Trends in Sexually Transmitted Infections in United States Ambulatory Care Clinics from 2005-2016.
Trends in Sexually Transmitted Infections in United States Ambulatory Care Clinics from 2005-2016.
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DOI：
10.3390/jcm11010071
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发表时间：
2021-12-24
影响因子：
3.9
通讯作者：
Park H
中科院分区：
文献类型：
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作者：
Unigwe I;Yang S;Song HJ;Lo-Ciganic WH;Hincapie-Castillo J;Cook RL;Park H
我们研究了2005-2016年美国门诊护理环境中非人类免疫缺陷病毒（HIV）性传播感染（STI）的流行趋势和相关患者特征。我们使用来自全国门诊医疗调查（NAMCS）的数据，对15-64岁的非HIV STI相关就诊者进行了回顾性重复横断面分析。数据被合并为三个时期（2005-2008年，2009-2012年和2013-2016年），以获得可靠的估计。采用Logistic回归分析。2005年至2016年，共发现1，950万次加权、非艾滋病毒性传播感染相关的门诊就诊。在研究期间，每100，000次门诊护理中的性传播感染相关就诊次数显著增加：2005-2008年、2009-2012年和2013-2016年分别为206（95%CI = 153-259）、343（95%CI = 279-407）和361（95%CI = 277-446）（Ptrend = 0.003）。这些增长主要是由于2005-2008年至2009-2012年HPV相关就诊增加（每10万次就诊56至163次），其次是2009-2012年至2013-2016年梅毒或淋病相关就诊（每10万次就诊30至67次）。更高的几率有性病相关的访问与年轻的年龄（15-24岁：aOR = 4.45; 95% CI = 3.19-6.20; 25-44岁：aOR = 3.59; 95% CI = 2.71-4.77）vs. 45-64岁，黑人（aOR = 2.41; 95% CI = 1.78-3.25）vs.白色，HIV诊断（aOR = 10.60; 95% CI = 5.50-20.27）vs.无HIV诊断。从2005年到2016年，与性传播感染相关的门诊量增加了75%以上，主要是由HPV相关性传播感染和梅毒或淋病相关性传播感染驱动的。
We examined the prevalence trends of non-human immunodeficiency virus (HIV) sexually transmitted infections (STI) and associated patient characteristics in U.S. ambulatory-care settings from 2005–2016. We conducted a retrospective repeated cross-sectional analysis using data from the National Ambulatory Medical Care Survey (NAMCS) for individuals aged 15–64 with a non-HIV STI-related visit. Data were combined into three periods (2005–2008, 2009–2012, and 2013–2016) to obtain reliable estimates. Logistic regression was used for analysis. A total of 19.5 million weighted, non-HIV STI-related ambulatory visits from 2005–2016 were identified. STI-related visits per 100,000 ambulatory care visits increased significantly over the study period: 206 (95% CI = 153–259), 343 (95% CI = 279–407), and 361 (95% CI = 277–446) in 2005–2008, 2009–2012, and 2013–2016, respectively (Ptrend = 0.003). These increases were mainly driven by increases in HPV-related visits (56 to 163 per 100,000 visits) from 2005–2008 to 2009–2012, followed by syphilis- or gonorrhea-related visits (30 to 67 per 100,000 visits) from 2009–2012 to 2013–2016. Higher odds of having STI-related visit were associated with younger age (aged 15–24: aOR = 4.45; 95% CI = 3.19–6.20 and aged 25–44: aOR = 3.59; 95% CI = 2.71–4.77) vs. 45–64-year-olds, Black race (aOR = 2.41; 95% CI = 1.78–3.25) vs. White, and HIV diagnosis (aOR = 10.60; 95% CI = 5.50–20.27) vs. no HIV diagnosis. STI-related office visits increased by over 75% from 2005–2016, and were largely driven by HPV-related STIs and syphilis- or gonorrhea-related STIs.
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影响因子：
4.8
作者：
Kasting ML;Shapiro GK;Rosberger Z;Kahn JA;Zimet GD
通讯作者：
Zimet GD
DOI：
10.4103/0253-7184.156715
发表时间：
2015-01
影响因子：
0.4
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Sherwal BL
DOI：
10.15585/mmwr.mm7012a2externalicon
发表时间：
2021-03-26
影响因子：
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作者：
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通讯作者：
Markowitz, Lauri E.
影响因子：
11.8
作者：
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通讯作者：
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影响因子：
3.1
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