Ni Yang, Liu Hengan, Gong Ruijie, Shi Mei, Zhang Shuxian, Wang Suping, Cai Yong
Shanghai Skin Disease Hospital, Shanghai, 200443, China.
School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
BMC Public Health. 2021 Jan 15;21(1):141. doi: 10.1186/s12889-021-10186-0.
Sexual compulsivity (SC) and its relationship with unprotected intercourse (UI) have long been an intriguing topic, but its existential meaning in the management of public health or, more precisely, sexually transmitted infections (STIs) has rarely been studied to date. This study examines whether SC plays a role in UI among sexually active STI patients.
A cross-sectional study was conducted in two sexual transmitted disease (STD) clinicals of Shanghai Skin Diseases Hospital in Shanghai. Totally 664 sexually active STI patients were included.
The ages of the 664 participants ranged from 18 to 76 years, with 58.73% between 26 and 40 years old. 449 (191 male and 258 female) reported had UI during the past 6 months. Although the only statistically significant difference (p < 0.01) was in relation to UI with a casual sexual partner, the difference between male/female and regular/casual sexual partners remained evident.
SC is evidently a potential predictor of UI with a casual sexual partner in male STI patients, while the use of condoms is more likely to be affected by other factors. In addition to general sexual education, counseling interventions should be provided by health institutions, and specific intervention methods targeting gender and sexual partners should be considered.
性强迫行为（SC）及其与无保护性行为（UI）的关系长期以来一直是一个引人关注的话题，但迄今为止，其在公共卫生管理，更确切地说是性传播感染（STIs）管理中的实际意义鲜有研究。本研究旨在探讨性强迫行为是否在性活跃的性传播感染患者的无保护性行为中起作用。
在上海皮肤病医院的两家性传播疾病（STD）诊所进行了一项横断面研究。共纳入664名性活跃的性传播感染患者。
664名参与者的年龄在18至76岁之间，其中58.73%在26至40岁之间。449人（191名男性和258名女性）报告在过去6个月中有过无保护性行为。虽然唯一具有统计学意义的差异（p < 0.01）与和临时性伴侣发生无保护性行为有关，但男性/女性以及固定/临时性伴侣之间的差异仍然明显。
性强迫行为显然是男性性传播感染患者与临时性伴侣发生无保护性行为的一个潜在预测因素，而使用避孕套的情况更可能受到其他因素的影响。除了一般性健康教育外，卫生机构应提供咨询干预，并应考虑针对性别和性伴侣的具体干预方法。
