2008－2015年中国性病监测点生殖道沙眼衣原体感染流行特征分析  

Epidemiologic features of genital Cldamydia trachomatis infection in national sexually transmitted disease surveillance sites in China from 2008 to 2015

作　　者：岳晓丽[1] 龚向东[1] 滕菲[1] 蒋宁[1] 李婧[1] 门佩旋 王建[1] 

机构地区：[1]中国医学科学院北京协和医学院皮肤病研究所中国疾病预防控制中心性病控制中心性病流行病室,南京210042

出　　处：《中华皮肤科杂志》2016年第5期308-313,共6页Chinese Journal of Dermatology

摘　　要：目的了解中国生殖道沙眼衣原体感染流行特征，为制定控制对策提供依据。方法用描述性流行病学方法对2008-2015年中国105个性病监测点报告的生殖道沙眼衣原体感染病例资料进行“三间分布”分析。结果生殖道沙眼衣原体感染报告发病率由2008年的32．48／10万增长到2015年的37．18／10万，年均增长1．95％。不同监测点报告发病率差异很大，最高达615．99／10万，最低〈1／10万。高发监测点主要分布于珠江三角洲、长江三角洲、闽江地区和西部部分少数民族地区，报告发病率较低的监测点主要分布于华北部分地区和中部地区，少数农村监测点无病例报告。各年报告发病率女性均高于男性，男女性别比有下降趋势，由2008年的0．61：1下降至2015年的OA6：1。高发年龄段为20～44岁性活跃人群，报告发病率最高的年龄组为25—29岁（116．72／10万-142．98／10万），以15～19岁年龄组增幅最大（10．06％）。综合医院报告病例数最多（66．00％～74．22％），其次为妇科医院与妇幼保健院、皮肤性病专科医院。结论生殖道沙眼衣原体感染是重要的公共卫生问题之一，应重视该病的防治，根据其流行特点采取有效的防治措施。Objective To investigate epidemiologic features of genital Chlamydia trachomatis （Ct） infection in China, and to provide scientific evidence for developing control strategies. Methods A descriptive epidemiological study was conducted to analyze personal, spacial and temporal distribution of genital Ct infection cases reported from 105 national sexually transmitted disease （STD） surveillance sites in China between 2008 and 2015. Results The reported incidence rate of genital Ct infection increased from 32.48 per 100 000 in 2008 to 37.18 per 100 000 in 2015, with the average annual rate of increase being 1.95%. There was marked variation in the reported incidence of genital Ct infection （range, 〈 1/100 000 - 615.99/100 000） among different STD surveillance sites, which was relatively high in the Pearl River Delta region, Yangtze River Delta region, Minjiang River region and some ethnic minority areas in western China, but low in north China and central China. In addition, no cases were reported at a few sites in rural areas. The reported annual incidence rate was higher in females than in males from 2008 to 2015, and the ratio of male to female cases decreased from 0.61 ： 1 in 2008 to 0.46 ： 1 in 2015. Among all age groups, the sexually active population aged 20 - 44 years showed high reported incidence of genital Ct infection, with the highest reported incidence observed in the group aged 25 - 29 years （range, 116.72/100 000 - 142.98/100 000）; the group aged 15 - 19 years showed the highest average annual rate of increase （ 10.06% ） in the reported incidence of genital Ct infection. Among all kinds of medical institutions, general hospitals had the largest number of reported cases （range, 66.00% - 74.22% ）, followed by gynecology hospitals, Maternal and Child Health （MCH） hospitals and specialized dermatovenereology hospitals. Conclusions Genital Ct infection has been one of important public health issues in China, more attention should be paid to its prevention, and effective pre

关 键 词：沙眼衣原体 生殖道感染 性传播疾病 流行病学 人群监测 

分 类 号：R759[医药卫生—皮肤病学与性病学] R181.3[医药卫生—临床医学]