Age-, period- and cohort-specific incidence of sexually transmitted diseases in Yantian District from 2008 to 2022
LIN Kai, LIU Yawen, LUO Shili, LI Heng, LI Xuemei
Department of Communicable Disease Control and Prevention, Yantian District Center for Disease Control and Prevention, Shenzhen, Guangdong 518000, China
Abstract:Objective To investigate the incidence trend of sexually transmitted diseases (STDs) in Yantian District, Shenzhen City, Guangdong Province from 2008 to 2022, and the effects of age, period, and cohort on STDs incidence, so as to provide the basis for formulating control measures for STDs. Methods Data of reported STDs cases (syphilis, gonorrhea, genital Chlamydia trachomatis infections, condyloma acuminatum and genital herpes) among population aged 15 to 64 years in Yantian District from 2008 to 2022 were collected through the Chinese Disease Control and Prevention Information System. The temporal and population distribution of STDs were descriptively analyzed. Trends in incidence of STDs were analyzed using average annual percent change (AAPC). Impacts of age, period and cohort on the incidence of STDs were analyzed by an age-period-cohort model. Results A total of 6 156 cases of STDs aged 15 to 64 years were reported from 2008 to 2022, and the average annual incidence was 229.92/105. The overall incidence showed an upward trend (AAPC=2.409%, P<0.05), and an upward trend among females (AAPC=5.846%, P<0.05), but the trend was not statistically significant among males (AAPC=0.193%, P>0.05). The incidence of STDs showed an increasing trend followed by a decreasing trend with the increase of age. The incidence trend among males was consistent with the overall population, reaching its peak in the age group of 30 to 34 years (371.04/105), while the incidence among females showed an increasing trend with the increase of age, peaking in the age group of 60 to 64 years (442.15/105). Compared with 2013-2017, the incidence risk of STDs showed an increasing trend in 2018-2022 (RR=1.349, 95%CI: 1.217-1.495). Compared with the birth cohort of 1975-1979, the incidence risk of STDs in 1980-2005 birth cohort showed an increasing trend, with the highest incidence risk in 2000-2004 birth cohort (RR=4.178, 95%CI: 2.717-6.423). Conclusions The overall incidence of STDs among residents aged 15 to 64 years in Yantian District from 2008 to 2022 appeared a tendency towards a rise. Age, period and cohort all had impacts on the incidence, with a greater effect among females than males.
林凯, 刘雅文, 罗诗丽, 李衡, 李雪梅. 2008—2022年盐田区性传播疾病年龄、时期、队列分析[J]. 预防医学, 2024, 36(7): 584-589.
LIN Kai, LIU Yawen, LUO Shili, LI Heng, LI Xuemei. Age-, period- and cohort-specific incidence of sexually transmitted diseases in Yantian District from 2008 to 2022. Preventive Medicine, 2024, 36(7): 584-589.
[1] FASCIANA T,CAPRA G,LIPARI D,et al.Sexually transmitted diseases:diagnosis and control[J].Int J Environ Res Public Health,2022,19(9):1-3. [2] 胡跃华,李镒冲,刘世炜,等.中国20年间淋球菌、性传播衣原体、梅毒螺旋体的发病情况及其疾病负担[J].疾病监测,2015,30(11):904-910. [3] 熊明洲,赵培祯,王雅洁,等.广东省2019年性病流行状况分析[J].皮肤性病诊疗学杂志,2020,27(6):441-446. [4] 黄照,马文军.年龄-时期-队列模型[J].华南预防医学,2017,43(4):373-376. [5] ROSENBERG P S,CHECK D P,ANDERSON W F.A web tool for age-period-cohort analysis of cancer incidence and mortality rates[J].Cancer Epidemiol Biomarkers Prev,2014,23(11):2296-2302. [6] 郑伟,张世勇,杨纶砥,等.基于年龄-时期-队列模型的1990—2019年我国艾滋病发病率趋势分析[J].预防医学,2023,35(8):665-668,681. [7] MAIA C M F,MARQUES N P,DIAS V O,et al.Epidemiological trends in notified syphilis diagnoses during the COVID-19 pandemic in Brazil[J/OL].Sex Transm Infect,2022 ,98(6)[2024-05-11].https://doi.org/10.1136/sextrans-2021-055240. [8] 吴志超,刘振红.2010—2018年延庆区5种性病流行特征分析[J].预防医学,2020,32(10):1026-1029. [9] TAYLOR A,GOSNEY M A.Sexuality in older age:essential considerations for healthcare professionals[J].Age Ageing,2011,40(5):538-543. [10] 陈亮,连巧龄,张明雅.福建省≥60岁艾滋病病毒感染者/艾滋病患者流行病学特征分析[J].中国公共卫生,2021,37(8):1205-1208. [11] 蒋和宏,郭晓嘉,陈于.重庆市2007—2014年性病流行病学分析[J].中国公共卫生,2016,32(11):1556-1560. [12] LUO Z Z,LI W,WU Q H,et al.Population-based study of chlamydial and gonococcal infections among women in Shenzhen,China:implications for programme planning[J/OL].PLoS One,2018,13(5)[2024-05-11].https://doi.org/10.1371/journal.pone.0196516. [13] CHANG S X,CHEN K K,LIU X T,et al.Cross-sectional study of asymptomatic Neisseria gonorrhoeae and Chlamydia trachomatis infections in sexually transmitted disease related clinics in Shenzhen,China[J/OL].PLoS One,2020,15(6)[2024-05-11].https://doi.org/10.1371/journal.pone.0234261. [14] 李萌萌,张景慧.艾滋病流行现状研究进展[J].临床医学进展,2023,13(2):1601-1606. [15] 葛琳,李东民,汤后林,等.中国2015—2019年青年学生HIV、梅毒感染状况及性行为特征趋势分析[J].中华流行病学杂志,2021,42(4):602-607. [16] WIDMAN L,CHOUKAS-BRADLEY S,HELMS S W,et al.Sexual communication between early adolescents and their dating partners,parents,and best friends[J].J Sex Res,2014,51(7):731-741. [17] BRITTAIN A W,LOYOLA BRICENO A C,PAZOL K,et al.Youth-friendly family planning services for young people:a systematic review update[J].Am J Prev Med,2018,55(5):725-735. [18] MCCANN H,MOORE M J,BARR E M,et al.Sexual health services in schools:a successful community collaborative[J].Health Promot Pract,2021,22(3):349-357. [19] 刘文利,李佳洋.中国学校性教育开展现状与对策[J].中国学校卫生,2022,43(12):1761-1765.