Valle S L
Department of Dermatology, University of Helsinki, Finland.
Scand J Infect Dis. 1988;20(2):153-61. doi: 10.3109/00365548809032432.
High rates of sexually transmitted diseases (STDs) were recorded among 235 homosexually active men at the start of a prospective follow-up study in June 1983 in Finland. The vast majority (88.5%) reported at least one STD, the most common of them being pubic lice (64.7%) followed by gonorrhoea (42.9%) and non-gonococcal urethritis (26.4%). Those 31 (13.2%) who were seropositive for HIV at the end of the study, had experienced more episodes of STDs than the seronegative individuals (p = 0.0027). Nine HIV seroconversions were noted during the follow-up of 5-40 months, all in individuals who had practised "unsafe" sex. The study participants were repeatedly given detailed advice for avoiding HIV infection, and a tendency towards "safer" sexual practises resulting in a decrease in incidence of most STDs, was noted during the course of the study. However, further spread of HIV is to be expected because 57% of the men still reported practising and sex at the end of the follow-up, and 42% of them without condoms.
1983年6月在芬兰开展一项前瞻性随访研究之初，对235名有同性恋行为的男性进行了性传播疾病（STD）高感染率记录。绝大多数人（88.5%）报告至少患过一种性传播疾病，其中最常见的是阴虱（64.7%），其次是淋病（42.9%）和非淋菌性尿道炎（26.4%）。在研究结束时，31名（13.2%）HIV血清反应呈阳性的人比血清反应阴性的人经历了更多次性传播疾病发作（p = 0.0027）。在5至40个月的随访期间，发现9例HIV血清转化，均发生在有“不安全”性行为的个体中。研究参与者多次得到关于避免感染HIV的详细建议，并且在研究过程中注意到一种导致大多数性传播疾病发病率下降的“更安全”性行为倾向。然而，由于57%的男性在随访结束时仍报告有肛交行为，且其中42%的人不使用避孕套，预计HIV会进一步传播。
