阿姆斯特丹盆腔炎发病率下降。
Decreasing incidence of PID in Amsterdam.
作者信息
Coutinho R A, Rijsdijk A J, van den Hoek J A, Leentvaar-Kuijpers A
机构信息
Municipal Health Service, Department of Public Health and Environment, Amsterdam.
出版信息
Genitourin Med. 1992 Dec;68(6):353-5. doi: 10.1136/sti.68.6.353.
OBJECTIVE
To study the incidence of pelvic inflammatory disease (PID) in Amsterdam in the period 1983-1990.
METHODS
Patients diagnosed with PID based on a clinical definition were reported weekly by 30 general practices who covered 11% of the Amsterdam population. Annual age specific incidences were calculated using the number of women in the participating practices as the denominator.
RESULTS
The PID incidence was approximately 50 per 10,000 women through 1986, and then started to decrease in 1987 to reach 24 per 10,000 in 1990. The decreasing trend since 1987 was seen in the age-groups 20-24, 25-34 and 35-44 years, but not among teenagers. The moment of decline coincided with extensive attention given in the Dutch media to the risk of heterosexual transmission of the human immunodeficiency virus (HIV).
CONCLUSION
It is plausible that the declining incidence of PID was influenced by a change of heterosexual behaviour under the threat of AIDS.
目的
研究1983 - 1990年期间阿姆斯特丹盆腔炎（PID）的发病率。
方法
30家全科诊所每周报告根据临床定义诊断为PID的患者，这些诊所覆盖了阿姆斯特丹11%的人口。以参与诊所中的女性数量为分母计算各年龄组的年发病率。
结果
到1986年，PID发病率约为每10000名女性中有50例，然后在1987年开始下降，到1990年降至每10000名中有24例。1987年以来的下降趋势在20 - 24岁、25 - 34岁和35 - 44岁年龄组中可见，但在青少年中未出现。下降时刻与荷兰媒体对人类免疫缺陷病毒（HIV）异性传播风险的广泛关注相吻合。
结论
PID发病率下降可能受到艾滋病威胁下异性行为变化的影响。
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