印度南部城市地区性传播感染患病率及生殖器症状的性别差异
Gender differences in the prevalence of sexually transmitted infections and genital symptoms in an urban setting in southern India.
作者信息
Panchanadeswaran S, Johnson S C, Mayer K H, Srikrishnan A K, Sivaran S, Zelaya C E, Go V F, Solomon S, Bentley M E, Celentano D D
机构信息
Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA.
出版信息
Sex Transm Infect. 2006 Dec;82(6):491-5. doi: 10.1136/sti.2006.020768. Epub 2006 Jun 6.
OBJECTIVES
To examine gender differences in sexual behaviour, the prevalence of laboratory-detected sexually transmitted infections (STIs) and self-reported genital symptoms in urban Chennai, Tamil Nadu, India.
STUDY DESIGN
The data were based on a cross-sectional survey (n = 1649) of residents from low-income communities in Chennai. Data were collected during community-wide health camps comprising physical examinations, interviews and laboratory testing between March and June 2001.
RESULTS
The population was young, sexually active, with a low prevalence of STI. The most commonly detected STI was Herpes simplex virus type 2 (HSV2; 13.2%). Women had a higher prevalence of HSV2, but were more likely than men to be asymptomatic. Most of the self-reported genital symptoms could not be linked to a laboratory-detected STI. >10% of the cohort had a history of an ulcerative STI and >5% had an inflammatory STI.
CONCLUSIONS
Given a high prevalence of HSV2 in the study population, interventions targeting HSV2 transmission may be particularly relevant for this population.
目的
研究印度泰米尔纳德邦金奈市城市地区性行为中的性别差异、实验室检测出的性传播感染（STIs）患病率以及自我报告的生殖器症状。
研究设计
数据基于对金奈市低收入社区居民的一项横断面调查（n = 1649）。2001年3月至6月期间，在全社区健康营中收集数据，包括体格检查、访谈和实验室检测。
结果
研究人群年轻且性活跃，性传播感染患病率较低。最常检测出的性传播感染是2型单纯疱疹病毒（HSV2；13.2%）。女性HSV2患病率较高，但比男性更易无症状。大多数自我报告的生殖器症状与实验室检测出的性传播感染无关。队列中超过10%有溃疡性性传播感染病史，超过5%有炎性性传播感染病史。
结论
鉴于研究人群中HSV2患病率较高，针对HSV2传播的干预措施可能对此人群尤为重要。
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