Nguyen Minh, Le Giang M, Nguyen Hanh T T, Nguyen Hinh Duc, Klausner Jeffrey D
Department of Epidemiology, Institute of Preventive Medicine and Public Health, Hanoi Medical University, No. 1 Ton That Tung, Dong Da District, Hanoi, Vietnam; and Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, 135 Dauer Drive, Chapel Hill, NC 27599, USA; and Corresponding author. Email:
Department of Epidemiology, Institute of Preventive Medicine and Public Health, Hanoi Medical University, No. 1 Ton That Tung, Dong Da District, Hanoi, Vietnam.
Sex Health. 2019 Apr;16(2):133-138. doi: 10.1071/SH18041.
Background Vietnam currently has no antenatal screening program for curable sexually transmissible infections (STIs). The aim of this study was to determine the prevalence of curable STIs, correlates of infections and assess the acceptability and feasibility of antenatal STI screening in Hanoi, Vietnam.
A study involving 800 pregnant women visiting Ha Dong Hospital in Hanoi, Vietnam from June 2016 to July 2017, was conducted. Participants provided either a self-collected vaginal swab or urine sample to be screened for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Trichomonas vaginalis (TV).
The prevalence of CT, NG and TV was 6.0% (95%CI: 4.5-7.9%), 0.13 (95%CI: 0.003-0.7%) and 0.8% (95%CI: 0.16-2.2%) respectively. CT infection was significantly associated with being <25 years and not being married to last sex partners at the multivariable level. Acceptability and feasibility were high, with 99.5% of eligible women consenting to testing, and 96% of infected women getting treatment. Most women considered STI screening during pregnancy to be important and were willing to notify their sex partners if they were infected.
CT was the most common curable STI among pregnant women in Hanoi, Vietnam. Antenatal screening of curable STIs was highly acceptable and feasible in this population.
背景 越南目前没有针对可治愈性传播感染（STIs）的产前筛查项目。本研究的目的是确定可治愈性传播感染的患病率、感染的相关因素，并评估越南河内产前性传播感染筛查的可接受性和可行性。
开展了一项研究，纳入了2016年6月至2017年7月期间在越南河内河东医院就诊的800名孕妇。参与者提供自行采集的阴道拭子或尿液样本，以筛查沙眼衣原体（CT）、淋病奈瑟菌（NG）和阴道毛滴虫（TV）。
CT、NG和TV的患病率分别为6.0%（可信区间95%：4.5-7.9%）、0.13（可信区间95%：0.003-0.7%）和0.8%（可信区间95%：0.16-2.2%）。在多变量分析中，CT感染与年龄小于25岁以及未与最后一次性伴侣结婚显著相关。可接受性和可行性较高，99.5%的符合条件的女性同意检测，96%的感染女性接受了治疗。大多数女性认为孕期性传播感染筛查很重要，并且如果她们被感染，愿意通知其性伴侣。
CT是越南河内孕妇中最常见的可治愈性传播感染。在该人群中，产前筛查可治愈性传播感染具有高度可接受性和可行性。
