摘要
目的了解深圳市性病门诊男性患者生殖道沙眼衣原体(CT)感染现状及影响因素,为制定干预措施提供参考依据。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门诊男性患者,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2567名男性患者,CT感染率为10.71%(275例)。龙华区、龙岗区、罗湖区CT感染率较高,南山区最低。泌尿外科就诊者CT阳性率为13.28%(178/1340),皮肤(性病)科就诊者CT阳性率为9.20%(87/946)。多因素Logistic回归结果显示,单身就诊者CT感染的风险是已婚的1.40倍,有1项症状/体征的患者和有2项症状/体征的患者感染CT的风险分别是无症状/体征患者的2.17倍和3.19倍。泌尿外科就诊患者中CT阳性的风险是皮肤(性病)科就诊患者的1.38倍(P均<0.05)。结论深圳市性病门诊男性患者CT感染率较高,应针对泌尿外科就诊者、单身、有CT疑似症状的人群开展CT常规筛查,在流动人口多的地区加强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,改善其生殖健康状况。
Objective To understand the prevalence of Chlamydia Trachomatis(CT) and its associated factors in men attending sexually transmitted disease(STD) clinics in Shenzhen and provide evidence for developing intervention strategies.Methods From April 15 to May 16,2018,men attending STD clinics were recruited from 22 medical institutions in 6 districts of Shenzhen.After the informed consent from each participant,relevant social demographic information 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 2567 male participants were recruited,and the prevalence of CT infection rate was 10.71 %(275 cases).The prevalence of CT in Longhua,Longgang,and Luohu districts was higher,and Nanshan District was the lowest.The positive rate of CT in patients from the urology department was 13.28%(178/1340),and that of the dermatology department was 9.20%(87/946).Multivariate Logistic analysis showed that the risk of CT infection among single patients was 1.40 times that of married patients.The risk of CT infection in patients with one symptom was 2.17 times that of asymptomatic patients,and the risk of CT infection in patients with two symptoms was3.19 times that of asymptomatic patients.The risk of CT infection in patients from the urology department was 1.38 times that of the dermatology department.All P values <0.05.Conclusions The prevalence of CT infection among male STD clinic attendees in Shenzhen was high.Routine CT screening should be carried out among them,especially those from the urology department,which are single and with suspected CT symptoms.CT health education should be strengthened in areas with large transient populations to raise their awareness of CT-related knowledge,adverse outcomes to improve their reproductive health.
作者
宁宁
蔡于茂
翁榕星
王洪琳
叶健滨
张春来
文立章
陈祥生
NING Ning;CAI Yumao;WENG Rongxing;WANG Honglin;YE Jianbin;ZHANG Chunlai;WEN Lizhang;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)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2022年第5期565-568,共4页
Chinese Journal of Aids & STD
基金
深圳市医疗卫生“三名工程”项目(SZSM201611077)。
关键词
性传播疾病
生殖道沙眼衣原体
影响因素
Sexually transmitted diseases
genital chlamydia trachomatis infection
associated factors
