Self-reported sexual activity and condom use among symptomatic clients attending STD clinics.
Self-reported sexual activity and condom use among symptomatic clients attending STD clinics.
复制标题
到性病诊所就诊的有症状的顾客自我报告的性活动和安全套使用情况。
DOI：
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发表时间：
1999
影响因子：
3.1
通讯作者：
Edward W. Hook
中科院分区：
文献类型：
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作者：
Debra E. Irwin;James C. Thomas;C. Spitters;Peter A. Leone;J. D. Stratton;David H. Martin;J. Zenilman;J. Schwebke;Edward W. Hook
背景和目标
性传播疾病（STD）患者的横断面调查评估性行为和安全套的使用之间的时间性病症状发作和诊所就诊。
研究设计
患者被要求报告性活动和避孕套的使用，而性病症状存在。提取病历用于诊断。
结果
研究人群（n = 3025）主要为非洲裔美国人（75.3%）和男性（63.5%），平均年龄为28.1岁。在2，508名有症状的患者中，39.7%的人报告了在经历性病症状时的性活动，其中17.2%的人报告总是使用避孕套。Logistic回归模型确定了性交的显著独立决定因素，而症状是门诊访视前症状持续时间[0-7天vs 8天或更长时间，OR = 5.9];种族[非裔美国人vs其他种族（主要是西班牙裔），OR = 2.1];和性别[男性vs女性，OR = 1.5]。年龄较大[≥ 30岁vs 18-29岁，OR = 1.5]和教育程度较高[≥高中vs>高中，OR = 1.5]是报告始终使用安全套的重要相关因素。
结论
这些数据表明，有可能增强性病传播行为的患者群体可以成为教育信息的目标。
BACKGROUND AND OBJECTIVES
A cross-sectional survey of sexually transmitted disease (STD) patients assessed sexual activity and condom use during the time between STD symptom onset and clinic attendance.
STUDY DESIGN
Patients were asked to report sexual activity and condom use while STD symptoms were present. Medical records were abstracted for diagnoses.
RESULTS
The study population (n = 3025) was predominately African American (75.3%) and male (63.5%), with a mean age of 28.1 years. Sexual activity while experiencing STD symptoms was reported by 39.7% of 2,508 symptomatic patients, 17.2% of whom reported always using a condom. Logistic regression models identified the significant independent determinants of sexual intercourse while symptomatic were duration of symptoms before clinic visit [0-7 days versus 8 or more days, OR = 5.9]; race [African American versus other races (primarily Hispanics), OR = 2.1]; and gender [men versus women, OR = 1.5]. Older age [> or = 30 years versus 18-29 years, OR = 1.5] and higher education attainment [> or = high school versus > high school, OR = 1.5] were the significant factors associated with reporting always using a condom.
CONCLUSION
These data suggest patient groups with behaviors likely to enhance STD transmission could be targeted for educational messages.