Stone Rebecca B, Chung Yunmi, Ansa Benjamin E
Institute of Public and Preventive Health, Augusta University, Augusta, GA 30912, USA.
J Clin Med. 2018 Jul 31;7(8):190. doi: 10.3390/jcm7080190.
There has been an alarming resurgence of early syphilis since 2000, especially in the southeast region, which has one of the highest rates of primary and secondary syphilis in the United States of America (USA). Although the Central Savannah River Area (CSRA) is the second most populous area in Georgia with a large presence of health care facilities, its counties have one of the lowest overall rankings in health outcomes. This study examined the syphilis rates and trends in the CSRA. Data from the Centers for Disease Control and Prevention (CDC) National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention's AtlasPlus was used. Cases of primary and secondary syphilis diagnosed during 2010⁻2015 were analyzed to describe reported syphilis among CSRA residents. In the CSRA, between 2010 and 2015, the incidence rate of primary and secondary syphilis increased from 5.9 to 9.4 cases per 100,000 population. The lowest rate of syphilis was observed in 2011 (2.7 cases per 100,000) and the highest rate in 2015. In 2015, the highest syphilis rates were observed among males (15.9 per 100,000), non-Hispanic blacks (16.9 per 100,000), and persons between the ages 20⁻24 years (34.5 per 100,000). The relevance of preventive measures has been widely communicated, yet it is clear that risk-taking sexual behavior is on the rise. Greater effort is warranted to reduce risky behaviors that promote the transmission of syphilis, including areas outside of major metropolitan areas.
自2000年以来，早期梅毒出现了惊人的复发，尤其是在东南部地区，该地区是美国一期和二期梅毒发病率最高的地区之一。尽管中央萨凡纳河地区（CSRA）是佐治亚州人口第二多的地区，有大量医疗保健设施，但其各县的总体健康结果排名却是最低的之一。本研究调查了CSRA的梅毒发病率和趋势。使用了疾病控制与预防中心（CDC）国家艾滋病毒/艾滋病、病毒性肝炎、性传播疾病和结核病预防中心的AtlasPlus数据。对2010年至2015年期间诊断出的一期和二期梅毒病例进行了分析，以描述CSRA居民中报告的梅毒情况。在CSRA，2010年至2015年期间，一期和二期梅毒的发病率从每10万人5.9例增加到9.4例。梅毒发病率在2011年最低（每10万人2.7例），在2015年最高。2015年，男性（每10万人15.9例）、非西班牙裔黑人（每10万人16.9例）以及20至24岁人群（每10万人34.5例）的梅毒发病率最高。预防措施的相关性已得到广泛宣传，但冒险的性行为显然在增加。有必要做出更大努力，以减少促进梅毒传播的危险行为，包括主要大都市地区以外的地区。
