2008-2016年中山市性病疫情的流行病学特征分析  

Epidemiological characteristics of sexually transmitted diseases in Zhongshan City,2008-2016

作　　者：李正添 熊明洲[3] 王晓华[3] 薛耀华[3] 郑道城[3] 方小衡[1] 

机构地区：[1]广东药科大学,广东广州510006 [2]中山市第二人民医院,广东中山528447 [3]广东省皮肤性病防治中心,广东广州510091

出　　处：《现代预防医学》2018年第3期409-411,442,共4页Modern Preventive Medicine

摘　　要：目的了解中山市性病的流行特征及趋势,为制定有效的防治策略提供依据。方法对中山市2008-2016年报告的梅毒、淋病、尖锐湿疣、生殖器疱疹及生殖道沙眼衣原体感染病例资料进行流行病学分析。结果性病报告发病率由2008年156.50/10万上升至2016年211.72/10万,年均升幅3.84%。其中生殖道沙眼衣原体感染呈现大幅上升,年均升幅37.75%。性病疫情分布特点为西北部高发,高至567.20/10万;向东部和南部逐渐下降的特点,低至39.26/10万。女性报告发病率逐渐增高并赶超男性,女性从2008年142.22/10万升至2016年244.54/10万,年均升幅7.01%。男女性别比例从2008年1.33∶1下降到2016年0.88∶1,其中淋病从6.53∶1上升到9.19∶1,生殖道沙眼衣原体感染从0.58∶1下降到0.25∶1。高发年龄段为20~39岁,年均升幅最高为40~49岁年龄段,7.94%,0~9岁年龄段报告发病率大幅下降。职业以商业服务最多。结论性病仍是中山市重要的公共卫生问题,需根据疫情发展特点制定相应防控对策。Objective To understand the epidemiological characteristics and trends of sexually transmitted diseases （STDs） in Zhongshan city, and to provide a basis for the formulation of effective prevention and control strategies. Methods A descriptive epidemiologic study was performed on cases of syphilis, gonorrhea, genital warts, genital herpes and chlamydia trachomatis infection reported in Zhongshan City from 2008 to 2016. Results The incidence rate of STDs increased from 156.50/100 000 in 2008 to 211.72/100 000 in 2016, with an average annual increase of 3.84%. The genital tract chlamydia trachomatis infection showed a substantial increase, with an average annual increase of 37.75%. The incidence rate of STDs was high in Northwest China with a peak of 567.20/100 000 ,but decreased to 39.26/100 000 in the eastern and southern parts of China. The incidence of the 5 kinds of STDs in female gradually increased and exceeded that in male ,increasing from 142.22/100 000 in 2008 to 244.54/100 000 in 2016 ,with an average annual increase of 7.01%. The male - female ratio of the 5 kinds of STDs dropped from 1.33：1 in 2008 to O. 88 ： 1 in 2016, of which Gonorrhea increased from 6.53 ： 1 to 9. 19：1 and Chlamydia trachomatis infection decreased from 0.58：1 to 0.25： 1. The cases were mostly between the age of 20 and 39 ,and the highest average annual increase was in 40 -49,7.94%. There was a significant decline between the age of 0 and 9. The cases were mostly business services in all occupations. Conclusion STDs are still an important public health problem in Zhongshan city. It is necessary to formulate corresponding prevention and control measures according to the characteristics of the epidemic development.

关 键 词：性病 流行病学 横断面调查 

分 类 号：R181.23[医药卫生—流行病学]