南京市男男性行为人群淋球菌和沙眼衣原体感染状况研究

摘要

Objective To investigate the prevalence of gonococcal and chlamydial infections in men who have sex with men( MSM ) for the disease control and prevention. Methods Questionnaire survey was conducted in MSM,urine specimens were collected to detected neisseria gonorrhoeae( NG ) and chlamydia trachomatis( CT ). Results The infection of NG and CT reached to 1.4％ and 4. 5％, 1 case ( 0. 2％ ) was found mixed infection of NG and CT. No significant correlation was found in NG infection with age, standard of culture, sexual behavior within 6 months and sexually transmitted disease symptoms in the last year, but low age and education, having multi-sexual partners,low rate of condom use within the last 6 months and having sexually transmitted disease symptoms were the risk factors which associated with the CT infection. Conclusion The condition of NG and CT infection should be monitored in MSM, and prevention and intervention measure should be taken.%目的 分析男男性行为人群淋球菌和生殖道沙眼衣原体感染的相关危险因素,为制定有效防治措施提供依据.方法 采用同伴推动法对男男性行为人群进行现场问卷调查,取禁尿2 h以上的首段尿液进行生殖道淋球菌和沙眼衣原体核酸检测.结果 男男性行为人群中淋球菌、沙眼衣原体感染阳性率分别为1.4%、4.5%,混合感染0.2%.年龄、文化程度、最近6个月与男性(或)异性性行为情况及性病史等因素与淋球菌感染之间无相关性.年龄较小、文化程度低、最近6个月多性伴、同性之间安全套使用率低和最近1年出现过性病症状是沙眼衣原体感染的危险因素.结论 应对男男性行为人群的淋球菌和沙眼衣原体感染进行监测并对其进行行为干预.