上海市2005-2013年梅毒流行病学分析  

Epidemiological analysis of syphilis in Shanghai,during 2005-2013

作　　者：周磊明[1] 庄鸣华[1] 宁镇[1] 傅洁[1] 沈晓沛[1] 高咸明[1] 潘启超[1] 程华[1] 

机构地区：[1]上海市疾病预防控制中心,上海200336

出　　处：《中国艾滋病性病》2015年第4期311-313,317,共4页Chinese Journal of Aids & STD

摘　　要：目的了解上海市梅毒的流行特征及趋势，为今后制定防治对策提供科学依据。方法对上海市2005—2013年报告和监测的梅毒病例报告资料进行流行病学分析。结果梅毒报告发病率由2005年的48．26／10万增长到2013年的56．32／10万，年均增长1．95％。Ⅰ期与Ⅱ期梅毒的发病率呈先上升后下降的趋势，隐性梅毒发病数年均增长10．06％。报告病例数男性多于女性，男女性别比平均为1．09：l，年均增长1．70％。年龄分布以25～34岁年龄组为主（26．09％），55岁以上年龄组占20．53％，并且发病数呈现逐年增长趋势，55～64岁年龄组增长最快，年均增长幅度为17．95％。发病人数最多的职业人群分别是家务及待业和工人，分别占19．00％和17．70％；离退休人员增幅最大，年均增长11．60％。发病人数以本市户籍人口为主。结论上海市梅毒发病率呈先上升后下降的趋势，但老年人群的发病率呈逐年上升趋势，应加大对相应人群的宣传干预力度，控制梅毒以及其他性病的流行。Objective To understand the trends and epidemiological characteristics of syphilis in Shanghai and provide scientific basis for making control strategies. Methods During 2005-2013, the case-reporting data of syphi- lis in Shanghai were analyzed with epidemiological method. Results The reported syphilis incidence was from 48.26 per 100 000 person-year in 2005 to 56.32 per 100 000 person-year in 2013, with an average annual growth rate of 1.95%. The trends of the reported Phase II and I syphilis cases＇ incidence was increasing before 2009 in Shanghai and after that year was decreasing, while that of latent syphilis increased by 10. 06%. Among the reported cases, male patients predominated with an average male/female ratio of 1.09：1 and with an average annual growth rate of 1.70%. The highest proportion （26.09 %） of syphilis cases were aged 25-34 years. The proportion of syphilis cases in the age group older than 55 years was 20.53%, and the reported cases increased yearly. The age group of 55-64 years showed the most rapid increase by about 17.95% per year. Most of them were unemployed or workers, accounting for 19.00% or 17.70% respectively. The retired population showed the most rapid increase by about 11.60% per year. There were more syphilis-infected individuals in Shanghai residents compared with those in non-Shanghai residents. Conclusion The trends of the reported cases＇ incidence was increasing before 2009 in Shanghai and after that year was decreasing, but the trends in the age group older than 55 years was increasing yearly, suggesting that education and intervention against syphilis and other STD diseases should be implemented persistently.

关 键 词：梅毒 流行病学分析 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]