摘要
目的 :探讨男性性病患者的背景特征、性行为、避孕套的使用等情况 ,为性病防治工作提供依据。方法 :1 998年 5月 2 6日至 1 998年 1 2月 2 2日 ,以上海市最大的性病防治医院 2 2 66名男性性病患者 ( 1 5 1 7名在婚 ,664名未婚 ,85名丧偶或离异 )为对象 ,采用结构式问卷进行调查。调查内容包括对象的社会人口学待征、性行为、避孕套者使用等情况。结果 :男性患者的性行为具有高度的危险性 ,如多性伴和较少使用避孕套。在调查前的 1 2个月内 ,对象平均拥有 2个性伴 ,近 1 / 3的对象自报在过去 1 2个月中曾有过嫖娼行为。在控制了其它因素后 ,年长、居住在效区的对象更倾向于有嫖娼行为 ,下岗待业者以及未婚者较少有嫖娼行为。虽然 1 / 3多的对象使用过避孕套 ,但过去 1 2个月坚持使用避孕套者不到 1 %。在控制了其他因素后 ,年轻、性伴多者使用避孕套的比例较高 ;与小学及以下和高中文化程度相比 ,大专及以上文化程度者使用避孕套的比例较高 ,而初中文化程度者使用避孕套的比例较低。农民中使用过避孕套的比例较低 ,而行政管理人员使用过避孕套的比例较高。在控制了其他因素后 ,年轻、职业为商业和服务业职员或行政管理人员、离异或丧偶者以及调查前 1 2个月中性伴人数较多者在调查前 1
Objective: The objective of this study is to explore the background characteristics, sexual behaviours and condom use among male attendees of a large STD clinic in Shanghai. The information collected is intended to inform health education programs.Methods: From May 26, 1998 to December 22,1998, 2 266 male STD clients(1 517 currently married, 664 never-married, and 85 widower or divorced) were recruited at a large STD clinic in Shanghai. A structural questionnaire was administered by trained in-vestigators to collect information on participants' socio-demographic background, sexual behaviours and condom use. Results: Clients frequently engaged in higher risk sexual behaviours such as having multiple sexual partners and infrequently using condoms. Clients on average had two sexual partners in the 12 months before interview, and nearly one-third of clients had visited prostitutes in the 12 months before interview. After controlling for other factors, clients who were older and living in suburban areas were more likely to have visited prostitutes in the same period. Although over one-third of participants had ever used a condom, less than 1% had persisted in the condom use during the 12 months before interview. After controlling for other factors, younger clients and clients with more sexual partners in the last 12 months were slightly more likely to have used condoms than older clients. Clients with primary or less and senior middle educational level compared with those with college or more educational level, the latter have higher odds, whereas the former have lower odds of previous condom use. Being farmer is associated with a lower odds of having previously used condom, and being office worker is associated with a higher odds of previous condom use. Also after controlling for other factors, younger clients, clients being blue collar worker in commerce or service trades and office worker, widower or divorced clients and those having more sexual partners in the last 12 months have a higher odds of having used condoms in the last 12 months before interview. Overall, more than 70% of clients attributed their current infection to paid or casual sex. About 10% of currently married clients attributed their current infections to their wives, and nearly 60% of currently married clients had last sex with their wives.Conclusion: This study highlights the urgent need to improve STD education among STD clinic attendees. Educational efforts should focus on understanding the risks of unprotected sexual intercourse and on promotion of regular and correct use of condoms. Existing laws against prostitution should also be enforced. Women in China require the awareness to protect themselves against contacting STDs.
出处
《生殖医学杂志》
CAS
2001年第2期78-85,共8页
Journal of Reproductive Medicine
基金
联合国发展规划署资助
联合国人口发展基金
世界卫生组织资助
世界银行人类生殖研究
发展和研究培训特别规划署资助项目
