深圳市性病门诊劳务工人群生殖道沙眼衣原体感染现状及影响因素  

Chlamydia trachomatis infection and associated factors among workers attending sexually transmitted disease clinics in Shenzhen city,Guangdong province

作　　者：宁宁 蔡于茂[1] 翁榕星 王洪琳 文立章[1] 张春来[1] 叶健滨 陈祥生[3,4] NING Ning;CAI Yumao;WENG Rongxing;WANG Honglin;WEN Lizhang;ZHANG Chunlai;YE Jianbin;CHEN Xiangsheng(Shenzhen Center for Chronic Disease Control,Shenzhen 518020,China;Shantou University Medical College,Shantou 515000;Institute of Dermatology and Hospital for Skin Diseases,Chinese Academy of Medical Sciences,Nanjing 210042;National Center for Sexually Transmitted Disease Control,Chinese Center for Disease Control and Prevention,Nanjing 210042)

机构地区：[1]深圳市慢性病防治中心,广东深圳518020 [2]汕头大学医学院,广东汕头515000 [3]中国医学科学院北京协和医学院皮肤病研究所,南京210042 [4]中国疾病预防控制中心性病控制中心,南京210042

出　　处：《中国艾滋病性病》2022年第9期1060-1063,共4页Chinese Journal of Aids & STD

基　　金：深圳市医疗卫生“三名工程”项目(SZSM201611077)。

摘　　要：目的了解深圳市不同区域性病相关门诊劳务工人群生殖道沙眼衣原体(CT)感染现状及影响因素,为科学制定深圳市CT防治策略提供基础数据。方法2018年4月15日至5月16日在深圳市6个区22家医疗机构招募性病相关门诊劳务工就诊者,知情同意原则下,收集其社会人口学相关信息并采集尿液标本进行沙眼衣原体核酸检测,运用Logistic回归分析CT感染的影响因素。结果共招募2099名劳务工患者,CT感染率为9.86%(207/2099)。单因素Logistic回归分析结果显示,不同辖区、年龄、婚姻状况、有无医疗保险和症状/体征、最近3个月有无临时性伴、是否合并感染淋病是性病相关门诊劳务工人员CT感染的影响因素;进一步做多因素Logistic回归分析,结果显示宝安区(OR=1.97,95%CI:1.02~3.77)、盐田区(OR=4.59,95%CI:1.97~10.72)、龙华区(OR=2.39,95%CI:1.15~4.96)、单身(未婚/离异/丧偶)(OR=1.81,95%CI:1.50~2.19)、合并感染淋病(OR=5.34,95%CI:3.13~9.13)是劳务工人员感染CT的危险因素。83.79%的劳务工不了解CT的传播方式和感染部位,79.12%的劳务工不了解CT的不良结局。结论深圳市性病门诊劳务工人群CT感染率较高,但相关知识知晓率低。应针对劳务工较多的区域、单身、NG检测阳性的劳务工人员开展CT常规筛查,加强CT健康知识的宣传教育,提高对CT基本知识及不良结局的知晓率,改善人群生殖健康。Objective To understand the prevalence of Chlamydia Trachomatis(CT)and its associated factors among workers attending sexually transmitted disease(STD)clinics in different districts of Shenzhen and provide primary data for developing interventions.Methods From April 15 to May 16,2018,workers attending STD clinics were recruited from 22 medical institutions in 6 districts of Shenzhen.After the informed consent from each participant was obtained,relevant social demographic information was collected,and urine samples were collected for CT nucleic acid detection.Logistic regression was used to explore the associated factors of CT infection.Results A total of 2099participants were recruited,and the prevalence of CT infection was 9.86%(207/2099).Location of the hospital,age,marital status,insurance,symptoms,having temporary sexual partners during the last three months,and co-infection with Neisseria gonorrhoeae are factors related to CT infection.Multivariate logistic analysis showed that Baoan(OR=1.97,95%CI:1.02-3.77),Yantian(OR=4.59,95%CI:1.97-10.72),Longhua(OR=2.39,95%CI:1.15-4.96),being single(OR=1.81,95%CI:1.50-2.19),and NG positive(OR=5.34,95%CI:3.13-9.13)were the risk factors for CT infection among workers.83.79%of the workers have low awareness of CT transmission and 79.12%of them do not know the adverse outcomes of CT.Conclusion There is a higher prevalence of CT infection but a lower awareness rate among workers in Shenzhen STD clinics.Therefore,routine CT screening should be carried out for this population,especially those are single and NG positive.Also,raising their awareness of CT-related knowledge and adverse outcomes should be considered to improve the reproductive health of this population.

关 键 词：性传播疾病 生殖道沙眼衣原体 劳务工 

分 类 号：R374.1[医药卫生—病原生物学]