捷克共和国武装部队女兵的性传播感染率:一项横断面试点研究。

IF 1.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Bmj Military Health Pub Date : 2024-09-24 DOI:10.1136/military-2023-002611
Lubos Karasek, J Smetana, P Svobodova, J Smahelova, R Tachezy, I Kiss, D Nejedla
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引用次数: 0

摘要

引言性传播感染(STI)是全球一个长期存在的健康问题。军事环境是公认的高风险环境。人乳头瘤病毒(HPV)、沙眼衣原体和淋病奈瑟菌是全球最常见的性传播感染。这项前瞻性横断面试点研究的重点是捷克共和国武装部队女性人群中特定性传播感染的发病率:2020年8月至2022年12月期间,对141名女性进行了沙眼衣原体、淋球菌和人乳头瘤病毒的检测和基因分型。参与者根据其军事身份分为三组--新兵组(72 人)、现役士兵组(25 人)和对照文职人员组(44 人)。研究人员进行了宫颈涂片检查,并通过问卷调查获得了有关性传播感染风险因素的数据:经年龄调整后发现,新兵(64.5%)与现役士兵(46.4%)和平民(47.3%)之间的 HPV 感染率存在明显差异(分别为 p=0.007 和 p=0.01)。据报告,新兵的共同发病年龄较低(中位数为 16 岁;p=0.005),聚集地较小(p=0.013)。在其他研究风险因素方面没有发现差异。在不同群体中,HPV 检测与性伴侣数量较多(p=0.013)、早期同房(p=0.016)和单身婚姻状况(p=0.002)之间存在关联。在 141 名参与者中,没有发现一例淋病病例。沙眼衣原体感染率在三个评估组--新兵、对照文职人员组和现役军人组之间没有显著差异(分别为 5.6%、2.3%、0%;P=0.567):这项试点研究表明,与现役军人和文职人员相比,女性新兵的 HPV 感染率明显更高。新兵们报告的初次性生活时间较早,这是一个很强的性传播感染风险因素。还需要进一步研究,以扩展这项试点研究的结果,并生成数据,为捷克共和国武装部队调整性传播感染预防措施提供支持。
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Prevalence of sexually transmitted infections in women of the Czech Republic Armed Forces: a cross-sectional pilot study.

Introduction: Sexually transmitted infections (STIs) are an everlasting health issue globally. The military environment is recognised as a high-risk setting. Human papillomavirus (HPV), Chlamydia trachomatis and Neisseria gonorrhoeae are the most frequent STIs worldwide. This prospective cross-sectional pilot study focuses on the prevalence of selected STIs in the female population of the Czech Republic's Armed Forces.

Methods: C. trachomatis, N. gonorrhoeae and HPV detection and genotyping were performed between August 2020 and December 2022 in 141 women. Participants were divided into three groups according to their military status-recruits (n=72), active soldiers (n=25) and control civilian group (n=44). Cervical smear tests were performed, and data on STI risk factors were obtained through a questionnaire.

Results: A significant difference in the HPV prevalence between recruits (64.5 %) and both active soldiers (46.4 %) and civilians (47.3 %) was found when adjusted for age (p=0.007 and p=0.01, respectively). Lower age of coitarche (median 16; p=0.005) and smaller agglomeration origin (p=0.013) were reported for military recruits. No difference was proven in other researched risk factors. Associations between HPV detection and the higher number of sexual partners (p=0.013), early coitarche (p=0.016) and single marital status (p=0.002) across the groups were observed. Not a single case of N. gonorrhoeae was detected in any of the 141 participants. The prevalence of C. trachomatis did not differ significantly between the three evaluated groups-recruits, control civilian group, and active soldiers (5.6%, 2.3%, 0%, respectively; p=0.567).

Conclusions: This pilot study showed a significantly higher HPV prevalence in female military recruits compared with both active military and civilian women. Recruits reported earlier coitarche which is a strong STI risk factor. Further study is needed to expand on the findings of this pilot study and generate data to support adjustment of STI preventive measures within the Czech Republic Armed Forces.

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Bmj Military Health
Bmj Military Health MEDICINE, GENERAL & INTERNAL-
CiteScore
3.10
自引率
20.00%
发文量
116
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