1028名性罪错人员性病监测调查分析

目的：了解性罪错人员的性病发病情况，寻找预防和控制性病流行的办法。方法：在1993－2001年对北海市某收教所的性罪错人员进行连续性的性病监测，并收集和分析所获得有关资料。结果：在1028名性罪错中，共检出性病180例，总检出率为17.5%，其中梅毒检出数最多，尖锐湿疣、淋病其次，并检出2例抗－HIV抗体阳性。结论：加强性罪错人群的性病监测，对性病、艾滋病的预防和控制有重要意义。     

3 586名女劳教人员5种性病感染情况调查

性传播疾病（STD）和HIV的流行已经成为重要的社会公共卫生问题，女性性罪错人员已经成为性病艾滋病防治的重点人群。为了解我省女性劳教人员中STD发生状况，在福建省女子劳教所的协作下，于2000年1月。2006年12月间对省女子劳教所新收教的性罪错人员共3586名进行了性病调查。     

南汇区991例性罪错人员性病流行病学分析

目的：了解南汇区看守所在押性罪错人员性传播疾病感染情况。方法：对2006～2008年南汇区看守所在押991例性罪错人员进行问卷调查、体格检查及性传播疾病实验室检测,收集相关资料进行流行病学分析。结果：991例性罪错人员检出性传播疾病173例,感染率为17.46%;女性检出率高于男性。结论：性罪错人员作为传播性传播疾病的高危人群,必须加强对该类人群的性病流行病学监测及干预。     

12 861例性罪错妇女性病感染调查分析

目的：通过对1991年～2001年深圳市收容教育所性罪错妇女性病感染情况的调查分析，了解深圳市性罪错妇女性病感染的特点。方法：收集并整理深圳市收容教育所1991年．2001年性罪错妇女性病临床检查及实验室检测资料，然后进行统计分析。结果：12861名性罪错妇女中，共检出性病4303例，患病率33．46％。其中尖锐湿疣1552例(占12．06％)；淋病1337例(占10．40％)；梅毒696例(占5．41％)；非淋菌性阴道炎240例(占1．87％)；滴虫性阴道炎217例(占1．69％)；霉菌性阴道炎177例(占1．38％)；生殖器疱疹47例(占0．37％)；HIV阳性6例(占0．05％)。结论：性罪错妇女的性病患病率高，是性病流行的主要传染源。     

1867例收教所收容人员性病感染情况调查分析

目的:了解深圳市收教所收容的卖淫嫖娼人员的性病感染情况。方法:对2005年深圳市某收教所中因卖淫嫖娼收容的1867名学员进行体检以及性病实验室检测,并收集相关资料作流行病学分析。结果:1867名收容学员中,共检出315例感染性病,检出率为16.9%。检出梅毒病例数最多,占42.5%;HIV感染者1例,为女学员;女学员性病检出率依旧高于男学员。结论:加强对卖淫嫖娼收容人员的性病流行病学监测是预防和控制性病流行的有效措施之一。     

859例性罪错人员性传播疾病监测分析

目的了解天津市性罪错人员对性传播疾病(STD)的认知及防护意识,以及2011年度天津市公安局收容的性罪错人员艾滋病、梅毒、乙肝、丙肝的患病率。方法对2011年度天津市公安局收容的859例性罪错人员进行人类免疫缺陷病毒(HIV)、梅毒、乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)的检测,统计艾滋病、梅毒、乙肝、丙肝4种STD的患病率,并随机抽取其中200例完成有关STD认知及防护意识的问卷调查。结果性罪错人员STD患病率为42.8%,其中乙肝、丙肝、梅毒和艾滋病单病种的患病率分别为38.6%、1.6%、6.4%和0.2%,4种STD的发病均女性多于男性,且存在4种STD混合感染现象;性罪错人员性生活混乱且关系复杂,对STD认知差且无主动意愿了解有关STD的知识,无明显防范意识,且感染STD后治疗不积极、不正规。结论性罪错人员对STD认知和防护意识差,其STD患病率明显高于普通人群,并存在4种STD混合感染现象。     

