男同性恋者和女同性恋者中的肝炎及其他性传播疾病。

Hepatitis and other sexually transmitted diseases in gay men and in lesbians.

作者信息

William D C

出版信息

Sex Transm Dis. 1981 Oct-Dec;8(4 suppl):330-2.

Abstract

The prevalence of most sexually transmitted diseases is disproportionately increased in gay men and paradoxically decreased in lesbian women. The spectrum of diseases seen in gay men include a variety of enteric infections including hepatitis A, shigellosis, salmonellosis, Campylobacter enteritis, amebiasis, giardiasis, and enterobiasis as well as the more common sexually transmitted diseases. Hepatitis B is endemic in gay male populations. The patterns of sexual behavior are the major factors contributing to this unique epidemiology and pathology. Increased sexual activity explained by the unrestrained cultural expectation of maleness, the functional overlap during sex between the genital-urinary and gastrointestinal systems, and anonymous sexual activity are all significant epidemiologic components.

摘要

大多数性传播疾病在男同性恋者中的患病率不成比例地增加，而在女同性恋者中却反常地下降。男同性恋者中出现的疾病谱包括多种肠道感染，如甲型肝炎、志贺菌病、沙门菌病、弯曲杆菌肠炎、阿米巴病、贾第虫病和蛲虫病，以及更常见的性传播疾病。乙型肝炎在男同性恋人群中呈地方性流行。性行为模式是导致这种独特流行病学和病理学的主要因素。男性不受约束的文化期望所导致的性活动增加、泌尿生殖系统和胃肠道系统在性行为中的功能重叠以及匿名性活动都是重要的流行病学因素。