ANALYSIS OF THE INDICATORS OF THE MOST DISTRIBUTED SEXUALLY TRANSMITTED DISEASES IN VINNYTSIA REGION
DOI:
https://doi.org/10.11603/1681-2786.2019.2.10474Keywords:
sexually transmitted diseases, dermato-venereal aidAbstract
Purpose: to analyze the dynamics of the most widespread sexually transmitted diseases (STDs) indicators in Vinnytsia region within 2014–2018.
Materials and Methods. An epidemiological retrospective research of the summary and statistical documentation of the Vinnytsia Regional Clinical Dermatovenerologic Dispensary (according to the Report of the Therapeutic and Prophylactic Institution No. 20) was carried out using the data retrieval method for the five-year period starting from 2014 to 2018. The parameters of the most common STDs in the Vinnytsia region and the Ukraine wide (syphilis, gonorrhea, trichomoniasis, chlamidiosis, urogenital mycoplasmosis) were treated with the means of statistical processing, analysis and evaluation. Methods of research – epidemiological, medical and statistical.
Results. The analysis of the five most common STDs indicators in the Vinnytsia region throughout 2014–2018 showed that four of them (syphilis, gonorrhea, trichomoniasis, chlamidiosis) have been decreasing annually, except for urogenital mycoplasmosis, whose visibility in 2018 in comparison with 2014 base was (+) 0.9%. The same trend (to decrease) for the period researched is typical for all of the mentioned diseases in Ukraine: syphilis – (-) 30.2 %, gonorrhea – (-) 32.6 %, trichomoniasis – (-) 31.9 %, chlamidiosis – (-) 16.7 %, urogenital mycoplasmosis – (-) 19.9 %. The annual growth (according to the growth rate) of the regional indicators of specific diseases by gender and place of residence is proven but the incidence rate of trichomoniasis, which was constantly decreasing in all cohorts.
Conclusions. The most important reasons for the decrease in the incidence of STDs in Ukraine and in the Vinnytsia region for the period researched are the following: 1) the absence of registration of these diseases in: private clinics, the predominant treatment of patients is due to the avoidance of stigmatization, especially among the people of rural areas; specialists of other specialties (urologists, obstetrician-gynecologists, etc.) of public health institutions; 2) financial inaccessibility to expensive medicines.
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