Moses S, Ngugi E N, Bradley J E, Njeru E K, Eldridge G, Muia E, Olenja J, Plummer F A
Department of Community Health, University of Nairobi, Kenya.
Am J Public Health. 1994 Dec;84(12):1947-51. doi: 10.2105/ajph.84.12.1947.
The purpose of this study was to identify health-care seeking and related behaviors relevant to controlling sexually transmitted diseases in Kenya.
A total of 380 patients with sexually transmitted diseases (n = 189 men and 191 women) at eight public clinics were questioned about their health-care seeking and sexual behaviors.
Women waited longer than men to attend study clinics and were more likely to continue to have sex while symptomatic. A large proportion of patients had sought treatment previously in both the public and private sectors without relief of symptoms, resulting in delays in presenting to study clinics. For women, being married and giving a recent history of selling sex were both independently associated with continuing to have sex while symptomatic.
Reducing the transmission of sexually transmitted diseases in Kenya will require improved access, particularly for women, to effective health services, preferably at the point of first contact with the health system. It is also critical to encourage people to reduce sexual activity while symptomatic, seek treatment promptly, and increase condom use.
本研究旨在确定肯尼亚与控制性传播疾病相关的就医行为及其他相关行为。
对八家公共诊所的380例性传播疾病患者（189名男性和191名女性）进行了关于其就医行为和性行为的询问。
女性比男性等待更长时间才到研究诊所就诊，并且在出现症状时更有可能继续性行为。很大一部分患者此前曾在公立和私立医疗机构寻求治疗但症状未缓解，导致到研究诊所就诊延迟。对于女性而言，已婚和近期有性交易史均与出现症状时继续性行为独立相关。
在肯尼亚减少性传播疾病的传播需要改善医疗服务的可及性，尤其是对女性而言，最好是在首次接触卫生系统时就能获得有效的医疗服务。鼓励人们在出现症状时减少性活动、及时寻求治疗并增加避孕套的使用也至关重要。
