Ebrahim S H, McKenna M T, Marks J S
National Center for HIV/AIDS, STD, TB Prevention, Centers for Disease Control and Prevention (CDC, Mail Stop E-46), 1600 Clifton Road, Atlanta, GA 3033, USA.
Sex Transm Infect. 2005 Feb;81(1):38-40. doi: 10.1136/sti.2003.008300.
As part of an analysis of the burden of disease and injury in the United States, we identified and quantified the incidence of adverse health events, deaths, and disability adjusted life years (DALY) attributed to sexual behaviour. In 1998, about 20 million such events (7532/100 000 people) and 29 782 such deaths (1.3% of all US deaths) occurred, contributing to 2 161 417 DALYs (6.2% of all US DALYs). The majority of incident health events (62%) and DALYs (57%) related to sexual behaviour were among females, and curable infections and their sequelae contributed to over half of these. Viral infections and their sequelae accounted for nearly all sexual behaviour related deaths-mostly HIV/AIDS. Sexual behaviour attributed DALYs in the United States are threefold higher than that in overall established market economies.
作为对美国疾病和伤害负担分析的一部分,我们确定并量化了归因于性行为的不良健康事件、死亡及伤残调整生命年(DALY)的发生率。1998年,发生了约2000万起此类事件(每10万人中有7532起)和29782例此类死亡(占美国所有死亡人数的1.3%),导致2161417个伤残调整生命年(占美国所有伤残调整生命年的6.2%)。与性行为相关的大多数新发健康事件(62%)和伤残调整生命年(57%)发生在女性中,可治愈感染及其后遗症占其中一半以上。病毒感染及其后遗症几乎占所有与性行为相关的死亡——主要是艾滋病毒/艾滋病。美国性行为归因的伤残调整生命年是成熟市场经济体总体水平的三倍。