2009 - 2011年美国五个城市男男性行为者的梅毒自我及性伴检查情况
Examining self and partners for syphilis among men who have sex with men: five US cities, 2009-2011.
作者信息
Surie D, Furness B W, Hernandez-Kline P, Turner A, Perkins R C, Taylor M M, Brewer T, Workowski K, Gamerdinger K, Markowitz L E, Koumans E H
机构信息
Division of STD Prevention, National Center for HIV, Viral Hepatitis, STD and TB Prevention, CDC, Atlanta, GA, USA.
出版信息
Int J STD AIDS. 2012 Dec;23(12):859-61. doi: 10.1258/ijsa.2012.012016.
To increase self-examination for syphilis among men who have sex with men (MSM), we developed educational materials to increase knowledge of primary and secondary syphilis manifestations. Materials were piloted in five cities' infectious disease or MSM clinics. Self- and partner-examination behaviour was assessed with an anonymous questionnaire. Of 1459 participants, 914 men had had sex with a man in the previous three months; the 171 MSM who reported having read the materials were significantly more likely to examine themselves (anus, adjusted prevalence ratio [aPR] 1.3, 95% confidence interval [CI] 1.15-1.52), mouth, penis and skin, and their partners' anus (aPR 1.3, 95% CI 1.03-1.73) and mouth (aPR 1.6, 95% CI 1.1-2.26). Further research is needed to determine whether educational materials affect early detection and treatment of primary and secondary syphilis and reduce transmission.
为了提高男男性行为者（MSM）对梅毒的自我检测率，我们开发了教育材料，以增加对一期和二期梅毒表现的认识。这些材料在五个城市的传染病或MSM诊所进行了试点。通过一份匿名问卷对自我和性伴检测行为进行了评估。在1459名参与者中，914名男性在过去三个月内与男性发生过性行为；报告阅读过这些材料的171名MSM进行自我检测（肛门，调整患病率比[aPR]为1.3，95%置信区间[CI]为1.15 - 1.52）、口腔、阴茎和皮肤以及对其性伴肛门（aPR为1.3，95% CI为1.03 - 1.73）和口腔（aPR为1.6，95% CI为1.1 - 2.26）检测的可能性显著更高。需要进一步研究以确定教育材料是否会影响一期和二期梅毒的早期检测和治疗，并减少传播。
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