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性传播疾病(STDs)知识的缺乏:对越南城市皮肤科患者 STD 预防和护理的影响。

Lack of Knowledge about Sexually Transmitted Diseases (STDs): Implications for STDs Prevention and Care among Dermatology Patients in an Urban City in Vietnam.

机构信息

National Hospital of Dermatology and Venereology, Hanoi 100000, Vietnam.

Department of Dermatology and Venereology, Hanoi Medical University, Hanoi 100000, Vietnam.

出版信息

Int J Environ Res Public Health. 2019 Mar 26;16(6):1080. doi: 10.3390/ijerph16061080.

Abstract

Sexually transmitted diseases (STDs) are a substantial global burden of diseases, especially in developing countries. Lack of awareness of STDs may lead to a delay in treatment. This study aimed to assess knowledge about STDs and the associated factors among dermatological patients. A cross-sectional study was conducted among 622 patients at Vietnam National Hospital of Dermatology and Venereology (NHD). Structured questionnaires were used to investigate the knowledge about STDs. A multivariate Tobit regression was employed to determine factors associated with knowledge about STDs. The percentage of patients knowing that syphilis was an STD was highest (57.8%), followed by herpes warts (57.7%) and HIV/AIDS (57.4%). By contrast, 26.6% and 17.2% of patients knew that chlamydia and hepatitis C were STDs. The most commonly stated symptom of STDs was purulent genital (53.5%). Nearly two-thirds of participants were aware of the curability of STDs, and 34.7% knew about vaccines for STDs. Living with partners, young age, and acquired knowledge of STDs via the Internet, social networks, and health staff were positively related to having better knowledge about STDs. Based on the results of this study, peer education, informal conversations within clusters, mass community campaigns through the Internet and social networks, and the use of online health care providers should be promoted in order to improve awareness of STDs.

摘要

性传播疾病(STDs)是全球重大疾病负担之一,尤其在发展中国家。缺乏对 STDs 的认识可能导致治疗延误。本研究旨在评估皮肤科患者对 STDs 的认识及其相关因素。在越南国家皮肤病和性病医院(NHD)进行了一项横断面研究,共纳入 622 名患者。采用结构化问卷调查 STDs 相关知识。采用多变量 Tobit 回归确定与 STDs 知识相关的因素。知道梅毒是 STD 的患者比例最高(57.8%),其次是疱疹疣(57.7%)和 HIV/AIDS(57.4%)。相比之下,26.6%和 17.2%的患者知道衣原体和丙型肝炎是 STDs。最常提到的 STDs 症状是脓性生殖器(53.5%)。近三分之二的参与者意识到 STDs 的可治愈性,34.7%知道 STDs 的疫苗。与伴侣一起生活、年龄较小、通过互联网、社交网络和卫生人员获得 STDs 知识与对 STDs 的更好认识呈正相关。基于本研究的结果,应推广同伴教育、集群内的非正式对话、通过互联网和社交网络进行大众社区宣传活动以及使用在线医疗保健提供者,以提高对 STDs 的认识。

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