广州市中心城区2008-2011年性传播疾病的流行病学分析  

Epidemiological analysis of sexually transmitted diseases in the central district of Guangzhou City,2008-2011

作　　者：黄燕惠[1] 余昌泽[2] 李美青[1] 罗敏红[1] 陈清[1] 王家骥[2] 周志衡[2] 俞守义[1] 

机构地区：[1]南方医科大学公共卫生与热带医学学院流行病学系,广东广州510515 [2]广州医科大学公共卫生学院,广东广州510515

出　　处：《中华疾病控制杂志》2013年第12期1061-1064,共4页Chinese Journal of Disease Control & Prevention

基　　金：广州市科技局项目(2011J1300010);广州市教育局科研项目(10A301)

摘　　要：目的了解广州市中心城区近4年性传播疾病（sexually transmitted diseases，STDs）的流行病学特征，为制定防治措施提供科学依据。方法对广州市某中心城区2008—2011年STDs年报资料及人口数据进行趋势及描述性分析。结果近4年来，广州市中心城区STDs报告病例数为4146例，年均发病率为146．71／10万。除尖锐湿疣发病率呈上升趋势外，其余STDs发病率均呈下降趋势；病种构成，以梅毒比例最高（35．21％），其次为生殖道沙眼衣原体感染（26．97％），尖锐湿疣居第3位（15．97％）。4年内STDs男女性别比为0．98：1，总体女性患者多于男性；以20～29岁为发病高峰（34．88％）；家务及待业、商业服务、离退人员和工人等职业为主要发病人群，占总发病人数的50．48％；发病人群集中在该中心城区与广州市其他县区，占总发病人数的95．59％。结论尖锐湿疣、梅毒是今后STDs的防治工作重点，加强健康宣教，增强全民STDs的防范意识，规范疫情的监测、报告及管理，加强普通人群的监测，做好高危人群的干预工作。Objective To understand the epidemic characteristic of sexually transmitted diseases （STDs） in the central region of Guangzhou from 2008 to 2011, so as to provide scientific evidence for the establishment of control and pre- vention measures. Methods STDs reports and demographic data in the central district of Guangzhou City from 2008 to 2011 were collected and analyzed. Results Reported cases of STDs were 4 146 and the annual average incidence was 146. 71/100 000 during the past four years. The incidence of syphilis, gonorrhea, HIV/AIDS, genital chlamydia trachomatis infection and genital herpes were continuously decreased year by year, in contrast to eondyloma acuminata. Syphilis was one the most prevalent STDs （35.21%）. The male to famale ratio was 0. 98 ： 1 in all STD patients, which indicated the female patients were more than the male patients. Ascending of STDs incidence was shown in patients above 20 years of age, and the peaks appeared in 20-29 aged group （34. 88% ）. Most of the sufferers were the households, job-waitings, business services, retirees and workers accounting for 50. 48%. Most of patients from this central district and other counties of Guangzhou accounted for 95.59%. Conclusions The control and prevention of syphilis and condyloma acuminata is the key point in the future. Health education and promotion of STDs control should be strengthened in Guangzhou.

关 键 词：性传播疾病 流行病学 发病率 

分 类 号：R181.1[医药卫生—流行病学]