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印度中东部地区一家三级医疗中心性传播感染门诊所有就诊病例中农村人口的综合征诊断、性行为及管理:一项回顾性研究。

Syndromic diagnosis, sexual behavior, and management in rural population among all cases attending sexually transmitted infection clinic in a tertiary care center from the east-central zone of India: A retrospective study.

作者信息

Singh Suvesh, Shahid Rashid, Pradhan Swetalina

机构信息

Department of Dermatology, All India Institute of Medical Sciences, Patna, Bihar, India.

出版信息

Indian J Sex Transm Dis AIDS. 2024 Jan-Jun;45(1):34-38. doi: 10.4103/ijstd.ijstd_34_23. Epub 2024 Jun 6.

DOI:10.4103/ijstd.ijstd_34_23
PMID:38989097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11233056/
Abstract

BACKGROUND

Rural population constitutes a significant population of our country. According to the regions, the sexual behavior and pattern of sexually transmitted infections (STIs) changes because of variation in health facilities, education, and sociocultural belief.

OBJECTIVE

To study the sociodemographic profile, sexual behavior, and pattern of STIs based on the syndromic approach in the rural population attending STIs clinic from the east-central zone of India.

MATERIALS AND METHODS

Between January 2020 and July 2022, a retrospective study was carried out in a STIs clinic at a tertiary care facility in India's east-central region. Data included demographics, clinical profiles (syndromic approach), and sexual behavior from all the rural population suffering from STIs. The data were corroborated using the proper statistical tools.

RESULTS

Seven hundred and twenty-two (63.6%) of the 1135 STI cases were from the rural population. The gender ratio was 17:1, with 333 (46.1%) patients between the ages of 20 and 30 years. Four hundred and ninety-four (68.4%) of the rural population had education qualifications below the 10 class. The predominant occupation was a homemaker (582; 80.6%). Drug abuse was noted in 13 (1.8%) cases. Lower abdominal pain was the most clinical manifestation seen in 441 (61%) cases, followed by vaginal discharge in 89 (12.3%) cases. The majority of the patients presented with the first episode of symptoms and had a single regular partner with no symptoms in a partner. In 22.9% of cases, the partner had a history of frequent travel. In 94.1% of cases, protective measures were not used.

CONCLUSIONS

Young married adults, female partners, lower education, and low-income classes were among those who had STIs, with frequent unprotected sexual activity. Lower abdominal pain is the most common symptom in this area.

摘要

背景

农村人口在我国占相当大的比例。根据地区不同,由于卫生设施、教育水平和社会文化观念的差异,性行为和性传播感染(STIs)模式也会有所变化。

目的

基于综合征方法,研究印度中东部地区农村地区性传播感染门诊就诊的农村人口的社会人口学特征、性行为和性传播感染模式。

材料与方法

2020年1月至2022年7月,在印度中东部地区一家三级医疗机构的性传播感染门诊进行了一项回顾性研究。数据包括所有患有性传播感染的农村人口的人口统计学、临床特征(综合征方法)和性行为。使用适当的统计工具对数据进行核实。

结果

1135例性传播感染病例中,722例(63.6%)来自农村人口。性别比为17:1,年龄在20至30岁之间的患者有333例(46.1%)。农村人口中有494例(68.4%)的教育程度低于10年级。主要职业是家庭主妇(582例;80.6%)。13例(1.8%)病例存在药物滥用情况。441例(占61%)病例中最常见的临床表现是下腹部疼痛,其次是89例(占12.3%)病例出现阴道分泌物。大多数患者为首次出现症状,且只有一个固定性伴侣,伴侣无症状。22.9%的病例中,伴侣有频繁旅行史。94.1%的病例未采取保护措施。

结论

患有性传播感染的人群包括年轻已婚成年人、女性伴侣、低教育程度和低收入阶层,且性行为频繁且无保护措施。下腹部疼痛是该地区最常见的症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a1/11233056/edba9a97f82d/IJSTD-45-34-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a1/11233056/c1d096190dd8/IJSTD-45-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a1/11233056/8a02bbaaae22/IJSTD-45-34-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a1/11233056/f9d58028c6e7/IJSTD-45-34-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a1/11233056/bdc2975073a7/IJSTD-45-34-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a1/11233056/edba9a97f82d/IJSTD-45-34-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a1/11233056/c1d096190dd8/IJSTD-45-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a1/11233056/8a02bbaaae22/IJSTD-45-34-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a1/11233056/f9d58028c6e7/IJSTD-45-34-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a1/11233056/bdc2975073a7/IJSTD-45-34-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a1/11233056/edba9a97f82d/IJSTD-45-34-g005.jpg

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