云南省淋病患者性行为特征及其影响因素

王楠; 张琬悦; 郭艳; 张秀劼; 张小斌; 方清艳; 杨志芳; 崔文庆; 胡轶; 苏兴芳; 贾曼红

doi:10.16462/j.cnki.zhjbkz.2020.01.020

云南省淋病患者性行为特征及其影响因素

doi: 10.16462/j.cnki.zhjbkz.2020.01.020

1.
650500 昆明, 昆明医科大学
2.
650022 昆明, 云南省疾病预防控制中心性病艾滋病防制所

王楠和张琬悦为共同第一作者

详细信息

通讯作者:
贾曼红, E-mail:jiamanhong@hotmail.com

中图分类号: R759.2;R181
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出版历程
- 收稿日期: 2019-04-03
- 修回日期: 2019-08-13
- 刊出日期: 2020-01-10

Sexual behavior characteristics and influencing factors of gonorrhea patients in Yunnan Province

1.
Kunming Medical University, Kunming 650500, China
2.
Yunnan Center for Disease Control and Prevention, Kunming 650022, China

WANG Nan and ZHANG Wan-yue contributed equally to this article

More Information

Corresponding author: JIA Man-hong, E-mail:jiamanhong@hotmail.com

摘要

摘要: 目的了解云南省淋病患者的性行为类别、安全套使用及影响因素, 为性病防治策略调整提供依据。方法采用横断面研究, 对云南省7个淋病疫情较重的州(市)14个性病门诊中符合纳入标准的淋病患者, 采用一对一调查的方式, 对其社会人口学特征与性行为特征进行问卷调查。运用多因素Logistic回归分析模型分析性行为的影响因素。结果共调查179例淋病患者, 平均年龄(29.01±8.93)岁, ≤40岁占95.53%(171/179), 男性患者占88.27%(158/179), 未婚占55.31%(99/179), 服务行业者和个体从业者分别占34.64%(62/179)和23.46%(42/179)。被调查对象与异性发生性行为的比例为98.32%(176/179), 男男性行为比例为1.68%(3/179), 两个以上性伴比例为27.93%(50/179)。患病前与临时性伴、配偶/固定性伴、商业性伴发生性行为的比例分别为53.07%(95/179)、37.99%(68/179)和8.94%(16/179), 最近一次性行为安全套使用率较低, 分别为17.89%(17/95)、19.12%(13/68)和18.75%(3/16)。淋病患者结交临时性伴的方式以朋友介绍或聚会为主, 占66.32%(63/95)。男性患者的安全套使用情况较女性差(OR=0.234, 95% CI:0.084~0.656, P=0.006)。结论云南省淋病患者主要以未婚青壮年男性为主, 主要危险行为是异性临时性伴及配偶/固定性伴间的无保护性行为, 安全套使用意识总体较低。应进一步加强青壮年人的安全性行为宣传教育, 特别关注临时性行为和配偶/固定性伴性行为的安全套推广使用。
- 淋病 /
- 性行为 /
- 性伴 /
- 安全套
Abstract: Objective To investigate the sexual behavior types, condom use and influencing factors of gonorrhea patients in Yunnan Province, and to provide evidence for the adjustment of sexually transmitted disease(STD) prevention and control strategy. Methods A cross-sectional study was carried out to investigate gonorrhea patients in 14 STD clinics in 7 more prevalent prefectures(cities) of Yunnan Province. A questionnaire survey was conducted to investigate the socio-demographic and sexual characteristics of the patients in a one-to-one way. Multiple Logistic regression model was used to analyze the influencing factors of sexual behavior. Results A total of 179 cases of gonorrhea were investigated. The average age was(29.01±8.93) years old. 95.53%(171/179) patients were 40 years old and 88.27% were male patients(158/179). Unmarried patients accounted for 55.31%(99/179). Service and self-employed patients accounted for 34.64%(62/179) and 23.46%(42/179) respectively. The rate of sexual intercourse with opposite sex was 98.32%(176/179), the rate of men who have sex with men was 1.68%(3/179) and the rate of having more than two sexual partners was 27.93%(50/179). The rate of sexual intercourse between temporary partners, spouses/fixed partners and commercial partners were 53.07%(95/179), 37.99%(68/179) and 8.94%(16/179) respectively. Recent sexual activity had lower condom use rate, 17.89%(17/95), 19.12%(13/68) and 18.75%(3/16) respectively. The main ways for gonorrhea patients to make temporary partners were friend introductions or gatherings, accounting for 66.32%(63/95). Condom use in male patients was worse than that in female patients(OR=0.234, 95% CI: 0.084-0.656, P=0.006). Conclusions The patients with gonorrhea were mainly unmarried young adults. The main risk behaviors were unprotected behaviors between heterosexual temporary and spouse/fixed sexual partners. The condom use consciousness was generally low. The promotion of safe sex education for young adults should be further strengthened, with special attention to the use of condoms for temporary sexual behavior and spouse/fixed sexual intercourse.
- Gonorrhea /
- Sexual behavior /
- Sexual partner /
- Condom

