上海市闵行区性病门诊本地和外来病人的比较研究
【摘要】 目的 分析和比较上海市闵行区性病门诊本地与外来病人的流行病学特征。 方法 对2001～2004年上海市闵行区3家设有标准化性病门诊的公立医院进行门诊病历的回顾性分析。 结果 外来人口约占全部性病门诊病人的50%，其中女性病例占18.2%，未婚者占23.8%，均高于本地同类人员的比例;外来病人年龄偏低，多重感染者比例较高;男女外来病人与本地病人的首诊原因和症状排位相同，均以淋病感染为主;外来病人随访率(81.2%)较本地病人低(86.0%)。 结论 性病门诊本地和外来病人在人口学特征、诊疗行为上存在差异，防制措施应有所不同和侧重。
【关键词】 门诊病人;性传播疾病;流行病学
A comparative study of migrants and local residents attending STD clinics in Minhang district of Shanghai
HE Na，TIAN Xiu-hong ，ZHAO Jia-ying，WANG Ye ，ZHANG Jiu-hua，GAO Mei-yang，HUANG Hong.
1.Department of Epidemiology，School of Public Health，Fudan Universi-ty，Shanghai 200032，China;2.Center for Disease Control and Prevention of Minhang District，Shanghai 201100，China
【Abstract】 Objective To compare and analyze epidemiologic characteristics between migrants and lo-cal residents attending STD clinics in Minhang district of Shanghai.Methods A retrospective study was used to analyze the historys of STD patients attending standardized STD clinics in three public hospitals in Minhang district.Results Approximately50%of all STD patients were migrants.Among migrant STD patients，18.2%was female，23.8%was single，which were both higher than that of local resi-dents(14.9%and12.9%，respectively).Migrant STD patients were younger and more likely to be di-agnosed with multiple infections.Clinical manifestations and symptoms were gender-dependent and not different between migrants and local residents.Gonorrhea was the major diagnosis among STD patients.Migrant STD patients were less likely to seek a clinical follow-up.Conclusions Migrants attending STD clinics were different in epidemiological and clinical characteristics as well as clinical seeking behav-iors with local residents.Strategies for STD care and prevention should be carried out differently among migrants and local residents.
【Key words】 Out patients;Sexually transmitted diseases;Epidemiology
(Chin J Dis Control Prev2006，10(1):15-17)
上海市性传播疾病(sexually transmitted dis-eases，STD)报告发病率一直处于全国领先水平 [1] ，性病门诊病人中外来人员所占的比例逐年上升，成为上海市性病艾滋病预防控制中一个不可忽视的组成部分。本研究通过对门诊病历的回顾性分析，比较本地与外来门诊病人在人口学和流行病学特征，以及就诊原因和就医行为等方面的异同，为有针对
[7] Gerlier D，Thomasset N.Use of MTT colorimetric assay to mea-
sure cell activation[J].J Immunol Methods，1986，94(1-2):57-63.
[8] Alley MC，Scudiero DA，Monks A，et al.Feasibility of drug screening with panels of human tumor cell lines using a microcul-
ture tetrazolium assay[J].Cancer Res，1988，48(3):589-601.
[9] Mosmann T.Rapid colorimetric assay for cellular growth and sur-
vival:application to proliferation and cytotoxicity assays [J].J Immunol Methods，1983，65(1-2):55-63.
【基金项目】上海市教委科研奖励基金资助项目(CHF201012)
【作者单位】 1 复旦大学公共卫生学院流行病学教研室，上海200032
2 上海市闵行区疾病预防控制中心，上海 201100
【作者简介】何纳(1968-)，男，安徽无为人，副教授，博士。主要研究方向:艾滋病流行病学。
(许娴校)
(收稿日期 2005-09-24), http://www.100md.com(何纳，田秀红，赵嘉莹，王烨，张久华，高眉扬 ，黄虹)
【关键词】 门诊病人;性传播疾病;流行病学
A comparative study of migrants and local residents attending STD clinics in Minhang district of Shanghai
HE Na，TIAN Xiu-hong ，ZHAO Jia-ying，WANG Ye ，ZHANG Jiu-hua，GAO Mei-yang，HUANG Hong.
1.Department of Epidemiology，School of Public Health，Fudan Universi-ty，Shanghai 200032，China;2.Center for Disease Control and Prevention of Minhang District，Shanghai 201100，China
【Abstract】 Objective To compare and analyze epidemiologic characteristics between migrants and lo-cal residents attending STD clinics in Minhang district of Shanghai.Methods A retrospective study was used to analyze the historys of STD patients attending standardized STD clinics in three public hospitals in Minhang district.Results Approximately50%of all STD patients were migrants.Among migrant STD patients，18.2%was female，23.8%was single，which were both higher than that of local resi-dents(14.9%and12.9%，respectively).Migrant STD patients were younger and more likely to be di-agnosed with multiple infections.Clinical manifestations and symptoms were gender-dependent and not different between migrants and local residents.Gonorrhea was the major diagnosis among STD patients.Migrant STD patients were less likely to seek a clinical follow-up.Conclusions Migrants attending STD clinics were different in epidemiological and clinical characteristics as well as clinical seeking behav-iors with local residents.Strategies for STD care and prevention should be carried out differently among migrants and local residents.
【Key words】 Out patients;Sexually transmitted diseases;Epidemiology
(Chin J Dis Control Prev2006，10(1):15-17)
上海市性传播疾病(sexually transmitted dis-eases，STD)报告发病率一直处于全国领先水平 [1] ，性病门诊病人中外来人员所占的比例逐年上升，成为上海市性病艾滋病预防控制中一个不可忽视的组成部分。本研究通过对门诊病历的回顾性分析，比较本地与外来门诊病人在人口学和流行病学特征，以及就诊原因和就医行为等方面的异同，为有针对
[7] Gerlier D，Thomasset N.Use of MTT colorimetric assay to mea-
sure cell activation[J].J Immunol Methods，1986，94(1-2):57-63.
[8] Alley MC，Scudiero DA，Monks A，et al.Feasibility of drug screening with panels of human tumor cell lines using a microcul-
ture tetrazolium assay[J].Cancer Res，1988，48(3):589-601.
[9] Mosmann T.Rapid colorimetric assay for cellular growth and sur-
vival:application to proliferation and cytotoxicity assays [J].J Immunol Methods，1983，65(1-2):55-63.
【基金项目】上海市教委科研奖励基金资助项目(CHF201012)
【作者单位】 1 复旦大学公共卫生学院流行病学教研室，上海200032
2 上海市闵行区疾病预防控制中心，上海 201100
【作者简介】何纳(1968-)，男，安徽无为人，副教授，博士。主要研究方向:艾滋病流行病学。
(许娴校)
(收稿日期 2005-09-24), http://www.100md.com(何纳，田秀红，赵嘉莹，王烨，张久华，高眉扬 ，黄虹)