Orzechowska Magda, Cybulski Mateusz, Krajewska-Kulak Elzbieta, Sobolewski Marek, Gniadek Agnieszka, Niczyporuk Wiaczeslaw
Department of Epidemiology of Infectious Diseases and Supervision, National Institute of Public Health/National Research Institute, 00-791 Warsaw, Poland.
Department of Integrated Medical Care, Faculty of Health Sciences, Medical University of Bialystok, 15-096 Bialystok, Poland.
J Clin Med. 2022 Jun 15;11(12):3448. doi: 10.3390/jcm11123448.
Sexually transmitted infections (STIs) represent a major cause of morbidity in women and men worldwide. The main aim of this study was to perform a comparative analysis of the incidence of sexually transmitted viral infections in 2010-2015 in Poland, taking into account the administrative division of the country into provinces. This was a retrospective study. The analysed data came from the Centre for Health Information Systems of the Ministry of Health and the National Institute of Public Health-National Research Institute and constituted information from the epidemiological surveillance system in Poland. We collected data on the incidence of the following diseases: genital herpes (HSV), genital warts, human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS). The key groups with the highest risk of infection were young people between 20 and 29 years of age. The reported data on the incidence of genital herpes in Poland ( = 3378; 1.5/100,000) showed a downward trend, which does not coincide with global trends. Genital warts were the most frequent genital infections in Poland ( = 7980; 3.46/100,000), with significant regional variation. Over the analysed period, the situation of newly detected HIV infections seemed to be stable ( = 7144; 3.1/100,000). The incidence of these infections appeared to be highly correlated with urbanisation rates, which was not confirmed in the case of other analysed infections. The worsening epidemic situation with respect to sexually transmitted infections, the inefficiency of the current surveillance system and the reduction in funding for diagnosis and prevention, combined with inadequate legal solutions, make it necessary to undertake new legal and organisational measures aimed at improving the reproductive health in Poland in terms of sexually transmitted infections.
性传播感染（STIs）是全球范围内男性和女性发病的主要原因。本研究的主要目的是对2010 - 2015年波兰性传播病毒感染的发病率进行比较分析，并考虑到该国按省份的行政区划。这是一项回顾性研究。分析的数据来自卫生部卫生信息系统中心和国家公共卫生研究所 - 国家研究所以及波兰流行病学监测系统的信息。我们收集了以下疾病发病率的数据：生殖器疱疹（HSV）、尖锐湿疣、人类免疫缺陷病毒（HIV）感染和获得性免疫缺陷综合征（AIDS）。感染风险最高的关键群体是20至29岁的年轻人。波兰报告的生殖器疱疹发病率数据（= 3378；1.5/100,000）呈下降趋势，这与全球趋势不一致。尖锐湿疣是波兰最常见的生殖器感染（= 7980；3.46/100,000），存在显著的地区差异。在分析期内，新检测到的HIV感染情况似乎稳定（= 7144；3.1/100,000）。这些感染的发病率似乎与城市化率高度相关，而其他分析的感染情况并非如此。性传播感染的疫情形势恶化、当前监测系统效率低下、诊断和预防资金减少，再加上法律解决方案不足，使得有必要采取新的法律和组织措施，以改善波兰在性传播感染方面的生殖健康。
