广东省河源市1992年～2002年性病发病情况分析

目的：分析广东省河源市1992年～2002年性病的流行趋势，评价11年来河源市的性病防治效果。方法：对河源市11年来的性病疫情进行回顾性分析，分析指标包括总的发病率，男女发病率、各种性病的发病和构成比。结果：河源市1992年～1997年性病发病率基本呈下降趋势，1998年～2001年性病发病率基本呈上升趋势；男性发病一直高于女性；非淋菌性尿道炎、淋病和尖锐湿疣是三种主要的性病，每年均占性病总发病数的70％以上。结论：河源市性病发病率在经过1997年的较低水平后，2001年与2002年又达到较高水平，有关部门应采取积极措施，防治性病的进一步蔓延。     

广东省江门市新会区2000～2004年性病流行病学分析

目的：分析2000～2004年江门市新会区性病的流行情况。方法：对来自新会区2000～2004年每月上报的性病疫情数据，采用回顾性分析方法。结果：新会区2000～2004年登记上报性病病例7125例，平均年发病率166．95／10万，明显高于全省平均水平，但自2002年起发病率呈逐年下降趋势；男性发病一直高于女性，男：女为2．31：1；病种构成以非淋菌性尿道炎(NGU)、淋病和尖锐湿疣为优势病种；HIV感染者也首次在性病高危人群中被发现。结论：新会区性病发病率近年虽呈下降趋势，但发病率仍明显高于全省水平，应进一步加大性病防治和控制工作力度，切实控制性病的蔓延。     

广东省惠州市1994年～2003年性病流行病学情况分析

目的：了解广东省惠州市1994年～2003年性病流行动态特征，为有关部门制订预防、控制措施提供参考依据。方法：对惠州市1994年～2003年性病疫报资料数据进行统计、回顾性分析。结果：1994年～2003年的性病平均年发病率为125．45／10万，平均年发病数为2198，年平均增长17．55％，各年的性病发病变化不大，主要以非淋菌性尿道炎(NGU)、淋病、尖锐湿疣和梅毒为主。结论：惠州市性病上升势头得到控制，但性病的蔓延和流行已成为严重的社会问题，必须加强综合治理，普及性病的科学知识，才能有效地控制其流行。     

广州市1990—1999年梅毒流行特征分析

目的：对1990－1999年广州市性病梅毒流行特征及趋势进行病学分析。方法：采用广州市监测点梅毒疫情资料分两个5年段（1990－1994年和1995－1999年）进行统计分析。结果：广州市梅毒发病率呈逐年上升趋势,前5年发病率为1．00／10万,后5年上升到28．44／10万,上升幅度为27．44％,梅毒各期的比例前后5年发生显改变,前5年梅毒增长呈持续缓慢增长,后5年出现了快速增长和基本稳定两个阶段,男女比例在Ⅰ期,Ⅱ期梅毒中无发生变化。     

广州市性病流行趋势分析

目的：分析广州市性病流行趋势。方法：对广州市性病监测系统报告资料进行趋势分析。结果：10年来广州市性病流行呈缓慢增长趋势，平均年增长率为7％，病毒性性病和梅毒近年来增长较快，而淋病有下降趋势。结论：要控制性病的增长，仍需采取多种干预措施，包括大众媒体宣传和对高危人群的筛查。     

广州市淋病控制现状与防治对策

广州市近10年淋病发病率平稳下降，淋病发病率由1999年的89．6／10万下降至2006年的32．7／10万；占主要性病构成比由25．61％下降至11．92％；20～30岁年龄组淋病发病率及构成比均明显下降，淋球菌临床株对头孢三嗪的敏感株构成比正逐步下降，而对四环素、环丙沙星、青霉素的耐药率都超过5％。显示广州市性病防治策略及措施对控制淋病发生和发展产生了有效的作用。第三代头孢菌素仍是治疗淋病的首选药物之一。     

山东省1986～2000年性病流行病学分析

自1986～2000年山东省性病新发病例呈明显增长趋势，性病流行进入快速增长期。1998年性病报告发病率为24．83／10万；1999年为49．36／10万；而2000年达到52．78／10万，为历年性病报告数最多的1年。     

安徽省1999年性病疫情分析

1　全省近年来疫情概况我省自 1985年开展性病疫情监测以来 ,发病人数逐年增多 ,尤其是进入 90年代 ,流行速度呈明显加快趋势。 1994～1999年近 6年平均增长率为 47.15 % (表1)。表 1　 1994～ 1999年性病发病情况年份报病数发病率(1/10万 )增长率 (% )1994895 6 15 .0 384.471995 10 5 4817.5 817.781996 1182 5 19.10 12 .11199714816 2 4.0 12 5 .2 619982 96 2 44 7.6 0 99.991999434 946 8.1943.2 6　　纵观近年来的疫情 ,性病呈如下流行特点 :性病发病率呈上升趋势 ,近 2年来增长速度明显加快 ;7种性病中 ,以淋病、尖锐湿疣、非淋菌性…     

