Ross J D C, Tariq A, Ghanem M, Gilleran G
Whittall Street Clinic, Whittall Street, Birmingham B4 6DH, UK.
Sex Transm Infect. 2003 Apr;79(2):119-23. doi: 10.1136/sti.79.2.119.
Grouping patients by self assigned ethnicity may hide intraethnic differences in disease associations and sexual behaviour patterns. The aim of the study was to detect associations between gonorrhoea with differences in ancestry, degree of acculturation, and religious belief in young black Caribbean men, which could subsequently be used to target health promotion interventions.
A questionnaire based case-control study of black Caribbean men with gonorrhoea and a community control group without gonorrhoea.
A lesser degree of acculturation, attending a single sex school, increasing numbers of partners, lack of condom use, not being married, and a belief that sex before marriage was not wrong were associated with an increased risk of gonorrhoea. Country of birth and religious belief were not associated with gonorrhoea.
A number of factors were identified which may be useful in designing healthcare interventions in young black Caribbean men and these differed little from those in other ethnic groups. The healthcare intervention should include advice on reducing the number of partners and increasing the use of condoms.
按自我认定的种族对患者进行分组可能会掩盖种族内部在疾病关联和性行为模式方面的差异。本研究的目的是检测加勒比黑人青年男性中淋病与祖先差异、文化适应程度和宗教信仰之间的关联，这些关联随后可用于针对性的健康促进干预措施。
对患有淋病的加勒比黑人男性和没有淋病的社区对照组进行基于问卷的病例对照研究。
文化适应程度较低、就读于单性别学校、性伴侣数量增加、不使用避孕套、未婚以及认为婚前性行为没有错与淋病风险增加相关。出生国家和宗教信仰与淋病无关。
确定了一些可能有助于为加勒比黑人青年男性设计医疗保健干预措施的因素，这些因素与其他种族群体的因素差异不大。医疗保健干预措施应包括关于减少性伴侣数量和增加避孕套使用的建议。
