愿使用,22.3%身边没有,11.6%忘记使用等。如果以后出现性病相关症状,92.0%会选择性病专科医院或综合性医院进行诊治。结论性病门诊就诊者性病艾滋病知识不足,高危行为的发生率高,安全套使用率低,梅毒检出率高,应加强健康教育,进一步推广安全套使用。     

天津市性病门诊男性就诊者性病感染状况分析

目的:了解天津市性病门诊男性就诊者性病感染流行趋势和高危行为发生情况,为制定防治策略提供依据。方法:依照《全国AIDS哨点监测方案》,对性病门诊就诊者进行问卷调查,同时采集静脉血进行HIV、梅毒血清学检测。结果:2010至2014年共调查性病门诊男性就诊者4001人,最近3个月与暗娼、临时性伴、同性发生性行为比例分别为48.0%(1921/4001)、37.6%(1505/4001)、10.5%(422/4001),而既与女性发生过性行为又与男性发生过性行为者占7.4%(297/4001)。最近1年内性病患病率为10.32%(413/4001)。HIV、梅毒抗体阳性率分别为1.55%(62/4001)、19.90%(796/4001)。结论:天津市性病门诊男性就诊者性病感染率较高,存在快速传播的危险因素,应加强监测并对性病门诊就诊者开展健康教育和行为干预。     

2004-2005年肇庆市桑拿按摩女性服务人群性病及相关高危因素调查分析

目的:掌握肇庆市桑拿娱乐场所服务人群的性病与艾滋病的感染水平、性病防治相关健康知识和健康行为状况,为遏制性病和艾滋病的传播提供科学依据。方法:对桑拿按摩女性服务从业人员进行性病筛查和性病与艾滋病防治相关知识和行为问卷调查。结果:在651名女性服务从业人员中发现性病168例,性病感染率为25.81%,其中有1例HIV阳性;服务从业人员对性病与艾滋病防治知识的知晓率和健康行为形成率偏低。结论:对桑拿按摩女性服务从业人员必须加强健康宣教,大力推广使用安全套等行为干预措施。     

性病门诊男性就诊者沙眼衣原体感染及危险因素研究

目的:了解性病门诊男性就诊者中沙眼衣原体感染的严重程度及其相关影响因素.方法:采用随机抽样法对佛山市性病门诊男性就诊者进行沙眼衣原体抗原的检查,采用面对面调查方式,利用国家艾滋病哨点监测性病门诊男性就诊者相关问卷对其行为学进行调查.使用免疫层析法试剂盒定性检测沙眼衣原体抗原.单因素分析采用2 检验,多因素分析采用二分类logistic回归模型分析.结果:调查408名男性就诊者,其中沙眼衣原体感染82人,感染率为20.1%.对沙眼衣原体感染的危险因素进行单因素分析,经多因素非条件logistic回归分析筛选出年龄(OR=3.26)、性伴数(OR=7.24)、同性性行为史(OR=18.49)为沙眼衣原体感染的主要危险因素.结论:性病门诊男性就诊者沙眼衣原体感染率偏高,应开展综合防治手段,加强门诊医疗工作和防治工作的优化结合,控制性病的传播.     

2008-2012年惠州市艾滋病监测性病门诊哨点男性就诊者性病感染情况分析

目的：了解惠州市性病门诊男性就诊者艾滋病、梅毒及其他性病流行现状及趋势,为开展干预工作以及效果评价提供依据。方法：按照《全国艾滋病哨点监测方案》要求,收集惠州市艾滋病监测性病门诊哨点男性就诊者相关信息,数据用Excel 2003进行统计分析。结果：2008-2012年惠州市皮肤病防治研究所性病门诊每年调查400人,共2000人,发现HIV抗体阳性21例（1．05％）,梅毒64例（3．20％）,HIV、梅毒阳性率呈逐年上升趋势,淋病等其他性病也有增加。结论：惠州市性病门诊男性就诊者HIV和梅毒感染率呈上升趋势,尤其是男男同性恋就诊者HIV的检出率比较高,应加强性病门诊就诊者的HIV检测及监测。     

