尖锐湿疣患者社会学特征及性行为特征分析

Analysis of the Character of Sociology and Sexual Behavior in Patients with Con- dyloma Acuminatum

目的:了解尖锐湿疣患者社会学及性行为特征,了解尖锐湿疣的主要感染途径。方法:采用流行病学横断面调查方法, 使用封闭式问卷,对417例患者进行社会学特征调查,对103例患者进行了性行为特征及感染途径调查。结果:社会学特征分析显示在婚(72.2%)、青壮年(83.3%)、中学文化程度(76.5%)、商业服务业(46.5%)、在沪居住年限10年以上(67.9%)所占比例较高;男性患者外出多见(63.6%),女性患者则以从不外出为主(65.5%)。性行为特征分析显示首次性交年龄20-25岁(48.54%)、首次性交对象为恋人(40.78%)和配偶(52.43%)比例较高;有过婚前性行为的占51.46%,有过婚外性行为的男性为67.65%、女性为5.71%,性别之间有显著差异(P=0.001);最近3次性交连续使用安全套的比例男性为20.59%,女性为28.57%。男性患者将感染途径主要归咎于商业性伴(35.29%)和临时性伴(29.41%),女性患者则主要归咎于配偶(45.37%)。结论:控制高危人群与主要感染途径将有利于预防尖锐湿疣的发生。

Objective: To analyze the character of sociology & sexual behavior in patients with condyloma acuminatum and to investigate the major infected pathways. Methods: With cross-sectional study, 17 questionnaires were collected to analyze the sociological character and 103 questionnaires were collected to investigate the character of sexual behavior & the major infected pathways. Results: Some items hold higher proportions such as in marriage(72. 2%), 20-45 yr(83. 3% ) .middle school degree (76. 5% ),commercial service workers(46. 5%),lived in shanghai over 10 yrs (67. 9%). home out in males(63. 6% ) & never home out in females(65. 5% ) , the 1st coital age of 20 -25yr(48. 54% ), the 1st sexual intercourse with lovers(40.78% ) or spouses( 52. 43% ). having sexual behaviors before marriage ( 51. 46% ). The proportion of having sexual behaviors out of marriage are 67. 65% in males & 5. 71 % in females and significant difference was observed(P = 0. 001). There were 20. 59% males & 28.57% females use condoms recently. It also showed the major infected pathways are commercial sexual partners (35.29%)or temporary sexual partners(29. 41 %) in males but spouses(45. 37% )in females. Conclusion: To control the high risk group and major infected pathways will assist in prevent the occurrence of condyloma acuminatum.