在性强迫性临床样本中,实验室HIV和自我报告的性病史及其预测因素的频率:一个横截面研究
Nisa Regina Bubola Lima1,2, Isabelle Vera Vichr Nisida2,3, Marco de Tubino Scanavino1,2,4,5,6
1Experimental Pathophysiology PostGraduation Program, Medical School, University of São Paulo, São Paulo, SP 05403-010, Brazil.
Sexual medicine
|October 6, 2025
概括
强迫性行为 (CSB) 患者感染艾滋病毒和性传播疾病的比例更高. 在这个人群中,艾滋病毒和性传播疾病的预测因子不同,这凸显了针对性查和预防策略的必要性.
科学领域:
- 临床医学 临床医学
- 传染性疾病 传染性疾病
- 精神病学是一个精神病学.
背景情况:
- 强迫性行为 (CSB) 与性传播感染 (STI) 和人类免疫缺陷病毒 (HIV) 的风险增加有关.
- 了解CSB患者中性传播感染和艾滋病毒的流行率和预测因素对于有效的公共卫生干预至关重要.
研究的目的:
- 确定CSB患者的临床样本中性传播感染和艾滋病毒的频率.
- 在这个人群中确定与性传播疾病和艾滋病毒相关的预测因素.
主要方法:
- 从2012年到2021年,在一家专门的门诊中进行了一项横截面研究.
- 参与者被评估CSB,并收集了艾滋病毒和自我报告的性传播疾病史的实验室测试.
- 使用后勤回归分析来识别相关预测因素.
主要成果:
- 该研究发现,与对照组相比,CSB组的HIV (10.8%) 和自我报告的性传播感染 (43.9%) 的频率更高.
- 艾滋病毒诊断与同性恋/双性恋以及在药物影响下进行性行为有关.
- 性强迫性,过度的随意性行为和非洲血统是自我报告性传播疾病的预测因素.
结论:
- 在CSB患者中存在HIV和性传播疾病的明显预测因素,需要量身定制的临床护理和预防方法.
- 应将频繁的艾滋病毒和性传播感染查纳入CSB患者的治疗方案中.
- 建议进行进一步的研究,以探索性取向对艾滋病毒预测因子的修饰作用.
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