Mortality from sexually transmitted diseases in reproductive-aged women: United States, 1999-2010

Am J Public Health. 2014 Aug;104(8):e101-5. doi: 10.2105/AJPH.2014.302044. Epub 2014 Jun 12.

Abstract

Objectives: I estimated the sexually transmitted disease-related mortality among US reproductive-aged women from 1999 to 2010.

Methods: I estimated mortality from National Center for Health Statistics' Multiple Cause of Death data. I defined reproductive age as 15 to 44 years. For diseases partially caused by sexual transmission, I estimated the proportion attributable to sexual transmission from the literature. To calculate mortality rates, I estimated number of deaths from each disease and Census Bureau population for reproductive-aged women for 1999 to 2010.

Results: From 1999 to 2010, the cumulative sexually transmitted disease-related mortality rate decreased by 49%, from 5.3 to 2.7 deaths per 100 000. The primary contributors were HIV and human papilloma virus infections. Mortality from sexually transmitted HIV infection decreased by 62%, from 3.4 to 1.3 deaths per 100 000. Mortality from human papilloma virus-associated gynecologic cancers decreased by 19%, from 1.6 deaths per 100 000 in 1999 to 1.3 deaths per 100 000 in 2010.

Conclusions: Screening and treatment for sexually transmitted diseases may reduce mortality. Research is needed to determine whether sexually transmitted disease-related morbidity among reproductive-aged women has decreased over the past decade.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Genital Neoplasms, Female / mortality
  • Genital Neoplasms, Female / virology
  • HIV Infections / mortality
  • Hepatitis B / mortality
  • Hepatitis C / mortality
  • Humans
  • Papillomavirus Infections / mortality
  • Sexually Transmitted Diseases / mortality*
  • United States / epidemiology
  • Young Adult