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表 1 安全套使用情况影响因素的单因素分析[n (%)]

Table 1. Univariate analysis of influencing factors of condom use [n (%)]

变量	使用安全套	未使用安全套	χ²值	P值
性别			9.436	0.002
男	24(72.73)	134(91.78)
女	9(27.27)	12(8.22)
年龄(岁)			3.661	0.056
≤40	32(96.97)	133(91.10)
>40	1(3.03)	13(8.90)
婚姻状况			11.914	0.008
离婚/未婚/丧偶	18(54.55)	81(55.48)
已婚	15(45.45)	65(44.52)
文化程度			3.745	0.054
小学及以下	10(30.30)	83(56.85)
初中	17(51.52)	37(25.34)
高中及以上	6(18.18)	26(17.81)
近1个月性伴数(人)			2.840	0.094
1	20(60.61)	109(74.66)
≥2	13(39.39)	37(25.34)

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表 2 安全套使用情况影响因素的多因素Logistic回归分析模型分析结果

Table 2. Analysis results of multifactor Logistic regression analysis model of influencing factors of condom use

变量	β值	s_x	Wald/χ²值	P值	OR(95% CI)值
性别	-1.452	0.526	7.624	0.006	0.234(0.084~0.656)
年龄	0.010	0.836	< 0.001	0.990	1.010(0.196~5.203)
婚姻状况	-0.082	0.415	0.040	0.842	0.921(0.408~2.075)
文化程度	0.364	0.535	0.462	0.496	1.439(0.504~4.109)
近1个月性伴数	0.643	0.425	2.287	0.130	1.902(0.827~4.375)

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表 3 临时性行为安全套使用情况影响因素的单因素分析[n (%)]

Table 3. Univariate analysis of influencing factors of condom use in temporary behavioral behavior [n (%)]

变量	使用安全套	未使用安全套	χ²值	P值
性别			7.923	0.051
男	13(76.47)	75(96.15)
女	4(23.53)	3(3.85)
年龄(岁)			0.910	0.340
≤40	17(100.00)	74(94.87)
>40	0.00	4(5.13)
婚姻状况			7.964	0.067
离婚/未婚/丧偶	11(64.71)	53(67.95)
已婚	6(35.29)	25(32.05)
文化程度			9.475	0.092
小学及以下	4(23.53)	31(39.74)
初中	9(52.94)	29(37.18)
高中及以上	4(23.53)	18(23.08)
近1个月性伴数(人)			8.840	0.078
1	9(52.94)	50(64.10)
≥2	8(47.06)	28(35.90)

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表 4 临时性行为安全套使用情况影响因素的多因素Logistic回归分析模型分析结果

Table 4. Analysis results of multiple Logistic regression analysis model of the influencing factors of condom use in temporary behavior

变量	β值	s_x	Wald/χ²值	P值	OR(95% CI)值
性别	-2.100	0.895	5.504	0.019	0.122(0.021~0.708)
婚姻状况	0.048	0.640	0.006	0.941	1.049(0.299~3.679)
文化程度	0.350	0.662	0.280	0.597	1.419(0.388~5.193)
近1个月性伴数	0.059	0.656	0.008	0.928	1.061(0.293~3.842)

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