泉州市男性性罪错人员STD感染情况分析

我院于2001～2003年对泉州市劳教所性罪错在押教育人员进行性病监测,现将3年来的监测结果和感染者的流行病学特点分析如下：     

汕头市女性性罪错人群梅毒感染情况调查分析

近年来梅毒发病率的上升速度已远远超出了淋病、尖锐湿疣、非淋菌性尿道炎等其他性病,而胎传梅毒也已成为儿童STD发病率最高的疾病1。梅毒的危害性日益严重,女性性罪错人群是性病传播的主要传染源,为了解梅毒在女性性罪错人群中流行病学特征,更好地开展对梅毒的防治工作,我们于2000～2004年对汕头市收容场所的1405例女性性罪错人群进行了临床及梅毒血清学检查。现将有关的资料分析如下。1资料与方法1.1资料来源汕头市收容场所2000～2004年被收容从事卖淫的1405例女性性罪错人群的检测资料,包括年份、年龄、文化程度、婚姻状况、使用安全套…     

济南市332例性罪错妇女性传播感染检测结果分析

性罪错妇女是性传播疾病（STD）、AIDS的高危人群，其性病病原体检出率常高于一般人群。为了解近年来济南市性罪错妇女性病感染情况，我们于2004年9月～2005年11月对济南市公安局收容教育所卖淫妇女泌尿生殖道分泌物、血液进行检测，结果如下。     

北海市性罪错在押人员5种性传播疾病分析

为了解北海市高危人群中STD流行情况,我防治科从1993～2000年逐年对性罪错在押人员进行性病检查.现将其结果报告如下.     

深圳市5130例性罪错妇女尖锐湿疣流行病学分析

目的：探讨性罪错妇女尖锐湿疣的影响因素。方法：对深圳市妇教所近5年来5130例性罪错妇女的常规体检资料进行t—检验，x^2—检验和多因素的Logistic回归分析等。结果：深圳市性罪错妇女不同年份尖锐湿疣阳性检出率差异无显著性(x^2＝9．398，P＝0．052)；不同年龄阳性检出率差异有显著性(t＝10．5378，P＝0．0001)，年龄越小的阳性检出率越高(rs＝-0．15057，P＝0．0001)；不同来源地区的阳性检出率差异无显著性(x^2＝2．186，P＝0．702)；不同原职业的阳性检出率差异有显著性(x^2＝29．477，P＝0．001)，学生阳性检出率最高(11．54％)，农民阳性检出率(7．48％)次之；不同现职业的阳性检出率差异有显著性(x^2＝5．262，P＝0．022)，以三陪等危险职业的人群阳性检出率为高(6．96％)；不同文化程度的阳性检出率差异有显著性(x^2＝17．225，P＝0．O01)，初中文化程度的阳性检出率(7．61％)最高；不同婚姻状况的阳性检出率差异有显著性(x^2＝25．982，P＝0．001)，未婚阳性检出率最高(7．62％)；多因素的Logistic回归分析中，年龄和原职业(农民)被引入模型，说明在联合因素的作用下它们是女性尖锐湿疣的影响因素(P＜0．01)。结论：年龄、原职业、现职业、文化程度及婚姻状况构成尖锐湿疣的影响因素。     

228名女性桑拿按摩从业人员性病调查分析

目的:为了解我市高危人群性病的流行情况,对我市10家酒店的228名桑拿按摩女性从业人员进行性病调查。结果:发现性病72例,检出率31.57％,其中,细菌性阴道病14.91％(34/228),淋病7.9％(18/228),非淋球菌性宫颈炎7.46％(17/228),尖锐湿疣0.88％(2/228),软下疳0.44％(1/228)。结论:桑拿按摩女性从业人员是性病的高危人群,应主动对该人群进行监测,并加强行为干预和防治。     

Sexually transmitted diseases of older persons in Washington State

BACKGROUND: Sexually transmitted diseases (STDs) in persons older than 50 years are rarely studied because STDs are more common in young people. Understanding the epidemiology of STDs in older persons is important for reducing STD morbidity and for improving STD care. GOAL: To understand the epidemiology of STDs in older persons. METHODS: Washington State's STD surveillance data from 1992 to 1998 were analyzed to describe the burden of STDs and source of care for these diseases in older persons. RESULTS: From 1992 to 1998, 1535 episodes of STDs were reported for 50- to 80-year-olds in Washington State, accounting for 1.3% of all reported STDs. The most common STDs were nongonococcal urethritis in men and genital herpes in women. As compared with younger persons, older individuals more frequently sought care at private clinics and had symptoms at the time of the clinic visit. CONCLUSIONS: Sexually transmitted diseases are reported among older persons, although at lower rates than among younger persons. Services for STD and counseling regarding safe sex should be available to persons of all ages.     

