性病門診患者的感染源和求醫(yī)行為特征分析

1、網(wǎng)址：第1頁，共13頁性病門診患者的感染源和求醫(yī)行為特征分析性病門診患者的感染源和求醫(yī)行為特征分析中華皮膚科雜志1998年第3期第31卷論著作者：錢漢竹廖明敏趙鵬飛單位：200032上海，上海市計劃生育科學研究所生殖健康中心關(guān)鍵詞：性??；傳染源；求醫(yī)行為【摘要】目的探討性病患者的感染源、求醫(yī)和防病等行為特征。方法對上海市3個性病門診的474例患者進行了問卷調(diào)查和深入訪談。結(jié)果發(fā)現(xiàn)94.1%的性病是通過性接觸而感染，70.3%的已婚女性把

2、感染源歸咎于其丈夫，而80%以上的已婚男性和未婚男女從臨時性伴和賣淫嫖娼途徑感染上性病。供銷員、服務員、個體經(jīng)營者和無業(yè)人員等職業(yè)人群易從非婚性接觸感染性病，且避孕套使用率低。74.5%因為有了癥狀才求醫(yī)；分別只有82.7%、62.2%、57.1%和30.0%性病患者表示會鼓勵其配偶、同居者、暗娼和臨時性伴就診作性病檢測；雖然女性患者的求醫(yī)行為較為積極，但性病患者整體上治病不及時，男女同治率低，避孕套使用率低。在賣淫嫖娼者中，避孕套使用

3、率不到4.2%，即使知道感染性病后使用率也只有9.7%左右。結(jié)論對性病患者應加強咨詢和健康教育，減少性伴數(shù)和慎重選擇性伴，堅持正確地使用避孕套，鼓勵男女同治，提高防病意識，接受健康的生活方式。AnalysisofInfectionSourcesCareseekingBehaviouramongSTDClinicClientsQianHanzhuLiaoMingminZhaoPengfei.ReproductiveHealthCentre

4、ShanghaiInstituteofPlannedParenthoodResearchShanghai200032【Abstract】ObjectiveToundersttheinfectionsourcescareseekingbehaviourSTDpreventioninSTDclinicpatients.MethodsFourhundredseventyfourpatientsof3STDclinicsinShanghaiwe

5、reinvestigatedwithquestionairesinterviewed.Results94.1%respondentscontractedSTDsviasexualcontact.70.3%marriedfemalesattributedtheirinfectionsourcetotheirhusbswhilemethan80%malesunmarriedpatientswereinfectedthroughcasualc

6、ommercialsexpartners.HighriskpopulationswereobservedamongsalesclerkshotelattendantsprivatebusinessmenunemployedwhowereliabletocontractSTDthroughextramaritalsexualcontacthadalowrateofcondomuse.74.5%ofpatientswhovisitedthe

7、clinicsaftertheirsymptomshadappeared.82.7%62.2%57.1%30.0%ofpatientswhosesexpartnersweretheirspousesloverscommercialsexwkerscasualpartnersrespectivelypromisedtoencouragetheirpartnersfSTDcheckup.Althoughthecareseekingbehav

8、iouramongfemaleswasslightlymeactivethanthatamongmalespostponedtreatmentseekingbehaviourlowrateofsimultaneoustreatmentofbothmalefemalepartnerslowrateofcondomusewereobservedamongtotalpatients.Majityofpatientspractisedunpro

9、tectedsexualintercourse4.2%usedcondomincommercialsexualactivitiesonly9.7%usedcondomevenafterhavingcontractedthepresentSTDs.ConclusionItisimpliedthatcounsellinghealtheducationmustbestrengthenedinSTDclinicsaimingatimprovin