HEPATITIS-B IN HOMOSEXUAL MEN - PREVALENCE OF INFECTION AND FACTORS RELATED TO TRANSMISSION

HEPATITIS-B IN HOMOSEXUAL MEN - PREVALENCE OF INFECTION AND FACTORS RELATED TO TRANSMISSION
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DOI:
10.1093/infdis/146.1.7
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发表时间:
1982-01-01
影响因子:
6.4
通讯作者:
REYNOLDS, G
REYNOLDS, G
中科院分区:
医学2区
文献类型:
--
作者:
SCHREEDER, MT;THOMPSON, SE;REYNOLDS, G

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在美国5家性传播疾病诊所接受检查的3816名男同性恋者中,6.1%有乙型肝炎表面抗原,52.4%有乙型肝炎表面抗原抗体,在没有其他乙型肝炎病毒(HBV)感染指标的男性中,3.0%有乙型肝炎核心抗原抗体。 .gtoreq 的存在表明 HBV 血清阳性率。这些血清学标志物中1为61.5%;血清阳性率与定期同性恋活动的持续时间以及 4 个月内不稳定的男性性接触次数显着相关。在采访患者之前。肛交、口肛交和直肠冲洗与乙型肝炎病毒感染的证据显着相关,但口口接触和口腔生殖器接触则不然。直肠粘膜损伤是与 HBV 血清阳性显着相关的实践的常见特征。
Of 3816 homosexual men examined in 5 sexually transmitted disease clinics in the USA, 6.1% had hepatitis B surface antigen, 52.4% had antibody to hepatitis B surface antigen and 3.0% of the men who had no other indicator of infection with hepatitis B virus (HBV) had antibody to hepatitis B core antigen. The rate of seropositivity for HBV indicated by the presence of .gtoreq. 1 of these serologic markers was 61.5%; seropositivity was significantly related to the duration of regular homosexual activity and to the number of nonsteady male sexual contacts in the 4 mo. before the patients were interviewed. Anal-genital intercourse, oral-anal intercourse and rectal douching were significantly related to evidence of HBV infection, but oral-oral contact and oral-genital contact were not. Trauma to the rectal mucosa is a feature common to the practices that were significantly related to seropositivity for HBV.