广东省淋病就诊者安全套使用现状及其影响因素分析  

Analysis on the status and influencing factors of condom use among gonorrhea patients in Guangdong Province

作　　者：赵培祯 柯洋[1,2] 郑和平 杨斌 王成[1,2] ZHAO Pei-zhen;KE Yang;ZHENG He-ping;YANG Bin;WANG Cheng(Dermatology Hospital,Southern Medical University;Guangdong Provincial Centre for Skin Diseases and STIs Control and Prevention,Guangzhou 510091,China)

机构地区：[1]南方医科大学皮肤病医院 [2]广东省皮肤性病防治中心,广东广州510091

出　　处：《皮肤性病诊疗学杂志》2019年第6期369-374,共6页Journal of Diagnosis and Therapy on Dermato-venereology

基　　金：广东省医学科研基金(编号:A2018508;A2019402)

摘　　要：目的:了解广东省淋病就诊者安全套使用情况并探讨其影响因素,为相关决策部门制定干预措施提供依据。方法:通过横断面调查,在广东省21个地级市的医疗机构招募近6个月有性接触史的淋病就诊患者进行问卷调查,收集一般人口学特征、性行为学等信息,通过单因素和多因素Logistic回归分析安全套使用的影响因素。结果:本研究共纳入1 695例患者,平均年龄为(31.17±9.86)岁。研究对象与商业性伴发生阴道交性行为时安全套使用率为80.39%,与配偶/固定性伴为64.25%,与非固定非商业性伴为69.11%,差异有统计学意义(χ^2=48.99,P<0.01);多因素Logistic回归显示年龄、文化程度、婚姻状况、既往HIV感染/性病史是淋病就诊患者发生性行为时安全套使用的影响因素。结论:淋病就诊患者安全套使用率较低,与配偶/固定性伴发生性关系时使用率最低。文化程度低、既往无HIV感染/性病史是不使用安全套的危险因素,因此需要加强此类人群的干预,减少淋病等性病的传播。Objective:To understand the use of condoms in out-patients with gonorrhea in Guangdong Province and explore its influencing factors, so as to provide basis for relevant decision-making departments to formulate intervention measures.Methods:Through cross-sectional survey, gonorrhea patients with sexual contact history for nearly 6 months were recruited in 21 prefecture-level cities of Guangdong Province. The information of general demographic characteristics and sexual behavior were collected. The influencing factors of condom use were analyzed by single-factor and multi-factor logistic regression. Results:A total of 1 695 patients were included in the study. The average age was(31.17±9.86) years. The condom use rate of gonorrhea patients who had sex with commercial partner, spouse/fixed partner and non-fixed non-commercial partner was 80.39%, 64.25% and 69.11%, respectively, and the difference was statistically significant( χ^2=48.99,P<0.01). Multivariate logistic regression showed: age, the level of education, marital status, and past HIV infection/venereal history are the influencing factors of condom use. Conclusion:The use of condoms in gonorrhea patients is low, and the use rate of sexual relationship with spouses is the lowest. Low educational level, no previous HIV infection/venereal history are the risk factors for not using condoms. Therefore, it is necessary to strengthen the intervention of such people and reduce the spread of sexually transmitted diseases such as gonorrhea.

关 键 词：淋病 安全套 性行为 影响因素 

分 类 号：R759.2[医药卫生—皮肤病学与性病学]