2019年深圳市宝安区女性健康体检者生殖道沙眼衣原体感染调查

Survey on genital chlamydia trachomatis infection among female physical examination population,Baoan district,Shenzhen city,2019

目的了解深圳市宝安区健康体检人群女性体检者生殖道沙眼衣原体感染情况,探讨其影响因素,为政策制定提供依据。方法收集2019年7~9月份女性健康体检者人口学特征、性病相关行为特征、临床症状和体征等信息,采集女性健康体检者宫颈拭子进行核酸检测,采用非条件Logistic回归分析生殖道沙眼衣原体感染的影响因素。结果调查宝安区女性健康体检者1 265人,有生殖道沙眼衣原体感染者49例(3.87%),具有临床症状和体征487例(38.50%)。有相关临床症状与体征者感染率为(6.37%)显著高于无临床症状与体征者(2.31%),差异有统计学意义(P<0.01)。多因素Logistic回归发现,广东省户籍(非深圳户籍)(OR=2.90)、临床症状和体征(OR=2.07)可能与女性就诊者生殖道沙眼衣原体感染存在关联(P<0.01)。结论深圳市宝安区健康体检人群女性体检者生殖道沙眼衣原体感染较为普遍,临床症状和体征明显。

Objective To understand the status of genital chlamydia trachomatis(GCT)infection among female physical examination population,and explore the risk factors,so as to provide scientific evidence for developing strategies.Methods The information of female physical examination population on demographic characteristics,sexually transmitted diseases(STD)related behavior characteristics and clinical symptoms and signs were collected,cervical swabs were taken for nucleic acid testing during July-September,2019.Logistic regression model was applied to analyze associated factors of GCT infection.Results A total of 1265 females who accepted physical examination were investigated,the prevalence of GCT was 3.87%(49/1265),and the constituent ratio of current symptoms was 38.50%(487/1265).The prevalence of GCT among females with related clinical symptoms and signs(6.37%)was significantly higher than that of females without clinical symptoms and signs(2.31%),the difference was statistically significant(P<0.01).Multivariate logistic regression analysis revealed that factors significantly with GCT infection included registered permanent residence in Guangdong province(non-Shenzhen)(OR=2.90)and current symptoms(OR=2.07)(P<0.01).Conclusion The infection of GCT is prevalent among female physical examination population,and the current symptoms and signs is obvious.