310例STD患者求医流向及求医行为影响因素分析

目的：研究性传播疾病（STD）患者求医流向及求医行为的影响因素，为制定相关政策及干预措施提供依据。方法：对310例STD患者进行问卷调查，调查数据采用SPSS9.0、EPI6.0进行统计分析，首诊和复诊影响因素采用多元Logistical回归分析。结果：59.0％的STD患者首诊选择公立医院，被动发现组（81.3％）高于主动发现组（36.8％）；复诊时，首诊选择公立医院患者中，92.9％的人仍选择公立医院，而首诊选择私人诊所或自行购药者中有近半数复诊时也转入了公立医院。首诊和复诊的影响因素为性别、文化、收入水平、求医动机、就诊次数、医患关系、病感体验、社会因素、治疗效果等。结论：公立医院是目前STD患者的主要流向。如果加强STD门诊的规范化管理，提高医疗服务质量，加强社区健康教育力度，减少社会对STD患者的偏见，将会有利于患者规范求医。

An analysis of factors determing medical-care seeking trends and behaviors among 310 STD patients

Objective To study and analyze factors determing medical care seeking trends and behaviors in STD patients.Methods STD patients were surveyed by questionnaires,collected data were analyzed by SPSS 9.0 and EPI 6.0 softwares,and the factors determining patients' trends of their first and return visits were analyze with multiple logistic regression.Result Fifty nine percent of STD patients under study selected public hospitals for their first visits,and the percentage of patients detected in passive ways(81.3%)was higher than the percentage of those detected in active ways(36.8%).During their return visits,92.9% of patients who had visited public hospitals still preferred to do so,while nearly half of those who had visited private hospitals were transferred to public ones.The factors determing patients' trends of their first and return visits involved sex,education,incomes,motives to seek medical care,number of visits,relationship between patients and physicians,personal experience,social factors,therapeutic effects and others.Conclusion Public Hospitals are the main source of consultations by STD patients at present.Medical care seeking behaviors of STD patients will be better regulated by strengthening management of STD clinics,improving quality of medical care services,expanding community-based health education and reducing discrimination against them by the public.