中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2012年
7期
627-630
,共4页
刘英杰%王小芳%宋亮%姜树林%李书明%罗凤基%师伟%汪宁
劉英傑%王小芳%宋亮%薑樹林%李書明%囉鳳基%師偉%汪寧
류영걸%왕소방%송량%강수림%리서명%라봉기%사위%왕저
HIV%性传播疾病%同性恋,女性%流行病学研究
HIV%性傳播疾病%同性戀,女性%流行病學研究
HIV%성전파질병%동성련,녀성%류행병학연구
HIV%Sexually transmitted diseases%Homosexuality,female%Epidemiologic studies
目的 了解北京市女女性行为人群(WSW)性行为特点及性传播疾病(STD)感染状况.方法 于2010年9月至2011年4月,在北京市女同非政府组织、沙龙、酒吧等主要WSW活动场所,采用滚雪球方法招募WSW共150名,并开展人口学特征、性行为特征、STD病原体感染状况、就诊情况等调查.采集调查对象静脉血、阴道拭子、宫颈拭子标本进行HIV抗体、乙型肝炎病毒表面抗原、丙型肝炎病毒抗体、梅毒抗体、单纯疱疹病毒-2型(HSV-2)抗体、淋球菌(NG)、沙眼衣原体、加德纳菌(GV)、阴道毛滴虫(TV)、霉菌检测.结果 150名调查对象的年龄范围为19 ～46岁,20～29岁者占82.67％ (124/150),未婚者占54.00％(81/150),76.67％(115/150)的为大专或本科学历,70.67％(106/150)的为外地户籍.66.66％(100/150)的自我认定是同性恋,28.00％(42/150)的认为自己是双性恋.第一次同性性行为年龄为11 ～30岁.在过去1年里女性性伴中位数为1名,有2名及以上女性性伴者占33.78％ (50/148).20.27％ (30/148)的WSW使用过性器具,其中,66.67％ (20/30)的使用性器具时从未或有时使用安全套.91.22％ (135/148)的以手-阴蒂接触和手-阴道接触为同性性行为的主要方式.最近1年有12.00％(18/150)与男性发生过性行为,最近1次与男性发生性行为时有50.00％(9/18)的使用了安全套.最近1年异性性行为时从未或有时使用安全套者占66.67％(12/18).最近1年有1名调查对象以收费方式为男性提供过性服务,且其最近1年每次性行为时均使用了安全套.最近1年有45.33％ (68/150)的调查对象出现过STD症状,仅有36.76％( 25/68)的到综合医院就诊.调查对象病原体总感染率为34.67％(52/150).经血清学检测,NG、GV感染率均为16.11％(24/149),霉菌感染率为8.72％(13/149),衣原体感染率为4.03％ (6/149),TV感染率为0.67％(1/150),各有1名检出乙型肝炎病毒、丙型肝炎病毒及梅毒螺旋体阳性,无HIV、HSV-2抗体检出.结论 北京市WSW中存在多性伴和异性性行为的现象,有超过1/3的调查对象感染了STD.
目的 瞭解北京市女女性行為人群(WSW)性行為特點及性傳播疾病(STD)感染狀況.方法 于2010年9月至2011年4月,在北京市女同非政府組織、沙龍、酒吧等主要WSW活動場所,採用滾雪毬方法招募WSW共150名,併開展人口學特徵、性行為特徵、STD病原體感染狀況、就診情況等調查.採集調查對象靜脈血、陰道拭子、宮頸拭子標本進行HIV抗體、乙型肝炎病毒錶麵抗原、丙型肝炎病毒抗體、梅毒抗體、單純皰疹病毒-2型(HSV-2)抗體、淋毬菌(NG)、沙眼衣原體、加德納菌(GV)、陰道毛滴蟲(TV)、黴菌檢測.結果 150名調查對象的年齡範圍為19 ～46歲,20～29歲者佔82.67％ (124/150),未婚者佔54.00％(81/150),76.67％(115/150)的為大專或本科學歷,70.67％(106/150)的為外地戶籍.66.66％(100/150)的自我認定是同性戀,28.00％(42/150)的認為自己是雙性戀.第一次同性性行為年齡為11 ～30歲.在過去1年裏女性性伴中位數為1名,有2名及以上女性性伴者佔33.78％ (50/148).20.27％ (30/148)的WSW使用過性器具,其中,66.67％ (20/30)的使用性器具時從未或有時使用安全套.91.22％ (135/148)的以手-陰蒂接觸和手-陰道接觸為同性性行為的主要方式.最近1年有12.00％(18/150)與男性髮生過性行為,最近1次與男性髮生性行為時有50.00％(9/18)的使用瞭安全套.最近1年異性性行為時從未或有時使用安全套者佔66.67％(12/18).最近1年有1名調查對象以收費方式為男性提供過性服務,且其最近1年每次性行為時均使用瞭安全套.最近1年有45.33％ (68/150)的調查對象齣現過STD癥狀,僅有36.76％( 25/68)的到綜閤醫院就診.調查對象病原體總感染率為34.67％(52/150).經血清學檢測,NG、GV感染率均為16.11％(24/149),黴菌感染率為8.72％(13/149),衣原體感染率為4.03％ (6/149),TV感染率為0.67％(1/150),各有1名檢齣乙型肝炎病毒、丙型肝炎病毒及梅毒螺鏇體暘性,無HIV、HSV-2抗體檢齣.結論 北京市WSW中存在多性伴和異性性行為的現象,有超過1/3的調查對象感染瞭STD.