2010-2013年遵义市性病门诊男性就诊者艾滋病哨点监测结果分析

目的分析遵义市性病门诊男性就诊者(STD)艾滋病、梅毒、丙肝感染状况,为进一步做好哨点监测工作提供科学依据。方法按照《全国艾滋病哨点监测实施方案》,调查分析2010-2013年遵义市性病门诊男性就诊者人口学特征、行为特征和艾滋病知识知晓情况。结果调查的1 600人中,确认HIV抗体阳性31例(1.94%),梅毒抗体阳性167例(10.44%),丙肝抗体阳性5例(0.31%),三种性病不同年份检出率差异无统计学意义(P0.05);艾滋病防治知识知晓率为61.38%,呈逐年升高趋势(P0.05);干预覆盖率为15.06%,不同年份干预覆盖率差异有统计学意义(P0.05);STD人群非婚性行为频繁,近3个月与暗娼或临时性伴发生性关系占调查人数的31.62%。结论遵义市STD人群艾滋病防治知识知晓率较低,发生非婚性行为比例高,增加了性病传播的危险;应加强对STD人群的干预工作力度,努力减少性传播疾病在STD人群中的流行。     

性病患者有关性病和艾滋病健康知识水平情况分析

目的了解性病门诊患者有关性病和艾滋病健康知识水平,以探讨对其进行健康教育干预模式,为控制性病流行提供较为准确的干预措施.方法对在2001年3月～9月性病门诊中确诊的新病人,采取自填性病和艾滋病相关健康知识问卷,利用SPSS10.1统计软件包进行卡方检验及相关分析.结果性病患者的文化程度与健康知识水平呈正相关;男、女性病患者,各年龄段性病患者的健康知识水平有显著性差异(P＜0.05).结论对文化程度较低(高中以下)的人群尤其是女性应加强性病艾滋病的健康知识教育,以减少感染性病艾滋病的机会.     

PATTERN OF SEXUALLY TRANSMITTED INFECTIONS IN A TERTIARY CARE CENTRE AT PUDUCHERRY

Background:

The prevalence of sexually transmitted infections (STI) varies widely from region to region in our country.

Aims:

To highlight the pattern of STIs and the profile of patients with HIV infection in STD patients as seen at our hospital.

Methods:

A retrospective chart analysis of clients attending STI clinic, JIPMER, Puducherry, from June 2004 to June 2006 was done.

Results:

A total of 866 clients attended our STI clinic, out of whom 435 (50.2%) had proven STI. STIs were more common in men, with a male (290): female (145) ratio of 2:1. Their age ranged from 1 year to 75 years (mean age = 32.38 years) with the maximum number of patients in the age group of 21-30 years, while children constituted only 2.8%. Herpes genitalis (107 patients, 32.8%) was the most common ulcerative STI, while genital wart was the most common nonulcerative STI (56 patients, 17.1%). Non-gonococcal urethritis (46 patients, 14.1%) was more common than gonococcal urethritis. HIV infection was the most common STI in our study, at an alarmingly high rate of 34.5% (151/435). HIV seropositivity was more common in patients who presented with ulcerative STIs than with nonulcerative STIs.

Conclusions:

Herpes genitalis was the most common ulcerative STD, while genital wart was the most common nonulcerative STI in our study. The prevalence of HIV among STI clients in India has been on the rise, but has quite alarmingly become the most common STI in our study.     

Characteristics of those who repeatedly acquire sexually transmitted infections: a retrospective cohort study of attendees at three urban sexually transmitted disease clinics in England.

BACKGROUND: Individuals who repeatedly acquire sexually transmitted infections (STIs) may facilitate the persistence of disease at endemic levels. Identifying those most likely to become reinfected with an STI would help in the development of targeted interventions. GOAL: To investigate the demographic and behavior characteristics of sexually transmitted disease (STD) clinic patients most likely to reattend with an STI. STUDY DESIGN: The proportion of patients attending three STD clinics in England between 1994 and 1998 who reattended for treatment of acute STI within 1 year was estimated from Kaplan-Meier failure curves. A Cox proportional hazard model was used to investigate the relation between rate of reattendance with an acute STI and patient characteristics. RESULTS: Of the 17,466 patients presenting at an STD clinic with an acute STI, 14% reattended for treatment of an STI within 1 year. Important determinants of reinfection were age, sexual orientation, and ethnicity: 20% of 12- to 15-year-old females (adjusted hazard ratio [HR], 1.90; CI, 1.13-3.18, compared with 20- to 24-year-old females), 22% of homosexual men (adjusted HR, 1.30; CI, 1.07-1.58, compared with heterosexual men), and 25% of black Caribbean attendees (adjusted HR, 1.87; CI, 1.63-2.13, compared with whites) reattended for treatment of acute STI within 1 year. In addition, 21% of those with a history of STI (adjusted HR, 1.42; CI, 1.28-1.59, compared with those with no history of STI) and 17% of individuals reporting three or more partners in the recent past (adjusted HR, 1.53; CI, 1.34-1.73, compared with those with one partner) reattended for treatment of an acute STI within 1 year. CONCLUSIONS: In this STD clinic population, teenage females, homosexual men, black Caribbean attendees, individuals with a history of STI, and those reporting high rates of sexual partner change repeatedly re-presented with acute STIs. Directing enhanced STD clinic-based interventions at these groups may be an effective strategy for STI control.     

