Evans B A, Kell P D, Bond R A, MacRae K D
Department of Genitourinary Medicine, Charing Cross Hospital, London, UK.
Genitourin Med. 1995 Oct;71(5):291-4. doi: 10.1136/sti.71.5.291.
To examine the effect of patient-defined non-regular heterosexual relationships on the incidence of sexually transmitted diseases and other genital infections in women and the role of condom use in the prevention of their spread.
A cross-sectional study of sexual behaviour reported by a standardised self-administered questionnaire in new patients who presented for screening and diagnosis.
A genitourinary medicine clinic in West London.
938 consecutive newly attending women who completed a sexual behaviour questionnaire in 1992.
Variables relating to socio-demographic status, sexual behaviour, condom use, sexually transmitted diseases and other genital infections stratified by the reporting of non-regular partners.
We found that women who reported non-regular sexual partners were more likely to be single (p = 0.0001), white (p < 0.0001), have had coitarche before 17 years of age (p = 0.003) and many more sexual partners both in the last year and in their life-time (p < 0.0001) and were more likely to practise fellatio (p < 0.0001), anal penetration (p = 0.004) and to be smokers (p < 0.0001). Paradoxically, the incidence of sexually transmitted diseases and other genital infections was no higher in this group than in the group of women who did not have non-regular partners. Increasing condom use with regular partners correlated with decreasing incidence of gonorrhoea (p < 0.001), chlamydial infection (p < 0.01) and trichomoniasis (p < 0.02), but increasing condom use with non-regular partners did not show this trend.
Regular heterosexual partners play the major role in transmission of bacterial sexually transmitted diseases to women. This is significantly influenced by use of condoms.
研究患者定义的非固定异性关系对女性性传播疾病及其他生殖器感染发病率的影响，以及使用避孕套在预防其传播中的作用。
对前来进行筛查和诊断的新患者通过标准化自填问卷报告的性行为进行横断面研究。
伦敦西部的一家泌尿生殖医学诊所。
1992年连续938名前来就诊并完成性行为问卷的新女性患者。
根据非固定性伴侣的报告情况，对社会人口统计学状况、性行为、避孕套使用、性传播疾病及其他生殖器感染相关变量进行分层。
我们发现，报告有非固定性伴侣的女性更可能单身（p = 0.0001）、为白人（p < 0.0001）、17岁前开始有性交经历（p = 0.003），且过去一年及一生中的性伴侣更多（p < 0.0001），更可能进行口交（p < 0.0001）、肛交（p = 0.004），且更可能吸烟（p < 0.0001）。矛盾的是，该组女性的性传播疾病及其他生殖器感染发病率并不高于没有非固定性伴侣的女性组。与固定性伴侣增加避孕套使用与淋病（p < 0.001）、衣原体感染（p < 0.01）和滴虫病（p < 0.02）发病率降低相关，但与非固定性伴侣增加避孕套使用未显示出这种趋势。
固定异性伴侣在向女性传播细菌性性传播疾病中起主要作用。这受到避孕套使用的显著影响。
