2008-2012年湖北省梅毒流行趋势分析  

Analysis on epidemiological trend of syphilis in Hubei Province from 2008 to 2012

作　　者：孙巧丽[1] 蒋洪林[2] 李旺华[2] 周翔[2] 刘作圣[2] 常登宇[2] 李琼[2] 王晓南[1] 

机构地区：[1]武汉科技大学医学院公共卫生学院,湖北武汉430065 [2]湖北省疾病预防控制中心传染病防治研究所,湖北武汉430079

出　　处：《现代预防医学》2014年第21期3847-3849,共3页Modern Preventive Medicine

摘　　要：目的分析湖北省梅毒疫情流行趋势和特征,为制定防治策略提供科学依据。方法收集湖北省近五年梅毒发病资料,进行描述性流行病学分析。结果 2008-2012年间湖北省累计报告梅毒病例42 101例,五年平均增长速度为9.97%,其中以2009年增长最为迅速。（1）人群分布：发病以农民、家务及待业和不祥为主,占60.88%;发病男女性别比为0.79︰1;病例主要集中在20~65岁,占83.59%,女性20~35岁发病人数较多,男性30~45岁发病人数较多。（2）地区分布：发病地区分布不均衡,高发地区为武汉市、十堰市、荆州市、恩施土家苗族自治州、宜昌市。（3）病原学流行特征：梅毒发病率以隐性梅毒为首,其次为Ⅰ、Ⅱ期梅毒。各期发病数性别比在0.71~1.48之间,男女各期发病总体分布差异有统计学意义。结论湖北省梅毒疫情出现由高危人群向普通人群扩散的趋势,应针对梅毒高发地区采取相应措施来控制其流行。Objective To analyze the epidemiological trend and characteristics of syphilis in Hubei Province from 2008 to 2012 and provide scientific evidence for the formulating preventive and control strategy of syphilis. Methods Collected the data of syphilis cases of Hubei Province occurred in recent 5 years to conduct descriptive epidemiological analysis. Results During the period of 2005-2012, Hubei Province had reported 42 101 cases of syphilis with the average annual growth rate was about 9.97 % in the past 5 years, with the most rapid growth in 2009. （1） Population distribution： The most cases were farmers, domestic workers and job-waiting and unknown people for identity, which occupied 60.88%. The male to female ratio was 0.79： 1. Most patients were between the age from 20 to 65 with a high proportion nearly 83.59% of all patients. The high incidence age in females was from 20 to 35, and from 30 to 45 in males. （2） Geographical distribution： Imbalance of area distribution for cases was appeared and Wuhan, Shiyan, Jingzhou, Enshi and Yichang were the epidemic regions. （3） Etiological epidemiological characteristics： Latent syphilis was the highest incidence group and early syphilis and secondary syphilis were followed. The male to female ratio between syphilis types was from 0.71 to 1.48 which showed statistically significant difference. Conclusion Epidemic situation of syphilis in Hubei Province is diffusing from high risk population to ordinary ones. Appropriate measures should be taken against the high incidence of syphilis to control the epidemic.

关 键 词：梅毒 性病 分布 流行趋势 分析 

分 类 号：R183[医药卫生—流行病学]