Kellock D J, Piercy H, Rogstad K E
Department of Genitourinary Medicine, Royal Hallamshire Hospital, Sheffield.
Sex Transm Infect. 1999 Feb;75(1):36-40. doi: 10.1136/sti.75.1.36.
To determine the level of awareness of genital chlamydial infection, and level of knowledge related to this infection, in genitourinary medicine (GUM) clinic attenders.
500 consecutive patients attending a GUM clinic for the first time during a 3 month study period were invited to complete an anonymous self administered questionnaire on aspects of chlamydial infection.
482 (96.4%) questionnaires were available for analysis (57% female). 289 (60%) respondents had heard of Chlamydia trachomatis compared with 472 (98%) for thrush, 467 (97%) for HIV/AIDS, and 434 (90%) for gonorrhoea. Subjective knowledge of chlamydia, relative to the other infections, was poor. Overall, the mean chlamydial knowledge score was 0.38 (range 0.0-1.0). Females scored significantly higher than males (0.45 v 0.26; p < 0.00001) and younger females scored significantly higher than older females (p = 0.001). More females had experienced genital chlamydial infection than males (22.4% v 12.1%, p = 0.004). Those with prior exposure to C trachomatis had higher mean knowledge scores than those without (males 0.55 v 0.25, p < 0.00001; females 0.68 v 0.37, p < 0.00001).
Even for a population considered as "high risk" by their attendance at a GUM clinic, there was poor awareness of genital chlamydial infection, and mean knowledge scores were low. Whether increased knowledge was due to successful health education at the time of diagnosis in those with previous infection remains to be determined. In the future, one would hope for increased knowledge scores in those at risk before the acquisition of infection, which may be achieved by national health education programmes for C trachomatis.
确定泌尿生殖医学（GUM）门诊就诊者对生殖系统衣原体感染的知晓程度以及与该感染相关的知识水平。
在为期3个月的研究期间，邀请连续500名首次前往GUM门诊就诊的患者填写一份关于衣原体感染各方面情况的匿名自填问卷。
共482份（96.4%）问卷可供分析（女性占57%）。289名（60%）受访者听说过沙眼衣原体，相比之下，472名（98%）听说过鹅口疮，467名（97%）听说过艾滋病毒/艾滋病，434名（90%）听说过淋病。与其他感染相比，对衣原体的主观认识较差。总体而言，衣原体知识平均得分是0.38（范围为0.0 - 1.）。女性得分显著高于男性（0.45对0.26；p < 0.00001），年轻女性得分显著高于年长女性（p = 0.001）。经历过生殖系统衣原体感染的女性多于男性（22.4%对12. /%，p = 0.004）。既往接触过沙眼衣原体者的平均知识得分高于未接触过者（男性0.55对0.25，p < 0.00001；女性0.68对0.37，p < 0.00001）。
即使对于因前往GUM门诊就诊而被视为“高危”的人群，对生殖系统衣原体感染的知晓程度也较差，知识平均得分较低。既往感染过的患者在诊断时知识增加是否归因于成功的健康教育仍有待确定。未来，人们希望在有感染风险者感染之前其知识得分有所提高，可以通过针对沙眼衣原体的国家健康教育计划来实现。