广东省2014年性病流行状况分析

目的:了解广东省2014年性病发病情况及流行特征,为制定预防控制对策提供依据。方法:使用描述流行病学方法对广东省梅毒、淋病、尖锐湿疣、生殖器疱疹、生殖道沙眼衣原体感染5种性病报告资料进行分析。结果:2014年全省梅毒、淋病、尖锐湿疣、生殖器疱疹、生殖道沙眼衣原体感染合计报告发病率为149.34/10万,较2013年增长0.01%;5种性病报告发病率分别为52.55/10万、15.74/10万、22.09/10万、7.68/10万和51.27/10万,较2013年增减幅度分别为4.57%、-19.80%、2.55%、-3.39%和2.65%。高发地区主要分布于珠三角,其中深圳、广州、佛山和东莞5种性病报告数均在1万例以上。男性5种性病发病率分别为53.79/10万、26.23/10万、20.93/10万、8.64/10万和25.86/10万,女性分别为51.21/10万、4.32/10万、23.36/10万、6.63/10万和78.95/10万,男女性别比分别为1.14∶1、6.62∶1、0.98∶1、1.42∶1和0.36∶1。高发年龄段为20~45岁,占总报病数的72.17%。结论:性病仍是我省重要的公共卫生问题,梅毒和生殖道沙眼衣原体感染为本年度性病主要的发病病种,隐性梅毒在各期梅毒中占比最大,需根据疫情发展特点制定相应防控对策。     

Trends in sexually transmitted diseases and condom use patterns among commercial sex workers in Fukuoka City, Japan 1990-93.

OBJECTIVE: To investigate trends in sexually transmitted diseases (STDs) among female commercial sex workers and in their condom use patterns during the period from 1990 to 1993 in Fukuoka, Japan. METHODS: The study group consisted of a total of 824 commercial sex workers who attended an STD clinic to undergo screening for STDs including chlamydia, gonorrhoea, syphilis, hepatitis B and HIV-1 infection during the period from 1990 to 1993. For detection of Chlamydia trachomatis and Neisseria gonorrhoeae, endocervical smear specimens were taken from the women. Blood samples were obtained for serological diagnosis of syphilis, hepatitis B and HIV-1. Commercial sex workers who visited the clinic during the period from November to December of 1993 were interviewed concerning past (1990 and 1991) and recent (1992 and 1993) condom use patterns. RESULTS: The annual detection rates of C trachomatis and N gonorrhoeae declined significantly from 16.3% in 1990 to 12.2% in 1993 (P < 0.0001) and from 1.5% in 1990 to 0.8% in 1993 (P = 0.0096), respectively. There was a remarkable reduction in the annual syphilis infection rate, from 7.5% in 1990 to 0.5% in 1993 (P = 0.0011). The positive rate for the hepatitis B surface antigen in the women ranged from only 0.6% to 1.9% and none were found to be positive for HIV-1 during the 4-year period. During the same period, there was a significant increase in the proportion of commercial sex workers always using condoms from 6.3% in 1990-91 to 25.3% in 1992-93 (P = 0.0023). CONCLUSION: The prevalences of chlamydia, gonorrhoea, and syphilis infections decreased significantly among commercial sex workers in Fukuoka from 1990 through 1993, and no commercial sex workers were HIV-1 seropositive. The reductions in the prevalence of major STDs may be related to the increased use of condoms.     

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.     

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.     

Changing patterns in sexually transmitted disease syndromes in Kenya after the introduction of a syndromic management program

OBJECTIVE: The objective of this study was to evaluate patterns in sexually transmitted disease (STD) syndromes after the introduction of an STD syndromic management program. STUDY: We used the HIV sentinel surveillance in patients with STDs (1990-2001) to compute the proportions of STD syndromes (as a proportion of all patients with STDs) before and after the introduction of the syndromic management program. RESULTS: A decline in the proportion of genital ulcer disease (GUD), urethral discharge (UD), and vaginal discharge (VD) was observed from the baseline (1990-1994) to the year 2000 (P <0.0001). GUD declined from 27.6% at baseline to 11.0% in 2000; UD from 31.8% at baseline to 22.2% in 2000; and VD from 36.7% at baseline to 20.1% in 2000. Similar declines for these syndromes were also observed in sex and age groups. The proportions of GUD, UD, and UV increased again in 2001. CONCLUSIONS: These changing patterns of STD syndromes were coincident with the introduction of the STD syndromic management program in 1995 and the termination of free STD medication in 2001.