男男性行为人群中使用唾液自慰与尿道淋病的关联：一项横断面研究。
Association between saliva use for masturbation and urethral gonorrhoea in men who have sex with men: A cross-sectional study.
机构信息
Melbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia; School of Translational Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
Melbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia; School of Translational Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
出版信息
Int J Infect Dis. 2024 Nov;148:107219. doi: 10.1016/j.ijid.2024.107219. Epub 2024 Aug 22.
OBJECTIVES
The saliva of individuals with oropharyngeal gonorrhoea can contain viable Neisseria gonorrhoeae. This study examined if using saliva as a lubricant for masturbation is a risk factor for urethral gonorrhoea among men who have sex with men (MSM).
METHODS
In this cross-sectional study, MSM aged ≥18 years attending the Melbourne Sexual Health Centre between February 2021 and December 2023 were surveyed. Data were collected on sexual activities in the past 7 days, including receiving fellatio, condomless insertive anal sex, docking, and using saliva for masturbation. Multivariable logistic regression examined associations between these exposures and urethral gonorrhoea.
RESULTS
The median age of the 3114 men was 32 (IQR: 27-40), with 4.7% (n = 145) testing positive for urethral gonorrhoea. Urethral gonorrhoea was independently associated with an increasing number of partners for condomless insertive anal sex (P < 0.001). It was not significantly associated with receiving fellatio (P = 0.613), docking (P = 0.207), or using saliva for masturbation (P = 0.117). However, of the 110 men who only used saliva for masturbation, two (1.8%) had urethral gonorrhoea, and one (0.9%) had both urethral and oropharyngeal gonorrhoea.
CONCLUSION
Condomless insertive anal sex is the leading risk factor for urethral gonorrhoea and not using saliva as a lubricant for masturbation.
目的
患有口咽淋病的个体的唾液中可能含有存活的淋病奈瑟菌。本研究检测了使用唾液作为自慰润滑剂是否会增加男男性行为者（MSM）患尿道淋病的风险。
方法
在这项横断面研究中，2021 年 2 月至 2023 年 12 月期间在墨尔本性健康中心就诊的年龄≥18 岁的 MSM 接受了调查。收集了过去 7 天内的性行为数据，包括接受口交、无保护插入性肛交、对接和使用唾液自慰。多变量逻辑回归分析了这些暴露与尿道淋病之间的关联。
结果
3114 名男性的中位年龄为 32 岁（IQR：27-40），其中 4.7%（n=145）检测出尿道淋病阳性。尿道淋病与无保护插入性肛交的伴侣数量增加独立相关（P<0.001）。它与接受口交（P=0.613）、对接（P=0.207）或使用唾液自慰（P=0.117）没有显著关联。然而，在仅使用唾液自慰的 110 名男性中，有 2 名（1.8%）患有尿道淋病，1 名（0.9%）同时患有尿道和口咽淋病。
结论
无保护插入性肛交是尿道淋病的主要危险因素，而不使用唾液作为自慰润滑剂。
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