北京市铁路地区部分女性生殖道支原体感染状况的调查

本文报告了1990年5月对北京市92名性乱者女性和129名健康妇女进行解脲和人型支原体分离培养结果。前者的检出率为71.74％,后者为19.57％,两者同时检出为18.48％,而健康妇女其检出率则分别为43.41％、5.43％和4.65％。说明性乱妇女支原体感染率以显著高于健康妇女。提示北京地区存在支原体性病,这对进一步掌握我国性病病谱提供了新的资料。     

Sexual Behaviour and AIDS in the Developing World

Sexual Behaviour and AIDS in the Developing World. John Cleland and Benoìat Ferry. eds. Geneva: World Health Organization, 1994. 228 pp.     

Poverty,Food Insufficiency and HIV Infection and Sexual Behaviour among Young Rural Zimbabwean Women

Background

Despite a recent decline, Zimbabwe still has the fifth highest adult HIV prevalence in the world at 14.7%; 56% of the population are currently living in extreme poverty.

Design

Cross-sectional population-based survey of 18–22 year olds, conducted in 30 communities in south-eastern Zimbabwe in 2007.

Objective

To examine whether the risk of HIV infection among young rural Zimbabwean women is associated with socio-economic position and whether different socio-economic domains, including food sufficiency, might be associated with HIV risk in different ways.

Methods

Eligible participants completed a structured questionnaire and provided a finger-prick blood sample tested for antibodies to HIV and HSV-2. The relationship between poverty and HIV was explored for three socio-economic domains: ability to afford essential items; asset wealth; food sufficiency. Analyses were performed to examine whether these domains were associated with HIV infection or risk factors for infection among young women, and to explore which factors might mediate the relationship between poverty and HIV.

Results

2593 eligible females participated in the survey and were included in the analyses. Overall HIV prevalence among these young females was 7.7% (95% CI: 6.7–8.7); HSV-2 prevalence was 11.2% (95% CI: 9.9–12.4). Lower socio-economic position was associated with lower educational attainment, earlier marriage, increased risk of depression and anxiety disorders and increased reporting of higher risk sexual behaviours such as earlier sexual debut, more and older sexual partners and transactional sex. Young women reporting insufficient food were at increased risk of HIV infection and HSV-2.

Conclusions

This study provides evidence from Zimbabwe that among young poor women, economic need and food insufficiency are associated with the adoption of unsafe behaviours. Targeted structural interventions that aim to tackle social and economic constraints including insufficient food should be developed and evaluated alongside behaviour and biomedical interventions, as a component of HIV prevention programming and policy.     

Alcohol Involvement in Sexual Behaviour and Adverse Sexual Health Outcomes from 26 to 38 Years of Age

Background

Research on alcohol and sexual behaviour has focused on young adults or high-risk groups, showing alcohol use contributing to riskier sexual choices. Adults now in their late thirties have been exposed to heavier drinking norms than previously, raising questions about effects on sexual wellbeing. We examined self-reported use and consequences of alcohol in sexual contexts, and its association with usual drinking pattern at age 38, and also associations of heavy drinking occasion (HDO) frequency with number of sexual partners, sexually transmitted infections (STIs), and terminations of pregnancy (TOPs), from 26–32 and 32–38 years of age.

Methods

Members of the Dunedin Study birth cohort answered computer-presented questions about sexual behaviour and outcomes, and interviewer-administered alcohol consumption questions, at age 26, 32 and 38 years.

Results

Response level was >90% at each assessment. At 38, drinking before or during sex in the previous year was common (8.2% of men; 14.6% of women reported “usually/always”), and unwanted consequences were reported by 13.5% of men and 11.9% of women, including regretted sex or failure to use contraception or condoms. Frequent heavy drinkers were more likely to “use alcohol to make it easier to have sex” and regret partner choice, particularly women. Heavy drinking frequency was strongly associated with partner numbers for men and women at 32, but only for women at 38. Significantly higher odds of STIs amongst the heaviest drinking men, and TOPs amongst the heaviest drinking women were seen at 32–38.

Conclusions

Alcohol involvement in sex continues beyond young adulthood where it has been well documented, and is common at 38. Women appear to be more affected than men, and heavy drinking is associated with poorer outcomes for both. Improving sexual health and wellbeing throughout the life course needs to take account of the role of alcohol in sexual behaviour.     

