男性肛周尖锐湿疣392例流行病学调查

目的：了解沈阳市及周边地区发病的男性肛周尖锐湿疣患者流行病学特点,为今后针对高危因素及人群开展有效的预防干预工作提供经验和依据.方法：对我院及沈阳市肛肠医院392名符合标准的患者进行匿名问卷调查后,收集数据进行分析比较.结果：392名受访者平均年龄27.74岁,前卫职业人群集中,性安全自觉性差,对本病的了解程度不佳.具有男男性行为的同性恋或双性恋者是本病发病的高危人群,具有频繁肛交、多性伴侣、性病防护意识差等高危性行为特征,但改正不良生活习惯态度良好.公共浴池洗浴及公共卫浴用品的使用也是本病的发病危险因素之一.受访人群中艾滋病病毒（HIV）阳性率为7.14%,梅毒（USR）阳性率为5.61%,合并其他性传播疾病感染者占6.63%,HBsAg及抗-HCV阳性率分别为6.63%及2.04%.结论：针对中青年等高危人群应加强性健康教育普及,提高性安全意识,尤其针对男男性行为者应当予以广泛关注并采取良好有效的干预机制.

Epidemiological survey of 392 male patients with perianal warts

Objectives： To investigate the epidemiological characteristics of 392 male patients with perianal warts in Shenyang and the surrounding area, and to provide experience and evidence for effective interventions. Method： 392 cases of male patients with perianal warts in our hospital and Anorectal Hospital of Shenyang were surveyed by questionnaires anonymously, and their clinical information and epidemiological data were collected and analyzed. Results： Perianal warts were most commonly seen in young men with an average age of 27.74, involving in fashionable occupations, but with inadequate awareness of sexually transmitted diseases and inadequate knowledge about perianal warts. Men having sex with men （MSM） who had risk sexual behaviors （frequent anal sex, too many sex partners, low - level awareness of sexual safety） were susceptible populations of perianal warts, but they ex- pressed willingness to change their unhealthy habits. Public baths is an essential predisposing factor of perianal warts in males. The infection rate of HIV, USR, HBsAg, and anti - HCV reached 7.14%, 5.61%, 6.63% and 2.04% respectively. The morbidity of other STD reached 6.63%. Conclusion： Sex health education and con- seiousness of sex safety should be strengthened among the adolescent and middle - aged. In particular, effective interventions should be taken among the MSM.