1973年至1992年美国女性与性传播疾病相关的死亡率。
Mortality related to sexually transmitted diseases in US women, 1973 through 1992.
作者信息
Ebrahim S H, Peterman T A, Zaidi A A, Kamb M L
机构信息
Division of Sexually Transmitted Disease/HIV Prevention, Centers for Disease Control and Prevention, Atlanta, Ga. 30333, USA.
出版信息
Am J Public Health. 1997 Jun;87(6):938-44. doi: 10.2105/ajph.87.6.938.
OBJECTIVES
This study estimated the trends in mortality related to sexually transmitted diseases (STDs) and their sequelae in US women from 1973 through 1992.
METHODS
The total number of deaths was obtained from US national mortality data and from AIDS surveillance data, and current literature was reviewed to estimate proportions of diseases attributable to sexual transmission.
RESULTS
From 1973 through 1984, total STD-related deaths decreased 24%. However, from 1985 through 1992, STD-related deaths increased by 31%, primarily because of increasing numbers of deaths from sexually transmitted human immunodeficiency virus (HIV) infection. The most important changes during the 20-year period were the emergence of and continued increase in the number of deaths related to hetero-sexually transmitted HIV.
CONCLUSIONS
The leading causes of STD-related mortality in women, viral STDs and their sequelae, are generally not recognized as being sexually transmitted. Increases in STD-related mortality are primarily due to sexually transmitted HIV, which will soon surpass cervical cancer as the leading cause.
目的
本研究评估了1973年至1992年间美国女性与性传播疾病（STD）及其后遗症相关的死亡率趋势。
方法
死亡总数来自美国国家死亡率数据和艾滋病监测数据，并查阅当前文献以估计性传播疾病所占比例。
结果
1973年至1984年，与STD相关的总死亡人数下降了24%。然而，1985年至1992年，与STD相关的死亡人数增加了31%，主要原因是性传播人类免疫缺陷病毒（HIV）感染导致的死亡人数增加。20年间最重要的变化是异性传播HIV相关死亡人数的出现和持续增加。
结论
女性与STD相关死亡的主要原因，即病毒性STD及其后遗症，通常未被视为性传播疾病。与STD相关的死亡率上升主要归因于性传播HIV，它很快将超过宫颈癌成为主要死因。
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