目的了解已婚妊娠梅毒患者配偶的梅毒感染情况,并从妊娠梅毒患者及配偶自身角度分析影响配偶感染梅毒的因素。方法对2008-2011年间在深圳市确诊感染梅毒的已婚孕产妇进行调查和配偶追踪,并对就诊的配偶进行甲苯胺红不加热血清试验(tolulized red unheated serum test,TRUST)和梅毒螺旋体颗粒凝集试验(teponema pallidum purtide assay,TPPA)检测,通过问卷收集已婚妊娠梅毒患者及其配偶的相关信息,采用多因素logistic回归模型分析配偶感染梅毒的影响因素。结果本研究共纳入已婚妊娠梅毒患者及其配偶2 261对。接受调查的配偶中,528例TRUST和TPPA均阳性(23.35%),129例仅TPPA阳性(5.71%),配偶的梅毒感染率为29.06%(657/2 261)。妊娠梅毒患者血清滴度≥1∶8、疾病诊断为早期梅毒和足量治疗后者其配偶感染梅毒的风险较高(均有P<0.05)。配偶文化水平在高中及以下、自身存在多性伴行为者其感染梅毒的风险较高(均有P<0.05)。结论已婚妊娠梅毒患者的配偶具有较高的梅毒感染率,妊娠梅毒患者的梅毒血清滴度水平、疾病诊断情况...
【英文摘要】
Objective To investigate syphilis infection status among partners of married syphilis-infected pregnant women,and analyze the associated factors from the perspective of both pregnant women and their partners. Methods Follow-up survey and contact tracing were conducted among married syphilis-infected pregnant women diagnosed from 2008 to2011. Both toludine red unheated serum test( TRUST) and treponema pallidum particle agglutination( TPPA) were applied to partners attending antenatal care clinics. Structural...