ปัจจัยที่มีความสัมพันธ์กับการติดเชื้อซิฟิลิสของชายที่มารับบริการที่คลินิกโรคติดต่อทางเพศสัมพันธ์ในเขตเมือง

Lawitra Phithawutthikorn; Nopphanath  Chumpathat; Jariyawat  Kompayak; Panithee  Thammawijaya; Nattapon  Ngsarmjiratam

Authors

Lawitra Phithawutthikorn Faculty of Nursing, Huachiew Chalerprakiet University
Nopphanath Chumpathat Faculty of Nursing, Huachiew Chalerprakiet University
Jariyawat Kompayak Independent Scholar
Panithee Thammawijaya Division of Innovation and Research, Department of Disease Control, Ministry of Public Health
Nattapon Ngsarmjiratam Bangrak STIs Center

Keywords:

syphilis infection, sexual behavior

Abstract

This research aimed to study factors related to men with syphilis infection from an urban STDs prevention center. This research was a case-control study divided into 112 infected people as the case group and 148 non-infected people as the control group from the Bangrak STI center and the Rainbow Sky Association of Thailand. Both clinics are large STD service providers in an urban area. The studied factors were personal factors and sexual behaviors. The instrument used in this research was a questionnaire about personal data and sexual behavior, which had content validity index (CVI) = 1, and the result of chemiluminescence immunoassay (CIA)/Treponema pallidum hemagglutination assay (TPHA). The data were analyzed using percentage, mean, standard deviation, Odds Ratio (OR), and 95% Confident interval (95%CI).

The findings revealed that factors related to men with syphilis infection consisted of 1) people with HIV-positive status were able to develop syphilis infection five times greater than people with HIV-negative status. (OR = 5.26, 95%CI = 1.432 - 19.347, p = .012), 2) people who had used drugs during sex for a year were able to develop syphilis two times greater than people who do not use drugs during sex. (OR = 2.878, 95%CI = 1.120 - 7.390, p = .041), 3) homosexual people were able to develop syphilis infection five times greater than heterosexual people (OR = 2.844, 95%CI = 1.372 - 5.948, p = .005), and 4) rarely or never using a condom during anal sex were able to develop syphilis infections twenty times when compared to having anal sex with a condom regularly (OR = 20.706, 95%CI = 8.401 - 51.035, p = .000).

HIV status is an important factor that can develop the syphilis infection. Moreover, various cases of syphilis infection can be found from the homosexual group and unprotected anal sex. Therefore, related agencies for both HIV and STDs should strive to promote and educate men who have unsafe sexual behaviors to know the importance and protect themselves from HIV and syphilis infection frequently.

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