无锡市2006-2015年梅毒流行特征与趋势分析  

Epidemiological trends and characteristics of syphilis from 2006 to 2015 in Wuxi city

作　　者：孟晓军[1] 张轩[1] 成浩[1] 顾静[1] Meng Xiaojun Zhang Xuan Cheng Hao Gu jing.(Wuxi Center for Disease Control and Prevention, Wuxi , Jiangsu 214023, China)

机构地区：[1]无锡市疾病预防控制中心,江苏无锡214023

出　　处：《中国艾滋病性病》2016年第11期904-907,共4页Chinese Journal of Aids & STD

基　　金：无锡市科技局社会发展项目(CSZ0N1512)~~

摘　　要：目的了解无锡市2006-2015年梅毒的流行特征及趋势,为制定梅毒防控策略提供科学依据。方法用描述性流行病学方法,对2006-2015年无锡市的梅毒病例报告资料进行＂三间分布＂分析。结果 2006-2015年,无锡市梅毒报告发病率呈现先上升后下降的趋势,2006-2009年年均增长32.6%（由25.19/10万增长到58.66/10万）,2009-2015年年均下降10.0%（由58.66/10万下降到31.08/10万）。男女性别比呈下降趋势,由2006年的1.22∶1下降到2015年的0.99∶1。25-34岁组报告发病率最高,2006-2009年年均增长29.1%,2009-2015年年均下降15.0%。〈15岁组报告发病率最低,2006-2012年年均增长28.4%,2012-2015年年均下降17.0%。发病人数最多的职业人群分别为家务及待业和农民,分别占32.5%和29.4%。以无锡市户籍为主,占93.2%。报告单位以综合医院为主,占69.1%,社区卫生服务中心/卫生院所占比例由2006年的7.6%上升到2015年的13.5%。结论无锡市梅毒报告发病率呈先上升后下降的趋势,但老年人群报告病例数逐年增多,且胎传梅毒报告发病率仍较高,需采取有针对性的措施进一步控制梅毒的流行。Objective To understand the epidemiological trends and characteristics of syphilis in Wuxi in order to provide scientific evidence for improving control strategies.Methods Case reporting data of syphilis was collected and descriptive epidemiologic methods were used for our analysis.Results During 2006-2015,the reported syphilis incidence first increased by 32.6% annually during 2006-2009 from 25.19 per 100 000person-year to 58.66 per 100000person-year,and then decreased by 10.0% annually between 2009-2015 from 58.66 per 100 000person-year to31.08 per 100 000person-year.The male-to-female sex ratio decreased from 1.22：1in 2006 to 0.99∶1in 2015.The highest reported syphilis incidence was among 25-34 age group with an average annual increase of 29.1% during2006-2009 and an average annual decrease of 15.0% during 2009-2015.The lowest reported syphilis incidence was among〈15age group with an average annual increase of 28.4% during 2006-2012 and an average annual decrease of17.0% during 2012-2015.Most of syphilis cases were house workers/unemployed and famers accounting for 32.5%and 29.4%.And the majority of syphilis cases were Wuxi local residents.About 69.1% syphilis cases were reported in general hospitals between 2006 and 2015,while the proportion of syphilis reported in community health service centers/rural health centers increased from 7.6% in 2006 to 13.5% in 2015.Conclusion A trend of first increase and then decrease is observed in our study.However,more and more syphilis cases among the aged were reported year by year and the reported incidence of congenital syphilis is still high in Wuxi.So effective interventions should be taken to control syphilis epidemic in Wuxi.

关 键 词：梅毒 流行特征 趋势 

分 类 号：R759[医药卫生—皮肤病学与性病学]