Saxton Peter J W, Hughes Anthony J, Robinson Elizabeth M
New Zealand AIDS Foundation, Auckland, New Zealand.
N Z Med J. 2002 Jul 26;115(1158):U106.
To investigate the lifetime self-reported incidence of sexually transmitted diseases and hepatitis A, B and C in a national sample of men who have sex with men (MSM) in New Zealand.
A national telephone survey of MSM was conducted in 1996 with the aim of collecting baseline information on the sexual behaviour, safe sex practices, socio-sexual milieu and HIV knowledge of a broad range of MSM.
Of the 1852 respondents, 37.1% reported a lifetime history of sexually transmitted diseases (STDs), 7.0% reported hepatitis A, 8.0% hepatitis B and 1.8% hepatitis C. A quarter (26.2%) had been for a sexual health check-up or treatment in the year prior to survey. Logistic regression analysis revealed independent associations with STD history (older age, higher number of lifetime partners, seeking partners in public venues, tested HIV positive), HAV (older age, higher number of lifetime partners, use of sex venues, tested HIV positive), HBV (older age, seeking partners in public venues, tested HIV positive), HCV (lower income, recent injecting drug use, tested HIV positive).
This is the first time that information on STDs and hepatitis among a large national sample of MSM has been collected in New Zealand. The findings corroborate previous evidence that MSM are disproportionately affected by sexually transmitted infections other than HIV.
调查新西兰男男性行为者（MSM）全国样本中终身自我报告的性传播疾病以及甲型、乙型和丙型肝炎的发病率。
1996年对MSM进行了一次全国性电话调查，目的是收集广泛MSM群体的性行为、安全性行为、社会性行为环境及艾滋病毒知识的基线信息。
在1852名受访者中，37.1%报告有终身性传播疾病（STD）病史，7.0%报告有甲型肝炎，8.0%报告有乙型肝炎，1.8%报告有丙型肝炎。四分之一（26.2%）的人在调查前一年进行过性健康检查或治疗。逻辑回归分析显示，与性传播疾病病史（年龄较大、终身性伴侣数量较多、在公共场所寻找性伴侣、艾滋病毒检测呈阳性）、甲型肝炎（年龄较大、终身性伴侣数量较多、使用性场所、艾滋病毒检测呈阳性）、乙型肝炎（年龄较大、在公共场所寻找性伴侣、艾滋病毒检测呈阳性）、丙型肝炎（收入较低、近期注射吸毒、艾滋病毒检测呈阳性）存在独立关联。
这是新西兰首次在大量MSM全国样本中收集性传播疾病和肝炎相关信息。研究结果证实了先前的证据，即MSM受艾滋病毒以外的性传播感染影响的比例过高。
