A Joinpoint Regression Analysis of Syphilis and Gonorrhea Incidence in 15–19-Year Old Adolescents between 2005 and 2017: A Regional Study
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Evaluation of the Frequency of Syphilis and Gonorrhea in Relation to Demographic and Epidemiological Variables
3.2. Temporal Distribution of Syphilis and Gonorrhea in Studied Population
3.3. Assessment of the Frequency of Primary, Secondary, Early Latent, Late Latent and Unspecified Latent Syphilis in Relation to Demographic and Epidemiological Variables
3.4. Syphilis and Gonorrhea Incidence Trends—Joinpoint Regression Analysis
4. Discussion
4.1. Syphilis and Gonorrhea Frequency in Relation to Gender and Residence Area
4.2. The Trend of Syphilis Incidence Over the Studied Period
4.3. The Trend of Gonorrhea Incidence Over the Studied Period
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Variables | Syphilis Group (n1 = 773) | Gonorrhea Group (n2 = 166) |
---|---|---|
Gender, Fa (Fr) | ||
Male | 226 (29.2) | 117 (70.5) |
Female | 547 (70.8) | 49 (29.5) |
The residence area, Fa (Fr) | ||
Urban | 353 (45.7) | 111 (66.9) |
Rural | 420 (54.3) | 55 (33.1) |
Detection mode, Fa (Fr) | ||
Active detection | 584 (75.5) | 65 (39.2) |
Passive detection | 189 (24. 5) | 101 (60.8) |
Sexually transmitted infections in case history, Fa (Fr) | ||
No | 745 (96.4) | 158 (95.2) |
Yes | 28 (3.6) | 8 (4.8) |
Year | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Syphilis | |||||||||||||
Boys | 38 (4.9) | 40 (5.2) | 25 (3.2) | 29 (3.8) | 21 (2.7) | 20 (2.6) | 11 (1.4) | 7 (0.9) | 3 (0.4) | 5 (0.6) | 12 (1.6) | 5 (0.6) | 10 (1.3) |
Girls | 106 (13.7) | 90 (11.6) | 75 (9.7) | 68 (8.8) | 39 (5.0) | 38 (4.9) | 25 (3.2) | 24 (3.1) | 25 (3.2) | 24 (3.1) | 15 (1.9) | 5 (0.6) | 13 (1.7) |
All | 144 (18.6) | 130 (16.8) | 100 (12.9) | 97 (12.5) | 60 (7.8) | 58 (7.5) | 36 (4.7) | 31 (4.7) | 28 (3.6) | 29 (3.8) | 27 (3.5) | 10 (1.3) | 23 (3.0) |
Gonorrhea | |||||||||||||
Boys | 28 (16.9) | 26 (15.7) | 13 (7.8) | 16 (9.6) | 9 (5.4) | 9 (5.4) | 4 (2.4) | 3 (1.8) | 3 (1.8) | 0 (0.0) | 4 (2.4) | 0 (0.0) | 2 (1.2) |
Girls | 15 (9.0) | 15 (9.0) | 5 (3.0) | 4 (2.4) | 5 (3.0) | 0 (0.0) | 3 (1.8) | 0 (0.0) | 1 (0.6) | 0 (0.0) | 1 (0.6) | 0 (0.0) | 0 (0.0) |
All | 43 (25.9) | 41 (24.7) | 18 (10.8) | 20 (12.0) | 14 (8.4) | 9 (5.4) | 7 (4.2) | 3 (1.8) | 4 (2.4) | 0 (0.0) | 5 (3.0) | 0 (0.0) | 2 (1.2) |
Trend 1 | Trend 2 | AAPC, 95% CI for AAPC | |||
---|---|---|---|---|---|
Years | APC | Years | APC | ||
Syphilis | |||||
All | 2005–2012 | −97.9% # | 2012–2017 | −64.7% | −2.57% (−2.98%; −2.16%) |
Girls | 2005–2009 | −99.8% # | 2009–2017 | −94.9% # | −4.14% (−4.76%; −3.52%) |
Boys | 2005–2013 | −88.4% # | 2013–2017 | +115.5% | −1.18% (−1.62%; −0.74%) |
Gonorrhea | |||||
All | 2005–2010 | −80.8% # | 2010–2017 | −23.1% | −0.88% (−1.08%; −0.69%) |
Girls | 2005–2008 | −91.8% # | 2008–2017 | −19.5% # | −0.72% (−0.98%; −0.45%) |
Boys | 2005–2012 | −83.3% # | 2012–2017 | −24.2% | −1.12% (−1.36%; −0.88%) |
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Molnar, A.; Iancu, M.; Radu, R.; Borzan, C.M. A Joinpoint Regression Analysis of Syphilis and Gonorrhea Incidence in 15–19-Year Old Adolescents between 2005 and 2017: A Regional Study. Int. J. Environ. Res. Public Health 2020, 17, 5385. https://doi.org/10.3390/ijerph17155385
Molnar A, Iancu M, Radu R, Borzan CM. A Joinpoint Regression Analysis of Syphilis and Gonorrhea Incidence in 15–19-Year Old Adolescents between 2005 and 2017: A Regional Study. International Journal of Environmental Research and Public Health. 2020; 17(15):5385. https://doi.org/10.3390/ijerph17155385
Chicago/Turabian StyleMolnar, Anamaria, Mihaela Iancu, Rodica Radu, and Cristina Maria Borzan. 2020. "A Joinpoint Regression Analysis of Syphilis and Gonorrhea Incidence in 15–19-Year Old Adolescents between 2005 and 2017: A Regional Study" International Journal of Environmental Research and Public Health 17, no. 15: 5385. https://doi.org/10.3390/ijerph17155385