广东省潮州市1995～2004年性病流行情况分析

目的：了解广东省潮州市1995～2004年性病疫情流行趋势。方法：对潮州市1995～2004年“性病疫情报表”提供的各种资料数据，运用回顾性方法进行统计分析。结果：潮州市近10年来性病发病率呈先上升后下降趋势，男性发病一直高于女性，非淋菌性尿道炎(NGU)、淋病、尖锐湿疣、梅毒仍是优势病种。结论：潮州市性病发病率自2000年达最高峰(83．88／10万)，然后呈逐年下降趋势，2004年已明显低于广东省平均发病率。这是我市经过多年的综合防治取得的明显成效。     

济南市1994～2003年性病流行病学分析

我市进入90年代以来，性病的发病率呈逐年上升趋势，现将1994～2003年的性病情况分析如下。     

广东省1996年～2003年性病患者年龄、学历与职业的变化趋势分析

目的:探讨广东省1996～2003年性病患者年龄、学历与职业分布的变化趋势.方法:利用广东省21地市每月法定上报的性病疫情报表,对年龄、学历与职业进行趋势分析.结果:年龄以20～和30～段为主,0～段呈上升趋势;文化程度分布主要以中学和小学为主,大专以上文化程度者的性病发生率不断上升;干职和无/待业人群有不断上升趋势.结论:性病发病向着低龄化,高学历,高素质职业方向发展,应引起各级性病防治部门的重视,加强对这类人群性病防治知识的宣传,加大主动监测力度,有效降低性病的发病率.     

汕头市区2003年性病流行病学分析

目的：分析汕头市2003年性传播疾病(STD)流行病学特征，为政府部门制订预防控制措施提供科学依据。方法：对汕头市STD年报资料及人151数据进行统计分析。结果：汕头市2003年STD报告数为2163例，较2002年增长15．24％，年报告总发病率为158．38／10万。非淋菌性尿道炎(NGU)发病数仍最高，尖锐湿疣、淋病仍居STD第二、第三位。结论：非淋菌性尿道炎(NGU)、尖锐湿疣(CA)的增长呈明显上升趋势，HIV／AIDS、先天梅毒的形势较严峻，应引起重视。     

桐乡市2013-2018年性传播疾病流行现状及防控措施探讨

目的了解桐乡市性传播疾病流行病学特征,为制定防控策略提供依据。方法对2013-2018年桐乡市性传播疾病疫情信息进行流行病学分析。结果2013-2018年桐乡市累计报告性传播疾病10426例,年平均发病率209.03/10万,梅毒和淋病报告发病率有所下降,报告发病率年增长率分别为-2.62%和-3.35%。男女之比为1.25∶1,年龄主要集中在20~39岁(占59.31%);职业以农民、家务待业和商业服务为主,共占79.10%;地区以梧桐街道、崇福镇、濮院镇为主,共占66.02%。结论桐乡市近6年来性传播疾病疫情总体呈下降趋势,淋病是性传播疾病发病中占首位的病种,其次是梅毒,应继续加强本地区性传播疾病防治工作,开展有针对性的宣教及干预工作。     

1989-2006年广东省珠海市性病流行病学分析

目的:分析广东省珠海市1989年-2006年性病的流行趋势,评价18年来珠海市的性病防治效果.方法:对珠海市18年来的性病疫情进行回顾性分析,包括总的发病率、男女发病率、各种性病的发病和构成比.结果:珠海市1989年-2006年各性病发病率起伏较大,总体呈下降趋势,淋病发病率大幅下降,非淋病性尿道炎(阴道炎)大幅上升,已成为第一优势病种;梅毒在2000年左右增长幅度最大,近几年稳中有降.结论:珠海市性病发病率总体下降,表明我市性病综合防治取得一定成效,并提示针对性病构成的变化,进一步开展不同人群的性行为干预和性病监测.     

Zunahme der Syphilis und STD-Koinfektionen bei HIV-Infizierten in Dresden

BACKGROUND: In the past few years, increased diagnoses of syphilis and other sexually transmitted diseases (STD) have been reported in the cities of the United States and Europe, including Germany. The majority of cases identified were men who have sex with men (MSM). PATIENTS AND METHODS: A retrospective chart review of 144 HIV-infected patients from Dresden enrolled between 2000 and October 2003 was analyzed for the prevalence of syphilis and other STDs and compared with previous data of 104 patients collected between 1993 and 1999. RESULTS: The seroprevalence of syphilis increased from 13.5% to 17.5%, mainly due to a marked increase of active early syphilis from 0% to 7% of patients, all of whom were MSM. 63% of the patients had clinical or serological signs of other STDs. CONCLUSION: These data confirm previous reports on the increase of syphilis among MSM. The frequent occurrence of other STDs in HIV-infected patients outlines the need for special STD screening offers and adequate counseling.     

