Carey Michael P, Ravi V, Chandra Prabha S, Desai Anita, Neal Dan J
Center for Health and Behavior, Syracuse University, NY 13244-2340, USA.
Drug Alcohol Depend. 2006 Apr 28;82(2):127-34. doi: 10.1016/j.drugalcdep.2005.08.015. Epub 2005 Sep 22.
To estimate the lifetime prevalence of four sexually transmitted infections (STIs) and to identify correlates of these infections among patients seeking care for a substance use disorder at a specialized DeAddictions Unit in southern India.
Consecutive inpatients (n=361; 98% male; M age=36.7 years) admitted to DeAddictions Unit of the National Institute of Mental Health and Neuro Sciences in Bangalore, India, participated in a structured interview to obtain demographic, psychiatric, sexual behavior, and substance use data; each patient also provided a blood sample for serologic testing for HIV, chlamydia, syphilis, and hepatitis B.
One-quarter of all patients tested positive for at least one STI. Lifetime seroprevalence rates were 12.9% for syphilis, 10.3% for chlamydia, 3.1% for hepatitis B, and 1.1% for HIV. Analyses did not reveal any consistent pattern of associations between STI status and sociodemographic, psychiatric, and sexual behavioral characteristics.
All patients should receive a comprehensive sexual assessment during standard care; for those patients who report risky sexual practices, we recommend voluntary counseling and testing for STIs. Although we do not recommend universal testing for STIs at this time, this should be revisited based upon national surveillance data.
评估四种性传播感染（STIs）的终生患病率，并确定在印度南部一家专门的戒毒单位寻求物质使用障碍治疗的患者中这些感染的相关因素。
印度班加罗尔国家心理健康和神经科学研究所戒毒科连续收治的住院患者（n = 361；98%为男性；平均年龄 = 36.7岁）参与了一项结构化访谈，以获取人口统计学、精神病学、性行为和物质使用数据；每位患者还提供了一份血样，用于检测HIV、衣原体、梅毒和乙型肝炎的血清学检测。
所有患者中有四分之一至少一种性传播感染检测呈阳性。梅毒的终生血清阳性率为12.9%，衣原体为10.3%，乙型肝炎为3.1%，HIV为1.1%。分析未发现性传播感染状况与社会人口统计学、精神病学和性行为特征之间存在任何一致的关联模式。
所有患者在标准护理期间都应接受全面的性评估；对于那些报告有危险性行为的患者，我们建议进行性传播感染的自愿咨询和检测。尽管我们目前不建议对性传播感染进行普遍检测，但应根据国家监测数据重新审视这一建议。