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。     

Managing genital infection in community family planning clinics: an alternative approach to holistic sexual health service provision

OBJECTIVE: To pilot and evaluate sexually transmitted infection (STI) management in community family planning clinics (FPCs). METHODS: Number of STI tests taken, positive results, infections treated, contacts traced/treated, referrals to specialist services and time from testing to treatment were documented as well as age and sex of the population tested. RESULTS: STI tests taken increased from 233 to 308/month and male clients seen increased from 114 to 147/month across all clinics. Chlamydia prevalence rates in one large clinic increased from 6.7% to 11.9%. 82% of those with STIs in this clinic were treated. Of 44 clients treated for chlamydia, 84% had partner notification performed, 0.43 contacts were treated for every client with chlamydia and referrals to specialist services decreased. 70% of STIs were detected in clinic users under the age of 25 and 45.5% of clients tested under the age of 16 had an STI. Before STI treatment was available at FP clinics 52% of clients with STIs attended specialist services after referral and time from testing to treatment was 19 days. Managing STIs in the community increased treatment rates to 82% with a testing to treatment time of 10 days. CONCLUSIONS: The management of uncomplicated genital infection in community FPCs working in partnership with specialist services is a feasible and effective approach to holistic sexual health service provision.     

男性性病患者感染来源及安全套使用情况调查

目的了解男性性病患者的感染来源及高危性行为安全套的使用情况。方法对本院性病门诊1999年1月~2003年10月的男性性病患者3223例,采用当场提问方法。结果1999年~2003年因嫖娼的感染率分别为64.37%,57.22%,45.27%,48.15%和48.22%。高危性行为安全套的每次及大部分使用的比例1999年~2003年分别为45.7%,58.98%,72.37%,81.57%和79.59%。结论男性性病患者感染来源主要为嫖娼,但非婚性伴感染呈明显上升趋势,高危性行为安全套的使用率明显上升,性病、艾滋病防治知识的普及有待推广。     

Prevalence of sexually transmitted infections and high-risk sexual behaviors in heterosexual couples attending sexually transmitted disease clinics in Peru

OBJECTIVES: The objectives of this study were to determine the prevalence of sexually transmitted infection (STIs) in heterosexual couples and the sexual behaviors associated with their acquisition. GOAL: The goal of this study was to better direct educational efforts to decrease STI among heterosexual couples in Lima, Peru. STUDY DESIGN: We conducted a case-control study in 195 heterosexual couples without HIV infection who attended 2 sexually transmitted disease clinics in Lima, Peru. A case was defined as an individual with one or more newly diagnosed STIs such as gonorrhea, chlamydia, trichomoniasis, herpes simplex, syphilis, mycoplasma, or ureaplasma. RESULTS: Thirty-three percent of individuals (41 men and 89 women) had at least one STI and 26 couples (13%) had the same STI detected. Men who have sex with men (MSM) accounted for 13% of all men, had higher rate of STIs and higher risk behaviors than non-MSM. Ureaplasma infection was the most prevalent STI found in both men and women and was associated with oral sexual contact. In heterosexual pairs, condom use during anal sex occurred less than 10% of the time. CONCLUSIONS: The heterosexual couples in sexually transmitted disease clinics have high-risk behaviors and STIs are frequent. The educational effort concerning prevention of STIs requires higher effort.     

