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Primary and secondary syphilis, 20 years' experience. 1. Epidemiology
A Mindel1, S J Tovey, P Williams
1Academic Department of Genitourinary Medicine, Middlesex Hospital Medical School, London.
Genitourinary Medicine
|December 1, 1987
Summary
Syphilis cases among homosexual men increased significantly from 1965-1984. This demographic also showed a rising trend in multiple sexual partners, indicating a need for targeted public health interventions for sexually transmitted diseases.
Area of Science:
- Genitourinary Medicine
- Epidemiology of Sexually Transmitted Infections
Background:
- Syphilis remains a significant public health concern.
- Understanding demographic trends in syphilis is crucial for effective control.
Purpose of the Study:
- To retrospectively analyze trends in syphilis cases at a genitourinary medicine department.
- To identify demographic shifts and risk factors associated with syphilis infection over a 20-year period.
Main Methods:
- Retrospective analysis of 1800 patient case notes (946 primary, 854 secondary syphilis).
- Data collected from Middlesex Hospital's genitourinary medicine department between 1965 and 1984.
- Statistical analysis to identify significant trends in patient demographics and behaviors.
Main Results:
- A significant upward trend (p < 0.0005) in syphilis cases among homosexual men was observed.
- Increasing proportions of British attenders (p < 0.0001) and patients from higher social classes (p < 0.0001) were noted.
- Homosexual men reported more sexual partners and a higher incidence of previous sexually transmitted diseases, with a significant trend (p < 0.0005) in multiple partners.
Conclusions:
- The study highlights a significant increase in syphilis among homosexual men during the study period.
- Rising trends in specific demographics and sexual behaviors underscore the need for tailored public health strategies.
- Effective interventions require addressing the evolving epidemiology of sexually transmitted infections.