Nandi A K, Hossain K J, Islam A S
Dr Ashim Kumar Nandi, Assistant Professor, Department of Skin and Venereal Disease, Mymensingh Medical College, Mymensingh, Bangladesh; E-mail:
Mymensingh Med J. 2017 Jan;26(1):21-28.
Sexually transmitted diseases (STDs) are increasing alarmingly with time among the young-adults in Bangladesh. The objective of the study was to investigate Sexual lifestyle, Risk Factors and Socioeconomic Status of the STD Patients. A total of 205 STD patients were selected following convenient method of sampling consistent with defined selection criteria from outpatient department of Skin and Venereal Disease of Mymensingh Medical College Hospital, Mymensingh. Period of data collection was from July 2014 to June 2015. The research instrument was an interviewer questionnaire and laboratory investigation reports. Results showed that the mean age of the respondents was 27±5.9 years of which 104(50.7%) unmarried and 95(46.3%) married. Level of education, 168(82.0%) of the STD patients were literate. Occupation of the STD patients, 201(98.0%) had specific occupation of which 74(36.1%) were businessmen, 48(23.4%) student, 24(11.7%) technical jobs, 20(9.8%) day labourer, 15(7.3%) household workers, 14(6.8%) service holders and 6(2.9%) were transport workers. Their average monthly income was Tk. 7892±6763. Majority of the STD patients 115((56.1%) expressed that they enjoyed extra-marital sex or illegal sex out of curiosity, 32(15.6%) habitual, 24(11.7%) to test sexual performance, 18(8.8%) inadequate response of the legal sex partners, 8(3.9%) hyper-sexuality and 8(3.9%) family disharmony. Most of the patients 200(97.6%) were heterosexual of which 165(80.5%) visited 1-10 sex partners, 18(8.8%) 11-20 sex partners and 22(10.7%) visited 21-100 sex partners in lifetime. In category of sex partners, 60(29.3%) were hotel-based sex partners, 111(54.1%) brothel-based, 20(9.8%) friends sex partners, 10(4.9%) street sex sellers and 4(2.0%) were residential sex partners respectively. Of them, 132(64.4%) did not use condom during sex, 65(31.7%) use it occasionally and only 8(3.9%) use condom regularly. Most of them 170((82.8%) had been suffering from gonococcal urethritis, 19(9.3%) non-gonococcal urethritis, 12(5.9%) genital herpes, and rest other specific infections. STDs were significantly (p<0.05) associated with category of sex partners and use of condom. Altering sexual lifestyle is still the only applicable way to stop this human catastrophe.
在孟加拉国，性传播疾病（STDs）在年轻人中随着时间的推移正以惊人的速度增加。该研究的目的是调查性传播疾病患者的性生活方式、风险因素和社会经济状况。采用方便抽样的方法，从迈门辛医学院医院皮肤性病科门诊选取了符合既定选择标准的205名性传播疾病患者，迈门辛。数据收集时间为2014年7月至2015年6月。研究工具为访谈问卷和实验室调查报告。结果显示，受访者的平均年龄为27±5.9岁，其中104人（50.7%）未婚，95人（46.3%）已婚。教育程度方面，168名（82.0%）性传播疾病患者识字。性传播疾病患者的职业方面，201人（98.0%）有特定职业，其中74人（36.1%）是商人，48人（23.4%）是学生，24人（11.7%）从事技术工作，20人（9.8%）是日工，15人（7.3%）是家政工人，14人（6.8%）是服务人员，6人（2.9%）是运输工人。他们的平均月收入为7892±6763塔卡。大多数性传播疾病患者115人（56.1%）表示他们出于好奇进行婚外性行为或非法性行为，32人（15.6%）是习惯性的，24人（11.7%）是为了测试性能力，18人（8.8%）是合法性伴侣反应不足，8人（3.9%）是性欲亢进，8人（3.9%）是家庭不和。大多数患者200人（97.6%）是异性恋，其中165人（80.5%）一生中与1 - 10个性伴侣有过性接触，18人（8.8%）与11 - 20个性伴侣有过性接触，22人（10.7%）与21 - 100个性伴侣有过性接触。在性伴侣类别中，60人（29.3%）是酒店性伴侣，111人（54.1%）是妓院性伴侣，20人（9.8%）是朋友性伴侣，10人（4.9%）是街头性工作者，4人（2.0%）是同居性伴侣。其中，132人（64.4%）在性行为时不使用避孕套，65人（31.7%）偶尔使用，只有8人（3.9%）经常使用避孕套。他们中的大多数170人（82.8%）患有淋菌性尿道炎，19人（9.3%）患有非淋菌性尿道炎，12人（5.9%）患有生殖器疱疹，其余为其他特定感染。性传播疾病与性伴侣类别和避孕套的使用显著相关（p<0.05）。改变性生活方式仍然是阻止这场人类灾难的唯一可行方法。
