PDF(Pubmed)
Abstract：
This report summarizes incidence rates and trends of sexually transmitted infections (STIs) from 2015 through 2023 among active component service members of the U.S. Armed Forces. The data compiled for this report are derived from the medical surveillance of chlamydia, gonorrhea, and syphilis as nationally notifiable diseases. Case data for 2 additional STIs, human papilloma virus (HPV) and genital herpes simplex virus (HSV), are also presented. The crude total case rates of chlamydia and gonorrhea initially rose by an average of 6.7% and 9.8% per year, respectively, until 2019. From 2020 onwards, rates steadily declined. By 2023, chlamydia rates had dropped by approximately 39%, while gonorrhea rates had fallen by more than 40% for female, and 19% for male, service members. Initially syphilis increased, on average, 10% annually from 2015 to 2019, then declined in 2020, but resumed its upward trend through 2023, nearly doubling the 2015 rate in 2023. The total crude annual incidence rates of genital HPV and HSV exhibited downward trends in general over the surveillance period, decreasing by 30.7% and 24.7%, respectively. Age- and gender-adjusted case rates for chlamydia, gonorrhea, and syphilis remain elevated within the U.S. Armed Forces compared to the general U.S. population, which may be due to factors that include mandatory STI screening, more complete reporting, incomplete adjustment for age distribution, and inequitable comparisons between the military active duty and general U.S. populations. Social restrictions enacted during the COVID-19 pandemic may have contributed to declines in true case rates and screening coverage.
摘要：
本报告总结了2015年至2023年美国武装部队现役军人性传播感染（STIs）的发病率和趋势。本报告汇编的数据来自衣原体的医学监测，淋病,梅毒是国家法定报告的疾病。2个额外性传播感染的病例数据，人乳头瘤病毒（HPV）和生殖器单纯疱疹病毒（HSV），也提出了。衣原体和淋病的粗总发病率最初平均每年上升6.7％和9.8％，分别,直到2019年。从2020年起,利率稳步下降。到2023年，衣原体感染率下降了约39%，虽然女性淋病率下降了40%以上，男性占19%，服务会员。最初梅毒增加，平均而言,从2015年到2019年，每年10%，然后在2020年下降，但到2023年恢复了上升趋势，在2023年几乎是2015年的两倍。在监测期间，生殖器HPV和HSV的年总发病率总体呈下降趋势，分别下降30.7%和24.7%,分别。经年龄和性别调整的衣原体发病率，淋病,与普通美国人口相比，美国武装部队中的梅毒仍然升高，这可能是由于包括强制性性传播感染筛查在内的因素，更完整的报告，年龄分布的不完全调整，以及军事现役军人和普通美国人口之间的不公平比较。在COVID-19大流行期间制定的社会限制可能导致真实病例率和筛查覆盖率的下降。
