莱芜地区门诊男性就诊者梅毒感染的危险因素分析及预防对策

目的：分析莱芜地区门诊男性就诊者梅毒感染的危险因素，并探讨相应的干预对策，为改变性病门诊男性就诊者高危行为，遏止性病疫情提供科学依据。方法：回顾2006年6月～2011年12月主动来我院门诊就诊的男性就诊者，包括未患梅毒的男性就诊者的资料，对就诊者的一般情况如年龄、婚姻情况及受教育程度、个人行为如冶游史、安全套的使用情况、传染性伴侣的情况、性病史、梅毒防治知识的情况加以收集，采用卡方检验、单因素非条件Logistic回归分析和多因素非条件Logistic回归分析，模型筛选采用Stepwise法，评价影响梅毒感染的危险因素。结果：显示婚姻（OR=1．769，95％CI：1．420—2．115）、同性性行为（OR=6．447，95％CI：1．826—22．769）等是莱芜地区门诊男性就诊者梅毒感染的主要促进因素。结论：针对莱芜地区门诊男性就诊者梅毒感染的危险因素，我们提出为防止梅毒感染疫情，应提倡广大大龄男性结婚，降低男男性行为的发生。

Risk factors and intervention countermeasures for syphilis infection among male outpatients in Laiwu

Objectives： To analyze risk factors and intervention countermeasures for syphilis infection among male outpa- tients in Laiw11, in order to change male venereal outpatients＂ high - risk behavior and provide scientific evidence for halting the venereal disease transmission. Methods： We reviewed the information of male outpatients in our hospital between since June 2006, and analyzed their age, marital status, education, sex out of marriage, use of condom, sex partner with infectious disease, personal history of STD, and knowledge of syphilis and so on. We explored risk factors by means of chi - square test, single fac- tor unconditional Logistic regression analysis and multiple factors unconditional Logistic regression analysis with the method of Stepwise model. Results： We found that marriage （ OR = 1. 769, 95% CI ： 1. 420 - 2. 115） and homosexual sex （ OR = 6. 447, 95% CI： 1. 826 -22. 769） are main risk factors for syphilis infection among male outpatients in Laiwu. Conclusion： We suggest that in order to halt the transmission of syphilis, we should advocate single men to get married and forbid male - male sex.