Bjekić M, Vlajinac H
Gradski zavod za kozne i venericne bolesti, 11000 Beograd, Dzordza Vasingtona 17.
Med Pregl. 2000 Nov-Dec;53(11-12):600-2.
Sexually transmitted diseases (STDs) comprise a large group of infections caused by different microorganisms including spirochetes, bacteria, chlamydia, mycoplasma, protozoa, fungi, parasites, and viruses. A considerable number of patients with sexually transmitted diseases are STD recurrences. As reported by Marijanović and Lalosević, in Belgrade, among patients who visited the City Department of Skin and Venereal Diseases, during 1985 and 1986 because of syphilis or gonorrhea, 22.8% had these diseases two or more times during their lives (male/female ratio 10:1). The aim of this study was to test the hypothesis that there is a relationship between alcohol use and recurrence of STD.
A case-control study was performed in Belgrade population, from June, 1997 to April, 1998. Participants were recruited among patients attending the City Department of Skin and venereal Diseases of Belgrade because of sexually transmitted diseases (syphilis, gonorrhea, nongonoccocal urethritis and genital warts). The case group comprised 101 patients who already had STD two or more times in their personal histories. The control group consisted of 210 patients treated at the same institution for micotic diseases, patients who either never had STD or had it only once (13% of controls) in their personal histories. All participants were men aged 20 to 50 years and all were from Belgrade. Data on demographic characteristics, sexual history and sexual behavior, and data on antisocial behavior were collected from all participants using an anonymous questionnaire. In the present paper only data on alcohol use are presented. In the analysis of data chi 2-test was used.
STD recurrence patients in comparison to their controls used alcohol more frequently (56.3%:16.1%), especially hard liquors, and 55.5% of them used alcohol at the time of STD infection.
In the present study STD recurrence patients consumed alcohol more frequently than their controls, especially hard liquors. In the study of Myliueva et al, 50% of venereal disease patients consumed alcohol now and then and 10% consumed alcohol frequently. Scheidt and Windle found that 60% of alcoholics had at least one sexually transmitted disease as the result of a high number of sexual partners, low use of condoms and practicing sex for drugs or money. Alcohol has a depressive effect on central nervous system, reduces anxiety and increases libido.
The obtained results support the hypothesis that alcohol use is related to recurrence of STDs.
性传播疾病（STD）由多种不同微生物引起，包括螺旋体、细菌、衣原体、支原体、原生动物、真菌、寄生虫和病毒。相当一部分性传播疾病患者会复发。据马里亚诺维奇和拉洛塞维奇报道，在贝尔格莱德，1985年至1986年期间因梅毒或淋病前往市皮肤性病科就诊的患者中，22.8%的人一生中患过两次或两次以上这些疾病（男女比例为10:1）。本研究的目的是检验饮酒与性传播疾病复发之间存在关联这一假设。
1997年6月至1998年4月在贝尔格莱德人群中进行了一项病例对照研究。研究对象从因性传播疾病（梅毒、淋病、非淋菌性尿道炎和尖锐湿疣）前往贝尔格莱德市皮肤性病科就诊的患者中招募。病例组包括101名个人病史中已患过两次或两次以上性传播疾病的患者。对照组由210名在同一机构接受真菌病治疗的患者组成，这些患者个人病史中从未患过性传播疾病或仅患过一次（占对照组的13%）。所有参与者均为年龄在20至50岁之间的男性，且均来自贝尔格莱德。使用匿名问卷从所有参与者收集人口统计学特征、性病史和性行为以及反社会行为的数据。在本文中仅呈现饮酒数据。数据分析采用卡方检验。
与对照组相比，性传播疾病复发患者饮酒更为频繁（56.3%:16.1%），尤其是烈性酒，其中55.5%的患者在感染性传播疾病时饮酒。
在本研究中，性传播疾病复发患者饮酒比对照组更为频繁，尤其是烈性酒。在米柳耶娃等人的研究中，50%的性病患者偶尔饮酒，10%的患者经常饮酒。谢伊特和温德尔发现，60%的酗酒者因性伴侣众多、避孕套使用率低以及为了毒品或金钱而进行性行为而至少患过一种性传播疾病。酒精对中枢神经系统有抑制作用，可减轻焦虑并增强性欲。
所获结果支持饮酒与性传播疾病复发有关这一假设。