Level of AIDS and HIV knowledge and sexual practices among sexually transmitted disease patients in China

BACKGROUND: Little is known about sex practices that increase the risk of contracting HIV infection or the level of HIV and AIDS knowledge among sexually transmitted disease (STD) patients in China. OBJECTIVE: To describe AIDS and HIV knowledge, sexual practices, and factors associated with never using condoms among patients at an STD clinic in Jinan, China. STUDY DESIGN: Clinic patients (n = 498) were randomly sampled to answer AIDS and HIV knowledge questions and to report sexual practices, including condom use. RESULTS: Patients had low levels of AIDS and HIV knowledge and engaged in high-risk sex behaviors. The majority of patients reported having had multiple sex partners. When having sex, few men and no women reported always using condoms. Gender, age, residence, AIDS and HIV knowledge, and having multiple sex partners were significantly associated with never using condoms. CONCLUSION: STD clinic patients report having engaged in high-risk sex behaviors. More research is needed to better understand the factors relevant to developing risk-reduction interventions for these patients in China.     

Differences between nonnational and indigenous patients with sexually transmitted infections in Italy and insight into the control of sexually transmitted infections

BACKGROUND: To determine the health needs non-nationals, information on disease occurrence is fundamental.GOALS The goal of this study was to assess the clinical and behavioral characteristics of non-Italians with a new sexually transmitted infection (STI). METHODS: Data were taken from Italy's National STI Surveillance System (1991-1999). RESULTS: Of the 61,798 STI cases reported from January 1991 to December 1999, 6847 (11.2%) were diagnosed among non-Italians, 47.1% of whom were Africans. Being a non-Italian patient with an STI was associated with male gender (adjusted odds ratio [AOR], 1.19; 95% confidence interval [CI], 1.11-1.27), youngest age (AOR, 1.71; 95% CI, 1.43-2.04), no formal education (AOR, 20.25; 95% CI, 17.51-23.42), and having contracted the STI abroad (AOR, 13.98; 95% CI, 12.59-15.54). The HIV-1 prevalence among non-Italian patients with STIs was 5.5% (95% CI, 4.9-6.2), with large differences by continent of origin. The highest prevalence was found among European injecting drug users (54.1%; 95% CI, 37.1-70.1), South American homosexual men (41.6%; 95% CI, 32.0-51.8), and heterosexuals from Sub-Saharan Africa (8.9%; 95% CI, 7.2-10.8). CONCLUSIONS: Non-Italian patients with STIs seem to consist mainly of migrants, and STI transmission patterns differ from those among Italians; this information is important for developing targeted STI prevention efforts.     

Sexually transmitted infections and reproductive health in Azerbaijan.

BACKGROUND: Little is known about the prevalence of sexually transmitted infections (STIs) and about sexual and reproductive health in Central and Eastern Europe. However, it is clear that major epidemics of STIs currently exist. GOAL: To provide baseline information for the development of national guidelines on the management of STIs in Azerbaijan. STUDY DESIGN: A prevalence study on STIs, including a questionnaire on sexual and reproductive health, in two regions of Azerbaijan targeted three groups: (1) pregnant women, (2) gynecology patients, and (3) men attending a dermatovenereology clinic. RESULTS: The 407 pregnant women in this study had a mean of 1.47 abortions and 1.40 births per woman. Of these women, 12% reported condom use and 41% previous symptoms of a sexually transmitted infection. Active syphilis was found in 1.7% of the women. The 326 gynecology patients had a mean of 2.54 abortions and 2.63 births per woman. Of these patients, 11% reported use of modern contraceptives, 18.3% previous condom use, and 63% previous symptoms of an STI. The prevalence of active syphilis was 2.2%, Chlamydia trachomatis 3.1%, Neisseria gonorrhoeae 2.8%, Trichomonas vaginalis 7.1%, Candida 33.1%, and bacterial vaginosis 32.5%. Of the 197 male patients, 67% reported multiple partners in the past 3 months, 62% money exchanged for sex, 37% condom use ever, and 40% a history of STIs. Active syphilis was found in 9.5% of the men, C trachomatis in 5.9%, N gonorrhoeae in 17%, and T vaginalis in 4.4%. CONCLUSIONS: The data show high-risk behavior in the men attending STI clinics, poor sexual and reproductive health status in the women, and underreporting of official data.