Trends and projections in sexually transmitted infections in people aged 45 years and older in England: analysis of national surveillance data.

IF 3.5 4区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Perspectives in Public Health Pub Date : 2023-09-01 Epub Date: 2022-06-29 DOI:10.1177/17579139221106348

C Camacho, E M Camacho, D M Lee

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引用次数: 5

Abstract

Aims: We describe the epidemiology of sexually transmitted infections (STIs) and HIV in people aged ⩾45 years in England and provide future projections about the burden of STIs in this age group.

Methods: Analysis of national surveillance data in England from 2014 to 2019 for chlamydia, gonorrhoea, herpes, syphilis, anogenital warts and HIV was carried out. Time trends were assessed by the Poisson regression and reported using incidence rate ratios (IRRs). Two scenarios were modelled to predict the number of new STI diagnoses and associated costs in 2040.

Results: In 2019, there were 37,692 new STI diagnoses in people ⩾45 years in England. Between 2014 and 2019, there was a significant increase in the rate of new STI diagnoses in men (IRR = 1.05, p = .05) and those aged 45-64 years (IRR = 1.04, p = .05). Absolute numbers of new STI diagnoses in men who have sex with men increased by 76% between 2014 and 2019 (IRR = 1.15, p < .001). In adults aged ⩾50 years, the number of episodes of care for HIV increased over time (age = 50-64 years, IRR = 1.10; age = 65+ years, IRR = 1.13; p <.001). The modelled scenarios predicted an increase in STI diagnoses and costs in older people by 2040.

Conclusion: STI rates in England are increasing in people aged ⩾45 years. The population is ageing and older people will contribute an increasing burden to STI costs if this trend continues. The reasons for this trend are not fully understood and further longitudinal epidemiological research is needed. Sexual health promotion campaigns and healthcare interventions targeted at older people should be prioritised.

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45岁人群性传播感染的趋势和预测英格兰岁及以上人群：国家监测数据分析。

目的：我们描述了45岁人群中性传播感染（STIs）和艾滋病毒的流行病学并提供了该年龄组性传播感染负担的未来预测。方法：分析2014年至2019年英格兰衣原体、淋病、疱疹、梅毒、肛门生殖器疣和艾滋病毒的国家监测数据。时间趋势通过泊松回归进行评估，并使用发病率比率（IRRs）进行报告。对两种情况进行了建模，以预测2040年新的STI诊断数量和相关成本。结果：2019年，有37692例新的STI确诊病例在英国的几年。2014年至2019年间，男性新的STI诊断率显著上升（IRR = 1.05，p = .05）和45-64岁的人年（内部收益率 = 1.04，p = .05）。2014年至2019年间，与男性发生性关系的男性新诊断STI的绝对数量增加了76%（IRR = 1.15，p p 结论：英格兰45岁人群的STI发病率正在上升年。人口正在老龄化，如果这种趋势持续下去，老年人将对科技创新成本造成越来越大的负担。这种趋势的原因尚不完全清楚，需要进一步的纵向流行病学研究。应优先考虑针对老年人的性健康促进运动和医疗干预措施。

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来源期刊

Perspectives in Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

1.70%

发文量

期刊介绍： Perspectives in Public Health is a bi-monthly peer-reviewed journal. It is practice orientated and features current topics and opinions; news and views on current health issues; case studies; book reviews; letters to the Editor; as well as updates on the Society"s work. The journal also commissions articles for themed issues and publishes original peer-reviewed articles. Perspectives in Public Health"s primary aim is to be an invaluable resource for the Society"s members, who are health-promoting professionals from many disciplines, including environmental health, health protection, health and safety, food safety and nutrition, building and engineering, primary care, academia and government.