Abstract
ABSTRACTFor decades the spread of sexually transmitted infections (STIs) has been a health concern in Greenland, especially within the age group of 15–34 year olds. However, no overview exists of the potential differences in regional incidence and management of STIs. This study investigates the age, gender and region specific diagnostic activity and incidence of gonorrhoea in Greenland in 2015. The study design was an observational cross sectional register study with inclusion of patients tested for gonorrhoea in 2015. Patients above 15 years of age were included. Data was obtained from the laboratory system used at The Central Laboratory at Queen Ingrid’s Hospital in Nuuk. We found, in 2015, a total of 17,911 tests for gonorrhoea were performed on both men and women. Women accounted for 68% of the tests, while men accounted for 32%. The positivity rate was 7,878 pr. 100,000 of which 56% were women and 44% were men. The regional distribution showed a disparity of the testing rate and the rate of positive gonorrhoea tests.. Thus, we have documented a high diagnostic activity and high incidence of gonorrhoea in Greenland in 2015 among both women and men. We also found significant regional differences in both diagnostic activity and gonorrhoea incidence
Highlights
Transmitted infections (STIs) have been a health concern in Greenland for decades [1,2,3,4,5,6,7]
The study was designed as an observational cross sectional register study of all patients at or above 15 years of age tested for gonorrhoea in Greenland in 2015
Our study presents an age, gender and region specific overview of gonorrhoea testing frequency and number of positive gonorrhoea tests in Greenland in 2015
Summary
Transmitted infections (STIs) have been a health concern in Greenland for decades [1,2,3,4,5,6,7]. Epidemic peaks of STIs in Greenland were observed in the 1970s and 1980s with more than 12,000 cases of gonorrhoea in 1974 and around 13,000 cases in 1982 [8]. In the beginning of the 1990s a significant decrease in the incidence of STIs was seen, possibly as a result of the Stop-AIDS campaign and the efforts of venereologists and Greenlandic nurses educated in venereology [4,5]. Throughout the recent decade the incidence of gonorrhoea in Greenland has begun to increase again (From 872 cases in 2002 to 1,550 cases in 2014 [8,9]). Among young adults, an increased risk of infection has been detected [11]
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