1999 年至 2008 年美国 14 至 39 岁人群中淋病奈瑟菌的流行率。
Prevalence of Neisseria gonorrhoeae among persons 14 to 39 years of age, United States, 1999 to 2008.
机构信息
Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
出版信息
Sex Transm Dis. 2013 Mar;40(3):202-5. doi: 10.1097/OLQ.0b013e31827c5a71.
BACKGROUND
Prevalence estimates from population-based surveys do not suffer from the same biases as case-report and clinic positivity data and may be better to monitor sexually transmitted disease morbidity over time.
METHODS
We estimated the prevalence of Neisseria gonorrhoeae in a nationally representative sample of persons aged 14 to 39 years participating in the National Health and Nutrition Examination Survey.
RESULTS
From 1999 to 2008, the overall prevalence of gonorrhea was 0.27% (95% confidence interval, 0.13%-0.47%). In the 2005 to 2006 and 2007 to 2008 cycles, prevalence approached 0% and was based on too few positive sample persons to obtain reliable estimates. In 2004, most infections were found in 1 survey location.
DISCUSSION
Given the low prevalence and geographic clustering of disease, gonorrhea estimates from national probability surveys are often imprecise and unstable. In 2008, gonorrhea testing in National Health and Nutrition Examination Survey was discontinued. Continued surveillance of gonorrhea should include case reporting and prevalence estimates from local surveys and sentinel surveillance systems.
背景
基于人群的调查的流行率估计不会受到病例报告和临床阳性数据的相同偏差的影响，因此可能更适合监测性传播疾病的发病率随时间的变化。
方法
我们在参与全国健康和营养调查的 14 至 39 岁人群的全国代表性样本中估计了淋病奈瑟菌的流行率。
结果
从 1999 年到 2008 年，淋病的总体流行率为 0.27%（95%置信区间，0.13%-0.47%）。在 2005 年至 2006 年和 2007 年至 2008 年的周期中，流行率接近 0%，并且基于太少的阳性样本人员无法获得可靠的估计。2004 年，大多数感染发生在一个调查地点。
讨论
鉴于疾病的低流行率和地理聚集性，来自全国概率调查的淋病估计常常不准确且不稳定。2008 年，全国健康和营养调查中的淋病检测已停止。淋病的持续监测应包括来自当地调查和哨点监测系统的病例报告和流行率估计。
Zotero 插件