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性病门诊男性就诊者肛门生殖器HPV隐性感染及其危险因素

李珊山, 运蓓蕾, 钟淑霞, 田亚萍, 刘鹤松, 郑 华   

  1. 吉林大学第一医院皮肤性病科,吉林 长春130021
  • 收稿日期:2006-03-28 修回日期:1900-01-01 出版日期:2006-09-28 发布日期:2006-09-28

Asymptomatic HPV infection in anogenitalia of men attending STD clinic and its risk factors

LI Shan-shan, YUN Bei-lei, ZHONG Shu-xia, TIAN Ya-ping ,LIU He-song, ZHENG Hua   

  1. Department of Dermatology, First Hospital, Jilin University, Changchun 130021, China
  • Received:2006-03-28 Revised:1900-01-01 Online:2006-09-28 Published:2006-09-28

摘要: 目的:评估性病门诊男性就诊者肛门生殖器人乳头瘤病毒(HPV)隐性感染的发生率及其相关的危险因素。方法:采用横断面研究方法,对600例性病门诊非尖锐湿疣男性就诊者进行问卷调查,并以PCR法检测其肛门生殖器脱落细胞中的HPV DNA。结果:600例研究对象的HPV DNA总阳性率为14.50%(87/600),其中性病(STD)患者HPV阳性率[23.90%(38/159)]显著高于非STD就诊者[11.11%(49/441)](P< 0.05)。这组人群中HPV DNA 阳性的预测值是初次性生活年龄的提前(OR=1.2、95%CI 1.1 ~ 1.3,P<0.05)、近2年内有尖锐湿疣病史(OR=3.3、95%CI 1.2 ~ 9.3,P<0.05)和其他STD史(OR=3.8、95%CI 1.4 ~ 10.2,P<0.05)。年龄、包皮状况、近2年内性伴数、平均性生活频率、安全套的使用频率以及性伴尖锐湿疣病史与HPV DNA阳性无明显关联。结论:男性肛门生殖器HPV隐性感染的比率较高,HPV隐性感染在STD人群中更常见。初次性生活年龄的提前、近2年内有尖锐湿疣病史及其他STD史可能是男性HPV隐性感染的危险因素。

关键词: 危险因素

Abstract: Objective To estimate the prevalence of human papillomavirus(HPV)infection and associated risk factors in men attending a sexually transmitted disease (STD) clinic. Methods A cross-sectional study was conducted with male STD clinic participants who had no genital warts. A personal interview was done and material for anogenital HPV DNA detection was obtained with swabs. HPV DNA was detected by polymerase chain reaction (PCR). Results The positive rate of HPV DNA among 600 subjects was 14.50%(87/600).The positive rate among STD patients (29.30%) was significantly higher than that of the subjects without STDs (11.11%, P<0.05). The most important predictors of HPV DNA positivity were younger age at first sexual intercourse (OR=1.2, 95%CI 1.1-1.3, P<0.05)and a history of condyloma acuminatum (OR=3.3, 95%CI 1.2-9.3, P<0.05) or other STDs in the past two years(OR=3.8, 95%CI 1.4-10.2, P<0.05), while other factors including age , preputial status, number of sex partners, the average frequency of sexual intercourse , condom using and sex partners' history of genital warts in the past two years had no significant relation with latent HPV infection. Conclusion Asymptomatic HPV infection in anogenitalia of men is prevalent, and this infection is more common in STD patients than in patients without STDs. The risk factors of HPV persistent infection includes younger age at first intercourse , history of genital warts or other STDs.

Key words: risk factors

中图分类号: 

  • R752