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首页> 外文期刊>Sexually Transmitted Infections >Recent trends in diagnoses of HIV and other sexually transmitted infections in England and Wales among men who have sex with men.
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Recent trends in diagnoses of HIV and other sexually transmitted infections in England and Wales among men who have sex with men.

机译：在英格兰和威尔士与男性发生性关系的男性中，诊断艾滋病毒和其他性传播感染的最新趋势。

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OBJECTIVES: To examine trends in rates of diagnoses of HIV and other sexually transmitted infections (STIs) in men who have sex with men (MSM) in England and Wales between 1997 and 2002. METHODS: Estimates of the MSM population living in England and Wales, London and the rest of England and Wales were applied to surveillance data, providing rates of diagnoses of HIV and STIs and age group specific rates for HIV and uncomplicated gonorrhoea. RESULTS: Between 1997 and 2002, rates of diagnoses of HIV and acute STIs in MSM increased substantially. Rates in London were higher than elsewhere. Rises in acute STIs were similar throughout England and Wales, except for uncomplicated gonorrhoea and infectious syphilis, with greater increases outside London. Rates of gonorrhoea diagnoses doubled between 1999 and 2001 (661/100,000, 1271/100,000, p<0.001) in England and Wales followed by a slight decline to 1210/100,000 (p=0.03) in 2002-primarily the result of a decline in diagnoses among men aged 25-34 (1340/100,000, 1128/100,000, p<0.001) and 35-44 (924/100,000, 863/100,000, p=0.03) in London. HIV was the third most common STI diagnosed in MSM in England and Wales and the second in London, with the highest rate (1286/100,000) found among men aged 35-44 in London in 2002. CONCLUSIONS: Rates of diagnosis of HIV and other STIs have increased substantially among MSM in England and Wales. Increases show heterogeneity by infection, geography, and age over time. Rates in London were twice those seen elsewhere, with greatest changes over time. The observed changes reflect concomitant increases in high risk behaviour documented in behavioural surveillance survey programmes.
机译：目的：研究1997-2002年英格兰和威尔士男男性接触者的艾滋病毒和其他性传播感染（STIs）的诊断率趋势。方法：估计英格兰和威尔士男男性接触者的估计数，伦敦以及英格兰和威尔士其他地区被用于监测数据，提供了艾滋病毒和性传播感染的诊断率以及针对艾滋病毒和单纯性淋病的特定年龄组比率。结果：在1997年至2002年之间，MSM中HIV和急性性病的诊断率大大提高。伦敦的房价高于其他地区。除无并发症的淋病和感染性梅毒外，在整个英格兰和威尔士，急性性传播感染的发病率相似，在伦敦以外的地区上升幅度更大。在1999年至2001年间，英格兰和威尔士的淋病诊断率翻了一番（661 / 100,000，1271 / 100,000，p <0.001），随后在2002年略有下降至1210 / 100,000（p = 0.03），这主要是由于淋病的下降在伦敦25-34岁（1340 / 100,000，1128 / 100,000，p <0.001）和35-44（924 / 100,000，863 / 100,000，p = 0.03）的男性中进行诊断。艾滋病毒是英格兰和威尔士MSM中第三大最常见的性病，伦敦是第二大的性病，2002年在伦敦35-44岁的男性中发现率最高（1286 / 100,000）。在英格兰和威尔士的男男性接触者中，性传播感染大量增加。随着时间的推移，感染，地理位置和年龄的增长表明异质性。伦敦的房价是其他地区房价的两倍，随着时间的推移变化最大。观察到的变化反映出行为监控调查程序中记录的高风险行为的同时增加。

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