Journal of Jilin University Medicine Edition ›› 2016, Vol. 42 ›› Issue (04): 821-826.doi: 10.13481/j.1671-587x.20160436

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Analysis on prevalence of syphilis infection and its influence factors among male STD attendants

HOU Xia1,2, GUO Xin1, GAO Junfeng3, DONG Lai4, YAO Yan1, ZHANG Yanqiu5   

  1. 1. Department of Epidemiology and Health Statistics, School of Public Health, Jilin University, Changchun 130021, China;
    2. Songyuan Center for Disease Control and Prevention, Songyuan 138000, China;
    3. Qianguo Center for Disease Control and Prevention, Jilin Province, Songyuan 138000, China;
    4. Da'an Tuberculosis Control Institute, Jilin Province, Da' an 131300, China;
    5. Department of Cardiovascular Medicine, SecondHospital, Jilin University, Changchun 130041, China
  • Received:2015-11-30 Published:2016-07-20

Abstract:

Objective: To analyze the prevalence of syphilis infection and influence factors of syphilis infection among the male STD attendants in Songyuan City of Jilin Province,and to provide theoretical basis for the development and implementation of syphilis intervention policy. Methods: A questionnaire survey and serological tests were conducted among the men who went to STD clinic for treatment in the ZhanDong Dermatology Specialist Hospital or Qianguo County Hospital in Songyuan City from 2011 to 2015. Chi-square test was performed to compare the prevalences of syphilis infection between different groups. Multivariable Logistic regression model was used to find the independent factors of syphilis infection among the male STD attendants. Results: Of all 2 000 male STD attendants who involved in the study, the mean age was (34.50±9.03) years old.218 persons(10.90%) of them had sexual behavior with female sex workers in the last three months, 433 persons(21.65%) of them had temporary sexual behavior in the last three months, 42 persons(2.10%) of them had homosexual behavior in the last three months.Of the respondents, 238 persons(11.90%) had a previous diagnosis of sexually transmitted diseases, 86 persons of them had gonorrhea (36.13%), 43 persons had syphilis (18.07%), 15 persons had genital tract Chlamydia (6.30%), 55 persons had genital herpes (23.11%), 40 persons had genital herpes (16.81%), and 1 person had combined infection of gonorrhea and syphilis. The prevalence of syphilis of 2 000 male STD attendants was 6.4%. From 2011 to 2015, there was a decrease in the prevalences of syphilis (χ2=44.25, P < 0.001). In the last 3 months,the risk of the male STD attendants who had commercial sex with prostitute, temporary sex behavior, homosexual behavior and a history of STD infection to be infected with syphilis in the past were 3.75 times (OR=3.75, 95%CI: 2.46-5.71), 2.31 times (OR=2.31, 95% CI:1.56-3.41), 2.97 times (OR=2.97, 95%CI: 1.33-6.64) and 1.69 times (OR=1.69, 95%CI:1.07-2.67) than those who did not have those behaviors, respectively. Conclusion: There is a significantly decreasing tendency in the prevalence of syphilis among the male STD attendants in Songyuan City in the past 5 years. The high risk sexual behaviors are the main influence factors of syphilis infection among them.

Key words: sexually transmitted diseases, male, syphilis, influence factors

CLC Number: 

  • R759.1