Vives N, Garcia de Olalla P, González V, Barrabeig I, Clotet L, Danés M, Borrell N, Casabona J
Centre for Epidemiological Studies on STI/HIV/AIDS in Catalonia (CEEISCAT), Health Departament, Generalitat of Catalonia, Badalona, Spain.
Cancer Screening Unit, Catalan Institute of Oncology, Hospitalet de Llobregat, Spain.
Int J STD AIDS. 2020 Oct;31(11):1047-1054. doi: 10.1177/0956462420940911. Epub 2020 Aug 4.
Monitoring sexually transmitted infections (STIs) in adolescents is essential to inform STI prevention strategies at primary and secondary levels in this key population. We aim to describe recent trends in STIs among adolescents and to analyse their socio-demographic and behavioural characteristics in Catalonia, Spain between 2012 and 2017. Data on (CT) infection, gonorrhoea and syphilis cases aged from 13 to 19 years reported to the Catalan Mandatory Notifiable System from 2012 to 2017 were analysed. Diagnosis rates were calculated and a descriptive analysis was performed. Between 2012 and 2017, CT infection, gonorrhoea and syphilis cases reported among adolescents aged 13-19 years accounted for more than one-eleventh of all reported cases in Catalonia. The rate of the three nationally-notifiable STIs increased dramatically among adolescents. CT infection rates rose from 13 to 144.1 per 100,000 adolescents between 2012 and 2017, an increase of 1007%; gonorrhoea cases increased by 246% (from 13.4 to 45.4/100,000) and syphilis cases increased by 247% (from 1.7 to 5.9/100,000). Gonorrhoea and syphilis cases affected mainly males while CT infection cases were mostly in females (84%). Adolescents are being increasingly affected by CT infection, gonorrhoea and syphilis. A broader array of intervention strategies aimed at adolescents should be reinforced through strong prevention campaigns, improved sexual health information, as well as encouragement of regular offers of STI screening by healthcare providers.
监测青少年性传播感染（STIs）对于制定针对这一关键人群的初级和二级预防策略至关重要。我们旨在描述西班牙加泰罗尼亚2012年至2017年间青少年性传播感染的近期趋势，并分析其社会人口学和行为特征。分析了2012年至2017年向加泰罗尼亚法定传染病报告系统报告的13至19岁沙眼衣原体（CT）感染、淋病和梅毒病例的数据。计算了诊断率并进行了描述性分析。2012年至2017年间，13至19岁青少年报告的CT感染、淋病和梅毒病例占加泰罗尼亚所有报告病例的十一分之一以上。这三种国家法定报告的性传播感染在青少年中的发病率急剧上升。2012年至2017年间，CT感染率从每10万名青少年13例升至144.1例，增长了1007%；淋病病例增加了246%（从每10万名青少年13.4例增至45.4例），梅毒病例增加了247%（从每10万名青少年1.7例增至5.9例）。淋病和梅毒病例主要影响男性，而CT感染病例大多为女性（84%）。青少年受CT感染、淋病和梅毒影响的情况日益增加。应通过强有力的预防运动、改善性健康信息以及鼓励医疗服务提供者定期提供性传播感染筛查等方式，加强针对青少年的更广泛干预策略。
