性病门诊就诊人群沙眼衣原体感染及相关危险因素研究

Prevalence of and risk factors for Chlamydia trachomatis infection among STD clinic attenders

目的 : 在STD门诊就诊者中筛查沙眼衣原体 (CT)感染者 ,研究STD门诊CT感染的流行情况及相关危险因素。方法 : 用PCR法在STD门诊就诊者中筛查CT感染者 ,用卡方检验及Logistic回归方法研究CT感染的相关危险因素。结果 : 共筛查 10 76例就诊者 ,本所STD门诊就诊者中CT感染率为11.2 % ,与CT感染相关的危险因素包括来自济南郊县及山东省外、近 3个月有新性伴、仅用避孕套避孕及首次性关系为非婚者。结论 : 对STD门诊就诊者 ,包括无症状者 ,应加强检测 ,及时治疗。对青少年应开展关于性行为及性病知识的宣传教育和健康咨询 ,避免危险性行为 ,减少性伴 ,从而降低CT感染的危险性。

Objective:To determine the prevalence of and risk factors for Chlamydia trachomatis among STD clinic attendees.Methods:Among STD clinic attendees, PCR was used to screen CT infection; multiple logistic regression was used to determine the risk factors for CT infection.Results: The prevalence was 11.2% among 1076 STD clinic attenders. The risk factors associated CT infection included: residence in the surrounding county of Jinan and outside of Shandong Province, new sex partner in recent three months, condom use as contraceptive method and early sexual debut. Conclusion : Screening should be strengthened among STD clinic attenders, including asymptomatic cases. Health education on sex should be targeted at adolescent, so as to avoid unsafe sex behaviovr and thus to reduce the risk of CT infection.