1.Epidemiological features of some sexually transmitted diseases among the population of Ulaanbaatar city
Mongolian Medical Sciences 2023;204(2):46-57
Introduction:
According to the World Health Organization (WHO), more than a million cases of sexually transmitted
diseases (STDs) are registered in the world every day. Our country is among the countries with a
concentrated spread of HIV infection among the population at risk According to the WHO classification.
Although Mongolia is one of the countries with a low prevalence of HIV/AIDS, it is considered to a
country with a high risk of STD caused from the location in the middle of the two countries where the
HIV infection is spreading as fastest, thus it is important to study.
Purpose:
The aim is to study the epidemiology of sexually transmitted diseases in the population of Ulaanbaatar.
Material and Method:
The study was conducted using a single-moment descriptive research design. The following
information was obtained from the statistics of the Health Development Center. Including as following:
• Annual indicators of the disease: Statistical data of sexually transmitted diseases between 2017-
2021 (Ulaanbaatar city)
• Annual indicators of the disease: 2017-2021 statistical data on the state of sexually transmitted
diseases (city average and provincial average)
Result:
Considering the prevalence rate of sexually transmitted infections per 10,000 population by age
group, as of 2017-2021, the population aged 20-39 had the highest rate of infection with 9.4-154.2
cases, and in 2018, the population aged 30-39 had 146.2 cases was the highest.
In terms of the source of infection, 83.1 percent of the total cases in 2017-2021 were sexually
transmitted.
Comparing the prevalence of sexually transmitted infections in the population of Ulaanbaatar by
location and the number of cases per 10,000 population, as of 2017-2021, Bagakhangai district
had more cases in 2017 and 2019, and Sukhbaatar district had 221.4 cases in 2018, which was the
highest in the 5-year period, Nalaikh district recorded 64.7 cases in 2020 and 48.4 in 2021, which was
the district with the highest number of cases in these years.
In terms of education, people with secondary education or below accounted for 94.1 percent of all
cases in the 5-year average.
About the marriage status, 35.9 percent of all cases registered in 2017 were never married, and 53.5
percent were married. As of 2018-2021, there has been no significant increase or decrease in this
indicator.
Conclusion
1. During 2017-2021, the cases of sexually transmitted infections (syphilis, gonorrhea, trichomoniasis) per 10,000 population was in 2018, the incidence of infection decreased by 2.7 cases, in 2019 it increased by 7 cases, and in 2020 it decreased by 2.2 cases, in 2021, it decreased by 18.3
cases from the previous year, and it is believed that sexually transmitted diseases are expected
to decrease in the future.
2. The average rate of syphilis infection (2017-2021) per 10,000 population in Ulaanbaatar was 4.4 cases higher than the average of the provinces, the average of 4.1 cases of gonorrhea infection
is likely to increase, and the average of trichomoniasis was 13.4 cases or was equal to average
of the provinces and Ulaanbaatar. The problem affecting the incidence of sexually transmitted
diseases is related to the level of education of the citizens. 9 out of 10 people have completed
secondary education or less.