中国麻风皮肤病杂志 ›› 2021, Vol. 37 ›› Issue (6): 347-351.doi: 10.12144/zgmfskin202106347

• 论著 • 上一篇    下一篇

上海市某医院性病门诊梅毒患者就诊延迟行为影响因素研究

王震宇1,严莉萌2,夏庆华1,王娜3   

  1. 1上海市长宁区疾病预防控制中心，上海，200051；
    2上海市皮肤病医院，上海，200050；
    3上海市宝山区疾病预防控制中心，上海，201901
  • 出版日期:2021-06-15 发布日期:2021-05-27
  • 通讯作者: 王娜，E-mail: anna24@126.com

Analysis of the influencing factors of patients with syphilis delayed in seeking health care in STD department of a hospital in Shanghai

WANG Zhenyu1, YAN Limeng2, XIA Qinghua1, WANG Na3   

  1. 1 The Center for Disease Control and Prevention of Changning District, Shanghai 200051, China; 
    2 Shanghai Skin Disease Hospital, Shanghai 200050, China; 
    3 The Center for Disease Control and Prevention of Baoshan District, Shanghai 201901, China
  • Online:2021-06-15 Published:2021-05-27
  • Contact: WANG Na, E-mail: anna24@126.com

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摘要： 目的：了解性病门诊梅毒患者的就诊延迟行为影响因素，为梅毒控制策略提供依据。方法：以某院性病门诊梅毒患者作为研究对象，通过问卷调查了解调查对象基本情况和求医行为特征，分析影响延迟就诊行为的影响因素。结果：共调查206例梅毒患者，平均年龄(50.38±14.61)岁；57例（27.7%）出现症状就诊，40例（19.4%）因发生过高危性行为来就诊；患者中以隐性梅毒患者为主（132例，64.1%），性病艾滋病核心知识总体知晓率为39.8%，平均就诊延迟时间为40.4天。多因素分析结果显示，核心知识知晓患者平均延迟就诊时间为22.79天，短于不知晓患者（52.07天），差异有统计学意义（P<0.05）；一期梅毒、二期梅毒平均延迟就诊时间（14.3和17.2天）短于隐性梅毒（54.2天）。结论：核心知识知晓情况和梅毒分期是患者就诊延迟的主要影响因素。

关键词: 梅毒, 延迟就诊, 影响因素

Abstract: Objective: To explore the factors affecting the patients with syphilis delayed in seeking health care and provide the strategy to control syphilis. Methods: The questionnaire including the characteristics and high risk behaviors was answered by the patients with syphilis in a sexually transmitted disease (STD) clinic in Shanghai. Influencing factors of patients delayed in seeking health care were analyzed. Results: A total of 206 patients with syphilis were enrolled and the average age was 50.38±14.61 years. The reason of seeing a doctor was the symptoms of syphilis in 57 (27.7%) cases and was high-risk sexual behavior in 40 (19.4%) cases. 132 (64.1%) patients were diagnosed with latent syphilis. The core knowledge awareness rate of STD and AIDS in all patients was 9.8%. The average delay in the patients with syphilis was 40.4 days. The results of multivariate analysis showed that the average delay of the patients with high scores of core knowledge (22.79 days) was shorter than that of the patients with low scores of core knowledge (52.07 days), with a significant difference (P<0.05). The average delay in the primary and secondary syphilis patients (14.3 and 17.2 days) was shorter than in the latent syphilis patients (54.2 days) (Ps<0.05). Conclusion: The awareness of core knowledge and the stage of syphilis are the most common factors influencing patients delayed in seeking health care. 

Key words: syphilis, delayed in seeking health care, associated factors