[在1914-1924年俄罗斯的性病发病率]
O M Morozova1, M N Morozov2, M E Razinkov3
1The Federal State Budget Educational Institution of Higher Education "The Don State Technical University", 344000, Rostov-on-Don, Ruissia, olgafrost@gmail.com.
概括
在革命前的俄罗斯,由于诊断错误和对非性传播感染的错误识别,性病发病率可能被高估. 由于公共卫生措施,革命后梅毒的发病率大幅下降.
科学领域:
- 医学史 医学史 医学史
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 传统解释认为,俄国革命期间性病发病率上升的原因是道德衰落和行政混乱.
- 需要进行历史分析,重新评估革命前梅毒统计数据和战时疾病动态.
研究的目的:
- 批判性地评估革命前俄罗斯性病 (梅毒) 感染的流行情况.
- 调查卫生统计数据的准确性,特别是农村地区梅毒的诊断和传播.
- 分析战争期间性病发病的实际动态和来源.
主要方法:
- 对科学出版物与主要信息来源进行交叉验证.
- 分析革命前和苏联时期的历史医疗记录和统计数据.
- 检查来自首席军事卫生委员会和RSFSR卫生保健人民委员会数据.
主要成果:
- 由于诊断错误,革命前梅毒的统计数据可能会被夸大;一些"村庄梅毒"病例可能不是通过性传播传播的.
- 发生了战争时期的性病患者增加,但没有达到一些出版物中报道的灾难性水平.
- 梅毒发病率在革命前已经存在问题的地区更高,后来受到影响的地区有大量的军队移动.
结论:
- 在革命前的俄罗斯,性病的高发病率需要重新评估,考虑到潜在的诊断不准确性.
- 苏联的公共卫生倡议有效地减少了梅毒的发病率,在内战结束后,梅毒的发病率比1913年低两倍多.
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