非婚非商业异性性行为性病感染者的状况及影响因素调查分析  

Investigation and analysis on the situation and influencing factors of sexually transmitted diseases in non-marital and non-commercial heterosexuals

作　　者：蒋迪剑 阮洁 JIANG Dijian;RUAN Jie(Department of Epidemic Pretention,Center for Disease Control and Prevention of Zhuji City,Shaoxing 311800,Zhejiang,China;Department of Epidemic Prevention,Center for Disease Control and Prevention of Yuecheng District,Shaoxing 312000,Zhejiang,China)

机构地区：[1]浙江省诸暨市疾病预防控制中心防疫科,浙江绍兴311800 [2]绍兴市越城区疾病预防控制中心防疫科,浙江绍兴312000

出　　处：《中国性科学》2021年第4期148-150,共3页Chinese Journal of Human Sexuality

摘　　要：目的调查分析非婚非商业异性性行为性病感染者的状况及影响因素。方法下载2018年1月至2019年12月浙江省诸暨市疾病预防控制中心新报告的2856例性病感染者数据作为研究对象。采用连续采样方法启动性病感染者的定性访谈和问卷调查,收集调查对象的一般人口学特征、非婚非商业异性性行为发生情况、性病相关知识掌握情况等信息,分析和比较不同特征性病感染病例经商业性行为传播和非商业性行为传播的比例。结果新报告性病感染者2856例,其中异性性行为性病感染者1200例(占42.02%,1200/2856),非婚异性性行为性病感染者1085例(占37.99%,1085/2856)。1085例非婚异性性行为性病感染者中,非婚非商业异性性行为性病感染者583例(占53.73%,583/1085)。583例非婚异性性行为性病感染者中,性病相关知识掌握的总体正确率为54.20%(316/583)。多因素Logistic回归分析结果显示,女性、<30岁、大专及以上、未婚、性伴数0~3个、性行为频次>5次/个月及不愿意每次都用安全套为影响非婚非商业异性性行为性病感染者的独立危险因素。结论非婚非商业异性性行为性病感染者在人群中的分布较为广泛,应根据高危人群的特点和变化调整行为干预模式,强化健康宣教,采取针对性的防治措施,推广安全套的使用。Objective To investigate and analyze the situation and influencing factors of sexually transmitted diseases(STD)in non-marital and non-commercial heterosexuals.Methods Data of 2,856 STD infections newly reported in Center for Disease Control and Prevention of Zhuji City from January 2018 to December 2019 were downloaded as the study subjects.Qualitative interviews and questionnaire surveys were conducted among individuals with sexually transmitted diseases by continuous sampling method.Information of the surveyed subjects such as general demographic characteristics,the occurrence of non-marital and non-commercial heterosexual behaviors,and knowledge related to sexually transmitted diseases was collected.The percentages of sexually transmitted diseases developed by commercial and non-commercial sexual transmission were compared between cases with different characteristics.Results There were 2,856 newly reported STDs,including 1,200 heterosexually infected(42.02%,1,200/2,856)and 1,085 non-marital heterosexually infected(37.99%,1,085/2,856).Among the 1,085 non-marital heterosexually infected patients,583 cases(53.73%,583/1,085)were infected with non-commercial heterosexually infected patients.The overall correct rate of STD knowledge was 54.20%(316/583)in 583 heterosexual heterosexuals infected with STD.Multivariate Logistic regression analysis showed that female,<30 years old,junior college or above,unmarried,0~3 sexual partners,frequency of>5 times per month,and unwillingness to use condoms every time were independent risk factors for non-marital and non-commercial heterosexuals infected with STDs.Conclusions People with sexually transmitted diseases are relatively common in unmarried and non-commercial heterosexuals,so the behavioral intervention models should be adjusted according to the characteristics and changes of high-risk groups,health education,and targeted prevention and treatment measures should be strengthened,and condom should be promoted.

关 键 词：非婚 非商业 异性性行为 性病感染 影响因素 

分 类 号：R759[医药卫生—皮肤病学与性病学]