Sexual Differences in Aggressive Behaviour of the Apennine Chamois

The aggressive behaviour of female and male Apennine chamois has been compared quantitatively. As opposed to what males did, females significantly attacked each other less often; preferred to gore body regions with a low risk of lethal injury, made a greater use of direct forms of aggression; seldom interacted with the opponent before attacking and gored it more often. Front clashing and fighting were very rare in both sexes. Females live in resident kin-groups, while young males disperse and adults are solitary. To a large extent habitat separation occurs between the sexes. Sexual differences in patterns of aggressive behaviour may be related to the different gregariousness of females and males, probably influenced by resource availability in the habitats they use. Chamois sexes are nearly monomorphic, females bearing slightly less hooked horns than males. This species may have evolved strongly hooked weapons as a first step to advanced wrestling or butting type horns from the ancestral stiletto shape, as goats and sheep, as well as deer, have done.     

Prevalence of HPV 16 and HPV 18 Lineages in Galicia,Spain

Genetic variants of human papillomavirus types 16 and 18 (HPV16/18) could differ in their cancer risk. We studied the prevalence and association with high-grade cervical lesions of different HPV16/18 variant lineages in a case-control study including 217 cases (cervical intraepithelial neoplasia grade 2 or grade 3 or worse: CIN2 or CIN3+) and 116 controls (no CIN2 or CIN3+ in two-year follow-up). HPV lineages were determined by sequencing the long control region (LCR) and the E6 gene. Phylogenetic analysis of HPV16 confirmed that isolates clustered into previously described lineages: A (260, 87.5%), B (4, 1.3%), C (8, 2.7%), and D (25, 8.4%). Lineage D/lineage A strains were, respectively, detected in 4/82 control patients, 19/126 CIN3+ cases (OR = 3.1, 95%CI: 1.0–12.9, p = 0.04), 6/1 glandular high-grade lesions (OR = 123, 95%CI: 9.7–5713.6, p<0.0001), and 4/5 invasive lesions (OR = 16.4, 95%CI: 2.2–113.7, p = 0.002). HPV18 clustered in lineages A (32, 88.9%) and B (4, 11.1%). Lineage B/lineage A strains were respectively detected in 1/23 control patients and 2/5 CIN3+ cases (OR = 9.2, 95%CI: 0.4–565.4, p = 0.12). In conclusion, lineages A of HPV16/18 were predominant in Spain. Lineage D of HPV16 was associated with increased risk for CIN3+, glandular high-grade lesions, and invasive lesions compared with lineage A. Lineage B of HPV18 may be associated with increased risk for CIN3+ compared with lineage A, but the association was not significant. Large well-designed studies are needed before the application of HPV lineage detection in clinical settings.     

Toll-Like Receptor Polymorphisms and Susceptibility to Urinary Tract Infections in Adult Women

Background

Although behavioral risk factors are strongly associated with urinary tract infection (UTI) risk, the role of genetics in acquiring this disease is poorly understood.

Methodology/Principal Findings

To test the hypothesis that polymorphisms in Toll-like receptor (TLR) pathway genes are associated with susceptibility to UTIs, we conducted a population-based case-control study of women ages 18–49 years. We examined DNA variants in 9 TLR pathway genes in 431 recurrent cystitis (rUTI) cases, 400 pyelonephritis cases, and 430 controls with no history of UTIs. In the Caucasian subgroup of 987 women, polymorphism TLR4_A896G was associated with protection from rUTI, but not pyelonephritis, with an odds ratio (OR) of 0.54 and a 95% confidence interval (CI) of 0.31 to 0.96. Polymorphism TLR5_C1174T, which encodes a variant that abrogates flagellin-induced signaling, was associated with an increased risk of rUTI (OR(95%CI): 1.81 (1.00–3.08)), but not pyelonephritis. Polymorphism TLR1_G1805T was associated with protection from pyelonephritis (OR(95%CI): 0.53 (0.29–0.96)).

Conclusions

These results provide the first evidence of associations of TLR5 and TLR1 variants with altered risks of acquiring rUTI and pyelonephritis, respectively. Although these data suggest that TLR polymorphisms are associated with adult susceptibility to UTIs, the statistical significance was modest and will require further study including validation with independent cohorts.     

