Dermatology and Venereology, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Sex Transm Infect. 2018 Sep;94(6):401-405. doi: 10.1136/sextrans-2017-053229. Epub 2018 Jan 6.
OBJECTIVES: We aimed to investigate how an infection with (CT) influenced patients' well-being and whether there were differences due to gender, age or relationship status, in an effort to strengthen preventive measures and provide better healthcare for patients with CT. METHODS: Patients diagnosed with CT in the county of Västerbotten, Sweden, were asked to fill out a questionnaire about their feelings, thoughts and actions after CT diagnosis. The patients were also asked to fill in the validated questionnaires Hospital Anxiety and Depression Scale and Alcohol Use Disorder Identification Test. Between February 2015 and January 2017, 128 patients (74 women and 54 men) were included in the study. RESULTS: After being diagnosed with CT, men were generally less worried than women (P<0.001). Women worried more about not being able to have children (P<0.001) and about having other STIs (P=0.001) than men did. Men felt less angry (P=0.001), less bad (P<0.001), less dirty (P<0.001) and less embarrassed (P=0.011) than women did. Nineteen per cent of men and 48% of women reported symptoms of anxiety. The majority of both men (60%) and women (72%) had a risk consumption of alcohol. CONCLUSION: Women and men reacted differently when diagnosed with CT. Women worried more about complications and more often blamed themselves for being infected. Being aware of these gender differences may be important when planning preventive measures and during counselling of CT-infected patients. Persons working with patients with CT must also be aware of the high frequency of harmful alcohol consumption among their patients.
目的:本研究旨在探讨 (CT) 感染如何影响患者的健康福祉,以及性别、年龄和婚姻状况是否存在差异,以期加强预防措施并为 CT 患者提供更好的医疗服务。
方法:在瑞典韦斯特博滕县被诊断为 CT 的患者被要求填写一份关于他们在 CT 诊断后感受、想法和行为的问卷。这些患者还被要求填写经过验证的医院焦虑和抑郁量表和酒精使用障碍识别测试。2015 年 2 月至 2017 年 1 月期间,共有 128 名患者(74 名女性和 54 名男性)纳入本研究。
结果:男性在被诊断为 CT 后通常比女性的担忧程度更低(P<0.001)。女性比男性更担心无法生育(P<0.001)和感染其他性传播感染(P=0.001)。男性感到愤怒(P=0.001)、心情不好(P<0.001)、感觉不洁(P<0.001)和尴尬(P=0.011)的程度均低于女性。19%的男性和 48%的女性报告出现焦虑症状。大多数男性(60%)和女性(72%)都有危险的酒精摄入。
结论:女性和男性在被诊断为 CT 后表现出不同的反应。女性更担心并发症,更经常自责感染。当规划预防措施和对 CT 感染患者进行咨询时,了解这些性别差异可能很重要。处理 CT 患者的人员还必须意识到他们的患者中存在高频率的有害酒精消费。
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