2019—2022年凉山州哨点医院性病门诊男性就诊者梅毒感染状况分析  

Analysis on syphilis infection status and influencing factors of male patients in STD clinic of sential hospital in Liangshan Prefecture,Sichuan Province from 2019 to 2022

作　　者：王菊[1] 郑奕菲 吉克春农 买泓 余刚[1] 王忠红 王玉兵 布格阿呷 裴芳 王世宇 刘旖 梅婷 张瑜 刘根体 裴容 WANG Ju;ZHENG Yifei;JIKE Chunnong;MAI Hong;YU Gang;WANG Zhonghong;WANG Yubing;BUGE Aga;PEI Fang;WANG Shiyu;LIU Yi;MEI Ting;ZHANG Yu;LIU Genti;PEI Rong(Liangshan Yi Autonomous Prefecture Center for Disease Control and Prevention,Xichang 615000,Sichuan Province,China;School of Public Health,Chengdu University of Traditional Chinese Medicine,Chengdu 611100,Sichuan Province,China;Macao University of Science and Technology Business School,Macao 999078,China;The Affiliated Hospital of Sichuan Nursing Vocational College(Sichuan Provincial Third People's Hospital),Chengdu 610031,Sichuan Province,China)

机构地区：[1]凉山彝族自治州疾病预防控制中心,四川西昌615000 [2]成都中医药大学公共卫生学院,成都611100 [3]澳门科技大学商学院,中国澳门999078 [4]四四川护理职业学院附属医院(四川省第三人民医院),成都610031

出　　处：《预防医学情报杂志》2025年第2期145-151,共7页Journal of Preventive Medicine Information

基　　金：国家自然科学基金(项目编号:72304050);四川省科技计划重点研发项目(项目编号:2022YFS0229);凉山州科技计划重点研发项目(项目编号:22ZDYF0125);成都中医药大学苗圃人才专项(项目标号:MPRC2021014)。

摘　　要：目的分析凉山州哨点医院性病门诊中男性就诊者梅毒的感染状况及其相关因素,为梅毒的防控提供依据。方法选取2019—2022年凉山州哨点医院性病门诊的男性就诊者,开展艾滋病知识知晓情况、高危性行为等调查,并进行梅毒(TP)、人类免疫缺陷病毒(HIV)、丙型肝炎病毒(HCV)抗体ELISA检测。采用二元Logistic回归分析、决策树模型进行统计分析,检验水准α=0.05。结果2019—2022年,凉山州哨点医院性病门诊男性就诊者1525例,其中有效例数1468例,调查对象平均年龄(35.88±14.14)岁;在婚占比65.87%;汉族占比58.45%。梅毒阳性率13.28%;HIV阳性率2.38%;艾滋病知识知晓率49.86%。多因素Logistic回归分析结果显示,性病门诊男性就诊者梅毒阳性与民族(与汉族比,其他民族OR=2.77,95%CI:2.02~3.77)、调查时间(与2019年比,2021年:OR=0.24,95%CI:0.14~0.41;2022年:OR=0.19,95%CI:0.11~0.32)和艾滋病知识知晓情况(与不知晓比,知晓OR=0.38,95%CI:0.28~0.53)存在相关(P<0.05),决策树模型结果与多因素Logistic回归分析结果基本一致,决策树模型显示,性病门诊男性就诊者梅毒阳性与民族、调查时间和艾滋病知识知晓情况存在相关。结论凉山州哨点医院性病门诊男性就诊者的艾滋病知识知晓率偏低,并且存在一定的高危性行为,造成梅毒等性病感染率较高,应针对该人群尽早制定针对性的健康教育或治疗干预措施加强疾病宣传,有效预防和控制梅毒的传播。Objective To analyze the infection status and related factors of syphilis among male patients in the STD clinic of Liangshan Sentinel Hospital,so as to provide a basis for the prevention and control of syphilis.Methods Male patients in the STD clinic of Liangshan Sentinel Hospital from2019 to 2022 were selected to investigate HIV knowledge and high-risk sexual behaviors,and ELISA tests of syphilis(TP),human immunodeficiency virus(HIV)and hepatitis C virus(HCV)antibodies were performed.Binary Logistic regression analysis and decision tree model were used for statistical analysis,and the test level wasα=0.05.Results From 2019 to 2022,there were 1525 male patients in the STD outpatient clinic of Liangshan Sentinel Hospital,including 1468 valid cases,with an average age of(35.88±14.14)years,65.87% of whom were married,and 58.45% were of Han ethnic group.The positive rate of syphilis was 13.28%;The HIV-positive rate was 2.38%,and the HIV awareness rate was 49.86%.The results of multivariate Logistic regression analysis showed that the positive syphilis of STD outpatient clinics was significantly more correlated with ethnicity(compared with Han ethnic group,OR=2.77,95%CI:2.02-3.77)and survey time(compared with2019,2021:OR=0.24,95%CI:0.14-0.41;2022:OR=0.19,95%CI:0.11-0.32)and AIDS knowledge(compared with no knowledge ratio,knowledge able OR=0.38,95%CI:1.69-3.33)(P<0.05),and the results of decision tree model were basically consistent with the results of multivariate Logistic regression analysis.Conclusions The awareness rate of HIV/AIDS knowledge among male patients in the STD outpatient clinic of Liangshan Sentinel Hospital is low,and there are certain high-risk sexual behaviors,resulting in a high rate of STD infection such as syphilis.

关 键 词：梅毒感染 性病 男性门诊 决策树模型 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]