Seasonal Variations in Socially and Legally Unacceptable Sexual Behaviour

The calendar dates, over the 15-year span 1966-1980, of committed rapes by eight male recidivists and offences of sexually indecent or immoral behaviour by eight other male recidivists were gathered from the files of the Prefecture de Police, Paris, France. Each offender of the first group had committed from two to six rapes, while each offender of the second had committed from two to 16 incidences of indecent behaviour. Although the reported rapes took place during several calendar years, almost all, 18 out of 22 offences, were committed by the eight rape-recidivists during the 4-month span of July-October. Single cosinor analysis of these data revealed a circannual rhythmicity (P<0.03) with ø being 10 August τ 34 days (the 95% CL). The peak time of indecent sexual behaviour, exclusive of rape, against females occurred during September with secondary peaks in February and June; such offences directed against males peaked in October. 'Bootstrap' and 'Jacknife' methods confirmed seasonality within all data sets, except for the offences of indecent behaviour.     

Sexual contact in the doctor-patient relationship in The Netherlands.

OBJECTIVE--To obtain data on sexual contact between doctors and their patients. DESIGN--Anonymous questionnaire with 17 items sent to all working gynaecologists (n = 595) and all ear, nose, and throat specialists (n = 380) in the Netherlands. RESULTS--Response rate was 74%; a total 64 doctors gave a reason for not completing the questionnaire. 201 (59%) male gynaecologists and 128 (56%) male ear nose, and throat specialists indicated that sexual feelings are acceptable in the doctor-patient relationship; 286 (85%) and 186 (81%), respectively, had felt sexually attracted to a patient at some time, as had 14 (27%) female gynaecologists. More than half (59%) of the doctors who indicated that sexual feelings are unacceptable in the doctor-patient relationship had experienced these feelings, and 91% of this group had a negative attitude towards these feelings. 4% of respondents in each group had had actual sexual contact with patients. Most gynaecologists were in favour of having more attention paid to sexual problems during training; having their professional society take an official viewpoint; subsequent public support of this viewpoint; and taking on an impartial counsellor for the patients as well as the doctors. CONCLUSION--Sexuality exists in the doctor-patient relationship. Gynaecologists have a higher risk of having sexual contact with their patients than do ear, nose, and throat specialists but compensate for this greater risk by a higher state of recognition and acknowledgement.     

Sexual dimorphism in growth from 8 to 18 years

A mixed longitudinal study of growth and development has been conducted, centering on an analysis of differences based on sex between the ages of 8 and 18 years for a series of 12 anthropometric indicators. The sample consisted of 50 girls and 63 boys. Proceeding from the specific differences, the variables can be divided into four groups with identical structures of differences. The first group comprises measurements of body height, body mass, shoulder width and pelvic span, all of which have higher values in boys between 8 and 10 and between 14 and 18. Between the ages of 11 and 13 girls are taller, heavier, with broader shoulders and pelvises. The second group covers measurements of subcutaneous fat. which are higher for girls throughout the period under review. The third group of indicators comprises the diameters of the joints of the extremities, i.e. of elbows and knees. Throughout the period under observation, these measurements are higher in boys, with the absolute differences between the sexes being the same at the age of 8 and ten years later. The fourth group consists of circumferences measurements of the extremities. It was found that calf circumferences manifested a specific inversion of the curves between 14 and 15, with girls showing a larger calf circumference up to the age of 14, and boys from the age of 15. The effect of earlier onset of puberty in girls was found to be reflected only on the inversion of the curve flow of the variables from the first group.     

高中一年级学生性意识与性道德冲突关系的研究

目的:探索高中一年级学生性意识与性道德冲突的关系.方法:采用问卷法调查了200名高一学生.结果:①高一学生性意识的发展和性道德冲突显著正相关;其中性体验与性道德冲突正相关显著;②高一学生性意识存在性别差异,其中男、女生在性认知维度上存在显著差异;性道德冲突的性别差异不显著.结论:高一学生的性意识与其性道德冲突显著正相关,他们在性认知方面存在显著的性别差异.     

Sexual Behaviour following Castration in Experienced and Inexperienced Male Rabbits

