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性传播疾病:一个被忽视的公共卫生重点问题。

Sexually transmitted diseases: a neglected public health priority.

作者信息

Yankauer A

机构信息

Department of Family and Community Medicine, University of Massachusetts Medical Center, Worcester 01655-0309.

出版信息

Am J Public Health. 1994 Dec;84(12):1894-7. doi: 10.2105/ajph.84.12.1894.

DOI:10.2105/ajph.84.12.1894
PMID:7998625
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1615401/
Abstract

Sexually transmitted diseases remain uncontrolled although millions of cases occur annually in the United States. The advent of acquired immunodeficiency syndrome (AIDS), which is also a sexually transmitted disease, has not altered this situation. The major portion of federal funding for sexually transmitted diseases is allocated to a search for an AIDS vaccine or cure. State health department funding for sexually transmitted diseases, although only a small fraction of the $1.3 billion AIDS research budget of the National Institutes of Health, is largely consumed by AIDS. A single adequately funded sexually transmitted disease control program that applies well-established public health principles for the control of communicable diseases would make sense. However, a consensus to develop and support such a program does not exist in the United States.

摘要

尽管美国每年有数百万人感染性传播疾病,但这些疾病仍未得到有效控制。后天免疫机能丧失综合症(艾滋病)也是一种性传播疾病,它的出现并没有改变这种状况。联邦政府用于性传播疾病的大部分资金都用于寻找艾滋病疫苗或治疗方法。州卫生部门用于性传播疾病的资金,虽然仅占美国国立卫生研究院13亿美元艾滋病研究预算的一小部分,但大部分也被用于艾滋病方面。一个资金充足、运用完善的公共卫生原则来控制传染病的性传播疾病控制项目是有意义的。然而,美国并不存在制定和支持这样一个项目的共识。

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本文引用的文献

1
Health Security.卫生安全
Am J Public Health Nations Health. 1936 Apr;26(4):329-35. doi: 10.2105/ajph.26.4.329.
2
The Public Health Officer and the Control of Syphilis.公共卫生官员与梅毒控制
Am J Public Health Nations Health. 1935 Jan;25(1):31-42. doi: 10.2105/ajph.25.1.31.
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A report card to the nation on adolescents and sexually transmitted diseases.致全国的一份关于青少年与性传播疾病的成绩单。
Prev Med. 1993 Jul;22(4):561-7. doi: 10.1006/pmed.1993.1048.
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Surveillance for gonorrhea and primary and secondary syphilis among adolescents, United States--1981-1991.美国1981 - 1991年青少年淋病及一期和二期梅毒监测
MMWR CDC Surveill Summ. 1993 Aug 13;42(3):1-11.
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An evaluation of surveillance for Chlamydia trachomatis infections in the United States, 1987-1991.1987 - 1991年美国沙眼衣原体感染监测评估
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The rise and fall of sexually transmitted diseases in Sweden.瑞典性传播疾病的兴衰
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The 'other STDs': do they really matter?“其他性传播疾病”:它们真的重要吗?
JAMA. 1988 Jun 24;259(24):3606-8.
8
Venereal disease control by health departments in the past: lessons for the present.过去卫生部门对性病的控制:对当前的启示
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9
Declining trends in some sexually transmitted diseases in Belgium between 1983 and 1989.1983年至1989年间比利时某些性传播疾病呈下降趋势。
Genitourin Med. 1991 Oct;67(5):374-7. doi: 10.1136/sti.67.5.374.
10
Epidemiological synergy. Interrelationships between human immunodeficiency virus infection and other sexually transmitted diseases.流行病学协同作用。人类免疫缺陷病毒感染与其他性传播疾病之间的相互关系。
Sex Transm Dis. 1992 Mar-Apr;19(2):61-77.