목적 료해북경시녀녀성행위인군(WSW)성행위특점급성전파질병(STD)감염상황.방법 우2010년9월지2011년4월,재북경시녀동비정부조직、사룡、주파등주요WSW활동장소,채용곤설구방법초모WSW공150명,병개전인구학특정、성행위특정、STD병원체감염상황、취진정황등조사.채집조사대상정맥혈、음도식자、궁경식자표본진행HIV항체、을형간염병독표면항원、병형간염병독항체、매독항체、단순포진병독-2형(HSV-2)항체、림구균(NG)、사안의원체、가덕납균(GV)、음도모적충(TV)、매균검측.결과 150명조사대상적년령범위위19 ～46세,20～29세자점82.67％ (124/150),미혼자점54.00％(81/150),76.67％(115/150)적위대전혹본과학력,70.67％(106/150)적위외지호적.66.66％(100/150)적자아인정시동성련,28.00％(42/150)적인위자기시쌍성련.제일차동성성행위년령위11 ～30세.재과거1년리녀성성반중위수위1명,유2명급이상녀성성반자점33.78％ (50/148).20.27％ (30/148)적WSW사용과성기구,기중,66.67％ (20/30)적사용성기구시종미혹유시사용안전투.91.22％ (135/148)적이수-음체접촉화수-음도접촉위동성성행위적주요방식.최근1년유12.00％(18/150)여남성발생과성행위,최근1차여남성발생성행위시유50.00％(9/18)적사용료안전투.최근1년이성성행위시종미혹유시사용안전투자점66.67％(12/18).최근1년유1명조사대상이수비방식위남성제공과성복무,차기최근1년매차성행위시균사용료안전투.최근1년유45.33％ (68/150)적조사대상출현과STD증상,부유36.76％( 25/68)적도종합의원취진.조사대상병원체총감염솔위34.67％(52/150).경혈청학검측,NG、GV감염솔균위16.11％(24/149),매균감염솔위8.72％(13/149),의원체감염솔위4.03％ (6/149),TV감염솔위0.67％(1/150),각유1명검출을형간염병독、병형간염병독급매독라선체양성,무HIV、HSV-2항체검출.결론 북경시WSW중존재다성반화이성성행위적현상,유초과1/3적조사대상감염료STD.
Objective To study sexual behavioral characteristics,infection status of HIV and sexually transmitted infections (STDs) among women who have sex with women (WSW) in Beijing.Methods A total of 150 WSWs were recruited by snowball sampling in several main types of activity sites of WSW ( including NGOs,salons,bars,etc.) in Beijing during September 2010 to April 2011.Information on demographic tactors,sexual behavioral characteristics,infection status of STDs,and use of medical care were collected by questionnaire investigation.Serum samples,vaginal and cervical swabs were taken for each subject to test HIV,hepatitis B ( HBV ),hepatitis C ( HCV ),syphilis,herpes simplex virus ( HSV ),neisseria gonorrhoeae,chlamydia trachoma,bacterial vaginosis,trichomonas vaginalis and mycotic vaginitis.Results The age range of the subjects was from 19 to 46 years old.Approximately 82.67％(124/150) of them aged 20 to 29 years old,and 54.00％ (81/150) were unmarried.Approximately 76.67％ ( 115/150 ) had an education level of college degree or above,and 70.67％ ( 106/150 ) were migrants.Approximately 66.66％ (100/150) of the subjects considered themselves as homosexual,28.00％(42/150) as bisexual.The age at first homosexual sex ranged from 11 to 30 years old.The median of number of female sex partners in last 1 year was 1,and 33.78％ (50/148) of the subjects had 2 or more female sex partners.Approximately 20.27％ ( 30/148 ) of the subjects applied sex instruments,of which 66.67％(20/30) never or seldom used condoms.Hand-clitoris and hand-vagina contacts were the main types of woman-to-woman sex,accounting for 91.22％ (135/148).12.00％ (18/150) of the subjects had sex with men during last year.Among them,50.00％ (9/18) used condoms at last heterosexual sex,and 66.67％( 12/18 ) never or seldom used condoms at last heterosexual sex in past 1 year.One subject provided paid sex service for men.and used condoms every time.In the past one year,45.33％ (68/150) of the subjects had symptoms of STDs,but only 36.76％ ( 25/68 ) of them sought medical care.The infection rate of STDs was 34.67 ％ (52/150).The infection rates of NG and GV were both 16.1 1％ ( 24/149 ),and those of mycotic vaginitis,chlamydia trachoma,and TV were 8.72％ ( 13/149 ),4.03％ ( 6/149 ),and 0.67％ ( 1/150 ),respectively.The numbers of subjects tested positive for HBV,HCV,and syphilis were all 1.No subjects were found HIV positive or HSV-2 positive.Conclusion Multiple sexual partners and heterosexual sex behavior were common among WSW in Beijing.More than 1/3 of the subjects were infected with STD.
