绍兴地区妇科门诊女性就诊者梅毒患病率及危险因素分析

摘要

目的：探讨分析绍兴地区妇科门诊女性就诊者梅毒患病率及危险因素。方法：选取2010年2月至2013年1月妇科门诊的805名15岁以上的女性就诊者进行面对面问卷调查，并采集血样进行梅毒检测，采用Logistic逐步回归分析，分析其感染危险因素。结果：805名女性就诊者中，年龄构成主要集中在20～49岁，以汉族人口居多，人员以本省居多，学历层次集中在初中及初中以下。就梅毒感染的发生率来说，20～49岁就诊者的感染率为6．16％，明显高于20岁以下及50岁以上就诊者的发生率；未婚／离异就诊者梅毒感染的发生率为9．26％，明显高于在婚状态就诊者的发生率；初中及初中以下就诊者梅毒感染的发生率为7．2％，明显高于高中及高中以上就诊者的发生率；性病知识知晓率不合格就诊者的梅毒感染发生率为8．42％，明显高于性病知识知晓率较高的就诊者的发生率；注射毒品就诊者梅毒感染的发生率为11．06％，明显高于未注射毒品的就诊者的发生率；最近3个月有过非婚性行为就诊者的梅毒感染发生率为7．89％，明显高于没有非婚性行为的就诊者的发生率。结论：年龄介于20～49岁、未婚／离异、受教育程度较低、性病知识知晓率低、注射毒品以及最近3个月有过非婚性行为都是梅毒感染的主要促进因素。%Objectives:To investigate the syphilis prevalence rate and risk factors of clinic patients with sexually transmitted diseases (STD)in Shaoxing.Methods:805 STD clinic patients over the age of 1 5 ,from Feb-ruary 201 0 to January 201 3,were selected and surveyed by questionnaire face to face.Their blood samples were collected for syphilis testing.Logistic regression analysis was used to analyze the risk factors of infection.Results:Among the 805 patients,the age structure was mainly concentrated between 20 to 49 years old,with the majority be-ing Han nationality.Level of education of the patients was mostly concentrated in the junior high school and below junior high school.On the incidence of syphilis,the 20 to 49 -year-old patients’infection rate was 6.1 6 %, which was significantly higher than that of patients blow 20 and over 50 years old.The incidence of unmarried/di-vorced patients were 9.26%,which was significantly higher than that of married patients;the incidence of patients with junior high school or below junior high school education background was 7.2 %,which was significantly higher than that of patients with high school and above high school education background;the incidence of patients with disqualified STDs knowledge was 8.42%,which was significantly higher than that of patients with the higher knowl-edge and awareness of sexually transmitted diseases;incidence of syphilis of patients injecting drug was 1 1 .06%, which was significantly higher than those who did not inject drugs;in the last three months,incidence of patients with non-marital sex behavior was 7.89%,which was significantly higher than that of patients with marital sex be-havior.Conclusion:Age between 20 to 49 years old,unmarried/divorced,less educated,low knowledge and awareness of sexually transmitted diseases,injecting drug and having non-marital sex behavior are major contribu-ting factor of syphilis infection.