Scientific Research Center, Shanghai Public Health Clinical Center, Fudan University.
Department of Infectious Diseases, Shanghai Public Health Clinical Center, Fudan University.
Biosci Trends. 2019;13(3):273-275. doi: 10.5582/bst.2019.01158.
Acquired immune deficiency syndrome (AIDS), hepatitis B virus (HBV), hepatitis C virus (HCV), gonorrhea and syphilis are the major sexually transmitted diseases (STDs) in the world, which are the focus of epidemic prevention and control in China. The epidemiological trend analysis of STDs in Shanghai could reflect the epidemic situation of these diseases in high-income areas of China, providing a reference for how to control their epidemic. Although the overall incidence rate of infectious diseases levelled off after 2009, Shanghai still faces many new obstacles in the fight against STDs. Without effective prevention and control strategies for high-risk behaviors, such as active sexual activity without protection, for key susceptible populations, there may be a more serious epidemic of STDs in the future. Given these situations, strategies for controlling STDs in Shanghai should be more targeted with the development of epidemics, focusing on the following key areas for future work: i) attaching importance to health education; ii) strengthening epidemic surveillance; and iii) developing Community Health Service Centers (CHSC) as intervention subjects.
获得性免疫缺陷综合征（AIDS）、乙型肝炎病毒（HBV）、丙型肝炎病毒（HCV）、淋病和梅毒是世界上主要的性传播疾病（STDs），也是中国疾病预防控制的重点。上海性传播疾病的流行病学趋势分析可以反映中国高收入地区这些疾病的流行情况，为控制这些疾病的流行提供参考。尽管 2009 年后传染病的总体发病率趋于平稳，但上海在防治性传播疾病方面仍面临许多新的障碍。如果没有针对高危行为（如无保护的主动性行为）的有效预防和控制策略，针对关键易感人群，未来性传播疾病的流行可能会更加严重。鉴于这些情况，上海性传播疾病的控制策略应根据疫情的发展更加有针对性，重点关注以下未来工作的关键领域：i）重视健康教育；ii）加强疫情监测；iii）发展社区卫生服务中心（CHSC）作为干预对象。
