Isa A R, Moe H, Sivakumaran S
Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan Darul Naim.
Med J Malaysia. 1993 Jun;48(2):124-8.
The prevalence of sexually transmitted diseases (STD) among female drug abusers was determined by screening 130 new inmates of a rehabilitation centre. The majority of the subjects (77.7%) were self-confessed sex workers. A high prevalence of syphilis (50.8%), hepatitis B (52.2%), moniliasis (23.8%) and trichomoniasis (19.2%) were noted. Gonorrhoea vaginitis was seen in 8.5%, which was low compared to previous studies. Six subjects were seropositive for human immunodeficiency virus (HIV), with 5 of them admitting to needle sharing and working as prostitutes. More than half of them harboured 2 or more STD. A rich reservoir of STD was seen among the drug abusers. With more evidence now available concerning the ease of HIV transmission associated with ulcerative STD, a stage could be set for greater heterosexual HIV transmission. As part of the rehabilitation process, female drug abusers need a thorough screening for STD followed by aggressive treatment regimens.
通过对一家康复中心的130名新收女性吸毒者进行筛查，确定了性传播疾病（STD）在她们中的流行情况。大多数受试者（77.7%）自称是性工作者。梅毒（50.8%）、乙型肝炎（52.2%）、念珠菌病（23.8%）和滴虫病（19.2%）的高流行率被记录下来。淋病性阴道炎的检出率为8.5%，与之前的研究相比相对较低。6名受试者的人类免疫缺陷病毒（HIV）血清学检测呈阳性，其中5人承认有共用针头行为且从事卖淫活动。超过一半的人感染了两种或更多种性传播疾病。在吸毒者中发现了丰富的性传播疾病传染源。鉴于现在有更多证据表明与溃疡性性传播疾病相关的HIV传播很容易，这可能会为异性间更大规模的HIV传播创造条件。作为康复过程的一部分，女性吸毒者需要对性传播疾病进行全面筛查，随后采取积极的治疗方案。
