Sexually Transmitted Infections Among US Women and Men: Prevalence and Incidence Estimates, 2018.
Sexually Transmitted Infections Among US Women and Men: Prevalence and Incidence Estimates, 2018.
复制标题
DOI：
10.1097/olq.0000000000001355
复制
发表时间：
2021-04-01
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
对美国流行性传播感染和性传播感染事件的最新估计是2008年。我们使用新方法提供2018年的最新估计。我们估计了美国八种性传播感染的流行和事件感染总数：衣原体、淋病、毛孢子虫病、梅毒、生殖器疱疹、人乳头瘤病毒（HPV）、性传播肝炎B和性传播艾滋病毒。每种STI的更新人均患病率和发病率估计值乘以2018年全部居民人口估计值，以计算流行和事件感染的数量。将具体的性传播感染估计数合并，以生成按性别和年龄组分列的总体流行性传播感染和新发性传播感染总数的估计数。初步估计数用中位数表示，不确定区间用每种性传播感染流行率和发病率经验频率分布的第25次（第1季度）和第75次（第3季度）曲线表示。2018年，美国估计有6760万（Q1= 6660万，Q3= 6870万）人患病，2620万（Q1= 2400万，Q3= 2870万）人发生性传播感染。衣原体、滴虫病、生殖器疱疹和HPV占所有流行性病的97.6%，占所有新发性病的93.1%。15-24岁的人占所有流行感染的18.6%（1 260万人）;然而，他们占所有事件感染的45.5%（1 190万人）。美国的性传播感染负担很高。2018年，近一半的性传播感染发生在15-24岁的人群中。关注这一人群应被视为国家性传播感染预防工作的关键。据估计，2018年美国有6760万人流行，2620万人发生性传播感染。
The most recent estimates of the number of prevalent and incident sexually transmitted infections (STIs) in the United States (US) were for 2008. We provide updated estimates for 2018 using new methods. We estimated the total number of prevalent and incident infections in the US for eight STIs: chlamydia, gonorrhea, trichomoniasis, syphilis, genital herpes, human papillomavirus (HPV), sexually transmitted hepatitis B, and sexually transmitted HIV. Updated per capita prevalence and incidence estimates for each STI were multiplied by the 2018 full resident population estimates to calculate the number of prevalent and incident infections. STI-specific estimates were combined to generate estimates of the total number of prevalent and incident STIs overall, and by gender and age group. Primary estimates are represented by medians and uncertainty intervals are represented by the 25th (Q1) and 75th (Q3) percentiles of the empirical frequency distributions of prevalence and incidence for each STI. In 2018, there were an estimated 67.6 (Q1=66.6, Q3=68.7) million prevalent and 26.2 (Q1=24.0, Q3=28.7) million incident STIs in the US. Chlamydia, trichomoniasis, genital herpes, and HPV comprised 97.6% of all prevalent and 93.1% of all incident STIs. Persons aged 15–24 years comprised 18.6% (12.6 million) of all prevalent infections; however, they comprised 45.5% (11.9 million) of all incident infections. The burden of STIs in the US is high. Almost half of incident STIs occurred in persons aged 15–24 years in 2018. Focusing on this population should be considered essential for national STI prevention efforts. There were an estimated 67.6 million prevalent and 26.2 million incident sexually transmitted infections in the United States in 2018.