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津巴布韦一个农业社区的淋病患病率及性传播感染知识

Prevalence of gonorrhoea and knowledge of sexually transmitted infections in a farming community in Zimbabwe.

作者信息

Gomo E, Ndamba J, Nhandara C, Murahwa S Z, Nyazema N Z

机构信息

Blair Research Laboratory, Harare, Zimbabwe.

出版信息

Cent Afr J Med. 1997 Jul;43(7):192-5.

PMID:9431752
Abstract

OBJECTIVE

To determine the prevalence of gonorrhoea and knowledge about sexually transmitted infections in a farming community.

DESIGN

Cross sectional study.

SETTING

Commercial farming area, Zimbabwe.

SUBJECTS

1,005 individuals aged between 15 and 60 years.

MAIN OUTCOME MEASURES

Prevalence rates, knowledge of gonorrhoea and other sexually transmitted infections (STIs) by age and sex.

RESULTS

Knowledge of gonorrhoea and other STIs was higher while knowledge of AIDS was lower among males than females. Frequency of past history of STIs in five years was significantly higher among males than females (OR 3.22; 95% CI 2.45 to 4.25). Physical examination revealed that 14% of males and 22% of females had other STIs besides gonorrhoea. The prevalence of gonorrhea was 18.4% (95% CI 16.0 to 20.8) and was higher among females than males (OR 2.77; 95% CI 1.97 to 3.90). Thirty one percent of the gonorrhoea infections were due to penicillinase producing Neisseria gonorrhoeae.

CONCLUSIONS

Our findings emphasize the disparity between knowledge and practices with regards to STIs, and the importance of STIs as potential targets for and indices in the fight against human immunodeficiency virus (HIV) infection.

摘要

目的

确定一个农业社区中淋病的患病率以及关于性传播感染的知识。

设计

横断面研究。

地点

津巴布韦的商业化农业区。

研究对象

1005名年龄在15至60岁之间的个体。

主要观察指标

按年龄和性别划分的淋病及其他性传播感染的患病率、对淋病及其他性传播感染的知晓情况。

结果

男性对淋病和其他性传播感染的知晓率高于女性,而对艾滋病的知晓率低于女性。男性在五年内有性传播感染既往史的频率显著高于女性(比值比3.22;95%可信区间2.45至4.25)。体格检查显示,除淋病外,14%的男性和22%的女性患有其他性传播感染。淋病的患病率为18.4%(95%可信区间16.0至20.8),女性患病率高于男性(比值比2.77;95%可信区间1.97至3.90)。31%的淋病感染是由产青霉素酶的淋病奈瑟菌引起的。

结论

我们的研究结果强调了在性传播感染方面知识与实践之间的差异,以及性传播感染作为抗击人类免疫缺陷病毒(HIV)感染的潜在目标和指标的重要性。

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