Mor Z, Gefen D, Linhart Y, Amitai Z S, Dan M, Shohat T
Tel-Aviv Department of Health, Ministry of Health, E Wolfson Medical Centre, Holon, Israel.
Int J STD AIDS. 2011 May;22(5):251-5. doi: 10.1258/ijsa.2009.009202.
The incidence of Neisseria gonorrhoeae (NG) in Tel-Aviv district, Israel has increased since the mid-1990s. This study aimed to address behavioural attributes and identify the sources of NG infection. Of 1234 NG cases in men reported between 2000 and 2004, 379 (31%) were interviewed. Most were single, heterosexual and Israeli-born. Insertive oral sex (OS) was reported by 77% patients and vaginal intercourse by 69%, where condoms were used by 4% and 40% for these practices, respectively. Unprotected OS was performed by 95% of the 151 men involved in protected vaginal sex. OS was the most common practice among the younger age group, and in sexual contacts with casual partners or commercial sex workers (CSWs): behaviours that were reported by 37% and 36% of patients, respectively. Unprotected OS is a common route for NG transmission, and it is suggested that the rise in NG may be attributed to unprotected OS with casual partners or CSWs.
自20世纪90年代中期以来，以色列特拉维夫地区淋病奈瑟菌（NG）的发病率有所上升。本研究旨在探讨行为特征并确定NG感染的来源。在2000年至2004年间报告的1234例男性NG病例中，对379例（31%）进行了访谈。大多数患者为单身、异性恋且出生于以色列。77%的患者报告有插入式口交（OS），69%的患者报告有阴道性交，其中这些行为使用避孕套的比例分别为4%和40%。在151名有保护措施的阴道性交男性中，95%的人有无保护措施的口交行为。口交是年轻年龄组中最常见的行为，在与临时伴侣或商业性工作者（CSW）的性接触中也是如此：分别有37%和36%的患者报告有这些行为。无保护措施的口交是NG传播的常见途径，并且有人认为NG发病率的上升可能归因于与临时伴侣或商业性工作者进行的无保护措施口交。