Sexual activity declines after castration in all mammalian species studied (Beach 1948, Beach and Pauker 1949, Beach 1970, Grunt and Young 1953, Michael and Wilson 1974, Phoenix, Slob and Goy 1973, Rosenblatt and Aronson 1958). The rate of decline of sexual behaviour is generally slower than that of the function of the accessory sexual glands. Two factors have been suggested to contribute to the maintenance of sexual behaviour for some time after castration: secretion of androgen from the adrenal cortex and sexual experience. However, adrenalectomy does not seem to influence post-castrational behaviour in hamsters (Warren and Aronson 1956), dogs (Schwartz and Beach 1954), rats (Bloch and Davidson 1968), mice (Burge and Edwards 1971), and cats (Cooper and Aronson 1958), and the degree of sexual experience appears to be of little importance for the postcastrational behaviour of rats (Bloch and Davidson 1968, Rabedeau and Whalen 1959) and dogs (Hart 1968). But male cats with sexual experience continue to mate after castration for a considerably longer period than inexperienced cats (Rosenblatt and Aronson 1958). Some experienced animals were able to achieve insertion at the 10th week after castration, whereas none of the inexperienced animals did so after the first week. In conclusion, the importance of experience seems to vary between species, whereas the adrenal androgens are of doubtful significance for postcastrational behaviour. We have casually observed that castrated rabbits retain their sexual vigour longer if they are given extensive precastrational experience. The importance of experience has now been studied systematically in animals of mixed strains generally used in the laboratory. As a comparison, we studied the postcastrational behaviour in some New Zealand White rabbits with extensive sexual experience.     

Sexual Activity and Impairment in Women with Systemic Sclerosis Compared to Women from a General Population Sample

Objective

Reports of low sexual activity rates and high impairment rates among women with chronic diseases have not included comparisons to general population data. The objective of this study was to compare sexual activity and impairment rates of women with systemic sclerosis (SSc) to general population data and to identify domains of sexual function driving impairment in SSc.

Methods

Canadian women with SSc were compared to women from a UK population sample. Sexual activity and, among sexually active women, sexual impairment were evaluated with a 9-item version of the Female Sexual Function Index (FSFI).

Results

Among women with SSc (mean age = 57.0 years), 296 of 730 (41%) were sexually active, 181 (61%) of whom were sexually impaired, resulting in 115 of 730 (16%) who were sexually active without impairment. In the UK population sample (mean age = 55.4 years), 956 of 1,498 women (64%) were sexually active, 420 (44%) of whom were impaired, with 536 of 1,498 (36%) sexually active without impairment. Adjusting for age and marital status, women with SSc were significantly less likely to be sexually active (OR = 0.34, 95%CI = 0.28–0.42) and, among sexually active women, significantly more likely to be sexually impaired (OR = 1.88, 95%CI = 1.42–2.49) than general population women. Controlling for total FSFI scores, women with SSc had significantly worse lubrication and pain scores than general population women.

Conclusions

Sexual functioning is a problem for many women with scleroderma and is associated with pain and poor lubrication. Evidence-based interventions to support sexual activity and function in women with SSc are needed.     

Primary Screening for Cervical Cancer Based on High-Risk Human Papillomavirus (HPV) Detection and HPV 16 and HPV 18 Genotyping,in Comparison to Cytology

Objectives

The objective of the present study is to assess the performance of a high-risk human papillomavirus (HR-HPV) DNA test with individual HPV-16/HPV-18 genotyping as a method for primary cervical cancer screening compared with liquid-based cytology (LBC) in a population of Greek women taking part in routine cervical cancer screening.

Methods

The study, conducted by the “HEllenic Real life Multicentric cErvical Screening” (HERMES) study group, involved the recruitment of 4,009 women, aged 25–55, who took part in routine cervical screening at nine Gynecology Departments in Greece. At first visit cervical specimens were collected for LBC and HPV testing using the Roche Cobas 4800 system. Women found positive for either cytology or HPV were referred for colposcopy, whereas women negative for both tests will be retested after three years. The study is ongoing and the results of the first screening round are reported herein.

Results

Valid results for cytology and HPV testing were obtained for 3,993 women. The overall prevalence of HR-HPV was 12.7%, of HPV-16 2.7% and of HPV-18 1.4%. Of those referred for colposcopy, cervical intraepithelial neoplasia grade 2 or worse (CIN2+) was detected in 41 women (1.07%). At the threshold of CIN2+, cytology [atypical squamous cells of undetermined significance (ASC-US) or worse] and HPV testing showed a sensitivity of 53.7% and 100% respectively, without change between age groups. Cytology and HPV testing showed specificity of 96.8% and 90.3% respectively, which was increased in older women (≥30) in comparison to younger ones (25–29). Genotyping for HPV16/18 had similar accuracy to cytology for the detection of CIN2+ (sensitivity: 58.5%; specificity 97.5%) as well as for triage to colposcopy (sensitivity: 58.5% vs 53.7% for cytology).

Conclusion

HPV testing has much better sensitivity than cytology to identify high-grade cervical lesions with slightly lower specificity. HPV testing with individual HPV-16/HPV-18 genotyping could represent a more accurate methodology for primary cervical cancer screening in comparison to liquid-based cytology, especially in older women.