Pakianathan M R, Ross J D, McMillan A
Department of GUM, Royal Infirmary of Edinburgh, UK.
Int J STD AIDS. 1996 Aug-Sep;7(5):359-61. doi: 10.1258/0956462961918086.
It has long been recognized that sexually transmitted diseases (STDs) may occur concurrently hence necessitating screening in individuals attending Genito-Urinary Medicine (GUM) clinics. However there are few data on individuals with more than one concurrent STD. Individuals attending the GUM Department in the Royal Infirmary of Edinburgh between 1990 and 1994 with the diagnosis of HIV infection, genital warts, genital herpes, non-specific genital infection (NSGI), gonorrhoea and syphilis were included in the study. A multivariate comparison was made between those presenting with multiple concurrent STDs and a control group comprising individuals with a solitary STD with respect to year of attendance, social class, location of acquisition of infection, sex, sexual orientation and age using a logistic regression model. A total of 680 of 9265 patients in the study period had more than one concurrent STD. Individuals in lower socio-economic class were at higher risk and older individuals at lower risk of multiple concurrent STDs. Multiple sexually acquired infections are common in individuals who attend GUM clinics. Age and socio-economic class were the only significant variables. Identification of populations at highest risk for multiple infection can direct interventions against all STDs.
长期以来，人们已经认识到性传播疾病（STD）可能会同时发生，因此有必要对到泌尿生殖医学（GUM）诊所就诊的个体进行筛查。然而，关于同时患有不止一种性传播疾病的个体的数据却很少。本研究纳入了1990年至1994年间在爱丁堡皇家医院泌尿生殖医学科就诊，被诊断为感染艾滋病毒、尖锐湿疣、生殖器疱疹、非特异性生殖器感染（NSGI）、淋病和梅毒的个体。采用逻辑回归模型，对同时患有多种性传播疾病的个体与仅患有单一性传播疾病的个体组成的对照组，在就诊年份、社会阶层、感染获得地点、性别、性取向和年龄方面进行了多变量比较。在研究期间的9265名患者中，共有680人同时患有不止一种性传播疾病。社会经济阶层较低的个体发生多种性传播疾病的风险较高，而年龄较大的个体风险较低。在到泌尿生殖医学诊所就诊的个体中，多种性传播感染很常见。年龄和社会经济阶层是仅有的显著变量。识别多重感染风险最高的人群可以指导针对所有性传播疾病的干预措施。
