北京市性病门诊就诊者性病感染危险因素的Logistic回归分析  

Logistic regression analysis of the risk factors for infections with sexually transmitted diseases among patients attending sexually transmitted diseases clinics in Beijing

作　　者：史文雅[1] 赵建忠[1] 谢彧洋[1] 刘超[1] 王欣心[1] 李彦奇[1] 

机构地区：[1]北京市丰台区疾病预防控制中心,北京100071

出　　处：《现代预防医学》2013年第24期4497-4499,共3页Modern Preventive Medicine

基　　金：市委;市政府重点工作及区县政府应急项目预启动(Z111107056811042)

摘　　要：目的了解辖区内性病门诊就诊者感染性传播疾病（STD）的危险因素，为今后开展有针对性的宣传和干预工作提供信息。方法根据临床诊断，将全部就诊者划分为性病病例组（g1组）和对照组（g2组）。对2011年区内性病门诊就诊者进行问卷调查，包括一般信息、艾滋病知识、高危险性行为和性病史情况。以是否患有性病为自变量，性别、年龄、婚外性伴数、安全套使用情况等为影响因素，利用SPSSl7．0软件进行Logistic回归分析。结果性病病例组调查342人，对照组920人，病例组的年龄在20～40岁、女性、初中以下文化、艾滋病知晓率低、未接受过预防艾滋病服务、非婚性伴的构成比例比对照组高（P〈0．05），户籍和民族构成差异无统计学意义（P〉0．05）：Logistic回归分析结果发现，女性、初中以下文化、有非婚性伴、艾滋病知晓率低、未接受过预防艾滋病服务是感染性病的危险因素。对有非婚性伴者感染性病的危险因素进行分析后发现，只有非婚性伴数、安全套使用和近一年接受预防艾滋病服务与感染STD有关（P〈0．05），与其他因素无关（P〉0．05）。结论进一步加强对文化程度低、有非婚性伴、女性就诊者的健康教育和性病治疗，是当前性病门诊和其他艾滋病防治工作中一项重要内容。OBJECTIVE The study was conducted to assess the risk factors for infections with sexually transmitted diseases （STDs） among patients attending STD clinics in the area, so to provide references for the targeted promotion and prevention of STDS in the future. METHODS All patients attending STD clinics in the area in 2011 were divided into a cases group （gl） and a control group （g2） according to their diagnostic results. The patients were asked to fill out a survey question- naire, which inquired about their general information, knowledge of AIDS, high-risk sexual behaviors, and history of vene- real diseases. Logistic regression analysis was performed by the SPSS 17.0 software with the independent variable being whether the patients has STD and the influencing factors being the gender, age, number of extramarital sexual partners, and habit of condom use. RESULTS The study surveyed 342 patients and 920 controls. Constituent ratios in the 20-40 age group, female, educational level below middle school, low awareness rate of HIV-related knowledge, the number of patients who never received any AIDS prevention services, and the number of non-marital sexual partners of the cases group were higher than those of the control group （P 〈 0.05） ; differences in constituent ratio in location of registered residency and nationality between the two groups were not statistically significant （P 〉 0.05）. Logistic regression analysis showed that female, educa- tional level below middle school, having at least one non-marital sexual partner, low awareness rate of HIV-related knowl- edge, and non-reception of any AIDS prevention services were the risk factors for STD infections. Analysis of the risk factors for STD infections among patients having at least one non-marital sexual partner revealed that STD infections were only corre- lated with the number of non-marital sexual partner, habit of condom use, and non-reception of any AIDS prevention setvices within the past year （P 〈 0.05）, and had no correlatio

关 键 词：性传播疾病 危险因素 性病门诊 

分 类 号：R759[医药卫生—皮肤病学与性病学]