Incidence of sexually transmitted diseases and HIV infection related to perceived HIV/AIDS threat since highly active antiretroviral therapy availability in men who have sex with men

OBJECTIVE: Concerns have been expressed regarding increase in risky sex because of the availability of antiretroviral treatments in Western countries. GOAL: The goal of this longitudinal study was to investigate the association between highly active antiretroviral therapy (HAART)- and postexposure prophylaxis-related beliefs and the incidence of sexually transmitted diseases (STDs) and new HIV infections in men who have sex with men (MSM). STUDY: Data on the incidence of STDs and new HIV infection, and the level of agreement with different HAART- and PEP-related beliefs from 151 HIV-negative MSM were compiled. RESULTS: Of all MSM, 65.6% tested negative for any STDs and 7 men HIV seroconverted. Perceiving less HIV/AIDS threat since HAART availability and younger age were significantly associated with a higher incidence of STDs. Perceiving less need for safe sex since HAART availability was significantly associated with an increased likelihood of HIV seroconversion. CONCLUSIONS: The results support the assumption that there is an association between the incidence of STDs and a decreased perception of HIV/AIDS threat resulting from HAART availability. Less perceived need for safe sex since HAART availability was associated with HIV seroconversion.     

Missed opportunities for early detection of chlamydia and gonorrhea in school-based health centers

OBJECTIVE: The purpose of the study was to assess the extent to which students are screened for sexually transmitted diseases (STDs) in their school-based health centers (SBHCs) in a Louisiana school district. GOAL: The goal of this study was to determine the proportion of students who reported having been tested or treated for STDs at their SBHCs in the past 3 months and the prevalence of chlamydia and gonorrhea among respondents. STUDY DESIGN: During the 2002-2003 and 2003-2004 school years, 487 students registered in their SBHCs, and who visited routinely their SBHC at least once in the past 3 months, participated in a chlamydia and gonorrhea screening independent of services their SBHCs provide. Participants were asked whether in the past 90 days they had been tested or treated for an STD at their SBHC. RESULTS: Among respondents, 47/482 (9.8%) reported having been tested or treated for an STD at the SBHC in the previous 3 months. Overall, 65/487 (13.3%) tested positive for chlamydia or gonorrhea. Of the 65 students who tested positive, 53 (81.5%) were not tested or treated for an STD at the SBHC. CONCLUSIONS: Many infections could have been detected by testing students during routine visits in SBHCs. Lack of routine screening in these SBHCs clearly represents missed opportunities for early detection of chlamydia and gonorrhea among local teens.     

2007～2011年珠海市性病流行情况分析

目的：了解2007～2011年珠海市性病的发病趋势和流行特点,为开展性病防治工作提供科学依据。方法：通过国家疾病预防控制信息系统,收集并分析珠海市19个性病哨点医院2007～2011年全年上报的病例信息。结果：2007～2011年珠海市累计上报性病病例15 186例,年均发病率为203.55/10万,发病率呈逐年上升趋势;病种构成上,衣原体感染报告数最多,占28.32%,其次为梅毒,梅毒与衣原体感染率每年增幅最大;性别分布上,男女比例1.45∶1,但有逐年缩小趋势;年龄分布上,20～34年龄段人群居多,占58.92%;职业分布上,工人、商业服务和家务待业者居多;香洲区为性病高发地区。结论：2007～2011年间,珠海市性病数逐年上升,尤其梅毒上升速度显著,应积极开展更有针对性的防治工作,控制以梅毒为主的各种性病的流行。     

Incidence of sexually transmitted diseases and HIV infection in men who have sex with men related to knowledge, perceived susceptibility, and perceived severity of sexually transmitted diseases and HIV infection: Dutch MSM-Cohort Study

BACKGROUND: This longitudinal study was conducted to investigate whether knowledge, perceived susceptibility, and perceived severity of HIV infection and sexually transmitted diseases (STDs) are associated with the incidence of STDs and new HIV infections among men who have sex with men (MSM). METHODS: A 3-year cohort study was conducted among 190 HIV-negative MSM. Data were collected on the incidence of STDs and new HIV infections, as well as on knowledge and perceived susceptibility to and perceived severity of HIV infection and STDs. Knowledge and perceptions were assessed in self-administered questionnaires. RESULTS: In the course of the 3-year study, six MSM (3.2%) HIV-seroconverted and 78 (41.1%) participants were diagnosed with at least one STD. MSM seemed to be better informed about HIV infection compared with STDs, and HIV infection was perceived as more severe than other STDs. In multivariable analyses, low perceived severity of HIV infection significantly (P = 0.025) predicted increased likelihood of infection with STDs or HIV, and the practice of anal intercourse was (marginally) associated with an increased risk of acquiring STDs or HIV (P = 0.052). CONCLUSIONS: A high perceived severity of HIV infection seems to induce sexual behavior that protects against STDs and HIV infection. More research is needed to establish the specific behaviors by which perceived severity of STDs/HIV influences the incidence of STDs and HIV.