与其他服务相比，新南威尔士州的公共性健康服务机构诊断出的性传播感染和艾滋病毒感染病例占比是多少？

What proportion of sexually transmissible infections and HIV are diagnosed in New South Wales' public sexual health services compared with other services?

作者信息

Bourne Chris, Allen Debbie, Brown Katherine, Davies Stephen C, McNulty Anna, Smith Don E, O'Connor Catherine C, Couldwell Deborah, Jackson Eva, Bolton Michale, Rodgers Craig, Konecny Pam, Smith David J, Parker Angela

机构信息

NSW Sexually Transmitted Infections Programs Unit, PO Box 1614, Sydney, NSW 2001, Australia.

出版信息

Sex Health. 2013 May;10(2):119-23. doi: 10.1071/SH12020.

DOI:10.1071/SH12020

PMID:23448750

Abstract

BACKGROUND

In New South Wales (NSW), publicly funded sexual health services (PFSHSs) target the populations at greatest risk for important sexually transmissible infections (STIs) and so may make a large contribution to the diagnosis of notifiable STIs. We aimed to determine the proportions of STIs diagnosed in PFSHSs and notified to the NSW Ministry of Health in 2009, and describe geographical variations.

METHODS

The number of notifiable STIs (infectious syphilis, gonorrhoea, HIV and chlamydia) diagnosed in 2009 was obtained for each Area Health Service (AHS) and each PFSHS. The proportion of diagnoses made by PFSHSs was calculated at the state and AHS level according to five geographical regions: inner and outer metropolitan, regional, rural and remote.

RESULTS

The overall proportions of diagnoses made by NSW PFSHSs were syphilis, 25%; gonorrhoea, 25%; HIV, 21%; and chlamydia, 14%. Within each zone, the proportions of these STIs were (respectively): (i) inner metropolitan: 32%, 26%, 21% and 13%; (ii) outer metropolitan: 41%, 24%, 43% and 9%; (iii) regional: 62%, 15%, 23% and 10%; (iv) rural: 8%, 29%, <5% and 20%; and (v) remote: <5%, 43%, <5% and 29%. There was considerable variation in proportions of STIs between and within AHSs (<5-100%).

CONCLUSIONS

NSW PFSHSs contribute a large proportion of diagnoses for syphilis, gonorrhoea and HIV, but less so for chlamydia. Across AHSs and zones, there was considerable variation in the proportions. These data support the role of PFSHS in identifying and managing important STIs in high-risk populations.

摘要

背景

在新南威尔士州（NSW），由公共资金资助的性健康服务（PFSHSs）针对感染重要性传播感染（STIs）风险最高的人群，因此可能对法定报告性传播感染的诊断做出重大贡献。我们旨在确定2009年在PFSHSs中诊断出并上报给新南威尔士州卫生部的性传播感染比例，并描述地理差异。

方法

获取了每个地区卫生服务机构（AHS）和每个PFSHS在2009年诊断出的法定报告性传播感染（传染性梅毒、淋病、艾滋病毒和衣原体）数量。根据五个地理区域（内城区和外城区、区域、农村和偏远地区），在州和AHS层面计算了由PFSHSs做出的诊断比例。

结果

新南威尔士州PFSHSs做出的诊断总体比例分别为：梅毒25%；淋病25%；艾滋病毒21%；衣原体14%。在每个区域内，这些性传播感染的比例分别为：（i）内城区：32%、26%、21%和13%；（ii）外城区：41%、24%、43%和9%；（iii）区域：62%、15%、23%和10%；（iv）农村：8%、29%、<5%和20%；（v）偏远地区：<5%、43%、<5%和29%。AHS之间以及AHS内部的性传播感染比例存在很大差异（<5%-100%）。