莫桑比克某农村地区性传播疾病的高流行率。
High prevalence of sexually transmitted diseases in a rural area in Mozambique.
作者信息
Vuylsteke B, Bastos R, Barreto J, Crucitti T, Folgosa E, Mondlane J, Dusauchoit T, Piot P, Laga M
机构信息
Institute of Tropical Medicine, Antwerp, Belgium.
出版信息
Genitourin Med. 1993 Dec;69(6):427-30. doi: 10.1136/sti.69.6.427.
OBJECTIVE
To assess the extent of the sexually transmitted diseases (STDs) problem in a rural area of Mozambique.
METHODS
A cross sectional study among pregnant women and patients presenting with genital complaints. Laboratory confirmation was done for gonorrhoea, chlamydial infection, active syphilis, trichomoniasis and HIV infection.
SETTING
A primary health care setting in Vilanculos, Inhambane province, Mozambique.
RESULTS
Evidence of one or more of the above STDs was found in 51% of 201 pregnant women, 56% of 85 women and 62% of 77 men with genital complaints. Neisseria gonorrhoea or Chlamydia trachomatis were found in 16% of pregnant women, 23% of female patients and 28% of male patients; genital ulcer disease was present in 6%, 28% and 36%, of respectively pregnant women, female and male patients. The prevalence of active syphilis was about the same in the three groups of study subjects, that is 15%. HIV infection was found in 4% of the male patients; no HIV infection could be detected in the female groups.
CONCLUSION
STDs were a major health problem in this rural area in Mozambique. Though HIV infection was still low, the high prevalence of STDs indicates that the potential is there for an explosive spread of the HIV/AIDS epidemic.
目的
评估莫桑比克农村地区性传播疾病（STD）问题的严重程度。
方法
对孕妇和有生殖器不适症状的患者进行横断面研究。对淋病、衣原体感染、活动性梅毒、滴虫病和艾滋病毒感染进行实验室确诊。
地点
莫桑比克伊尼扬巴内省维兰库卢什的一家初级卫生保健机构。
结果
在201名孕妇中，51%的人检测出上述一种或多种性传播疾病；在85名有生殖器不适症状的女性中，56%检测出相关疾病；在77名有生殖器不适症状的男性中，62%检测出相关疾病。16%的孕妇、23%的女性患者和28%的男性患者检测出淋病奈瑟菌或沙眼衣原体；分别有6%的孕妇、28%的女性患者和36%的男性患者患有生殖器溃疡疾病。三组研究对象中活动性梅毒的患病率大致相同，均为15%。4%的男性患者检测出艾滋病毒感染；女性组未检测出艾滋病毒感染。
结论
性传播疾病是莫桑比克这个农村地区的一个主要健康问题。尽管艾滋病毒感染率仍然较低，但性传播疾病的高患病率表明存在艾滋病毒/艾滋病疫情爆发式传播的可能性。
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