2010-2016年内蒙古自治区梅毒流行病学特征分析  

Syphilis epidemiological characteristic analysis in Inner Mongolia Autonomous Region from 2010 to 2016

作　　者：刘静 杨景元 龚向东[2] 裴迎新[3] 焦月英 LIU Jing;YANG Jing-yuan;GONG Xiang-dong;PEI Ying-xin;JIAO Yue-ying(Inner Mongolia Intergrated Center for Disease Control and Prevention,AIDS/STD Control and Prevention Section,Hohhot 010031,China)

机构地区：[1]内蒙古自治区综合疾病预防控制中心性病艾滋病预防控制科,呼和浩特010031 [2]中国疾病预防控制中心性病控制中心流行病学室,南京210042 [3]中国疾病预防控制中心性病控制中心现场流行病学培训项目办公室,北京100050 [4]内蒙古自治区人民医院感染控制科,呼和浩特010017

出　　处：《传染病信息》2018年第5期449-453,459,共6页Infectious Disease Information

基　　金：中国疾病预防控制中心西部现场流行病学项目(2017-W-08-18)

摘　　要：目的了解内蒙古自治区梅毒流行特征及趋势,为卫生行政部门制定控制对策提供依据。方法对2010—2016年内蒙古自治区12个盟市报告的梅毒病例资料进行描述性流行病学分析。结果内蒙古自治区梅毒报告发病率由2010年25.14/10万增至2016年40.18/10万,年均增长率为8.13%。年均发病率在50.00/10万以上的高发地区主要为阿拉善盟(74.29/10万)、乌海市(65.61/10万)、锡林郭勒盟(58.75/10万)和包头市(52.64/10万)。其中,报告的梅毒病例数女性多于男性,男女平均性别比为0.86∶1。年龄分布以20～岁、25～岁、30～岁组报告病例所占比例较高,分别为11.32%、12.40%、10.40%。在国家统一规定报告的20类人群类别中,发病人数最多的人群以家务及待业人员最多,占36.01%。随着二期和隐性梅毒发病率的增长,二期和隐性梅毒报告病例在全部梅毒中所占构成比也在增长。其中,二期梅毒由2010年10.68%增长到2016年12.86%,隐性梅毒由2010年57.36%增长到2016年62.17%。结论内蒙古自治区梅毒报告发病率呈增长趋势,今后应进一步规范梅毒的诊疗,并有针对性地加强青壮年、家务及待业人员梅毒知识的普及,提倡安全性行为,采取相关防治措施,控制梅毒的扩散和蔓延。Objective This study aims to understand epidemiological characteristics and trend of syphilis in Inner Mongolia Autonomous Region and provide evidence of control strategy formulated by health administrative department. MethodsDescriptive epidemiology analysis was performed to study reported syphilis records from 12 cities of Inner Mongolia Autonomous Region from 2010 to 2016. ResultsThe reported incidence of syphilis increased from 25.14 per 100 thousands in 2010 to 40.18 per 100 thousands in 2016. Average annual growth rate was 8.13%. Annual incidence rate was higher than 50.00 per 100 thousands in high-prevalence areas including Alashan Meng （74.29 per 100 thousands）, Wuhai City （65.61 per 100 thousands）, Xilinguole Meng （58.75 per 100 thousands） and Baotou City （52.64 per 100 thousands）. Reported female cases with syphilis were much more than male cases, and gender ratio was 0.86∶ 1. Age groups over 20, 25 and 30 years had higher incidence rates, accounting for 11.32%, 12.40% and 10.40% of all syphilis cases, respectively. Among the 20 categories of population reported in the national standards, housework and unemployed people showed the highest incidence rate, accounting for 36.01%. With the growth in the incidence of the phase 2 and latent syphilis, the proportion of the phase 2 and latent syphilis reported cases in total syphilis cases also increased. The proportion of phase 2 syphilis increased from 10.68% in 2010 to 12.86% in 2016. The proportion of latent syphilis increased from 57.36% in 2010 to 62.17% in 2016. ConclusionsReported syphilis incidence rate is increasing in Inner Mongolia Autonomous Region. It＇s urgent to standardize the diagnosis and treatment of syphilis, popularize knowledge of syphilis to young adults, houseworkers and unemployed people, advocate safe sex behavior and adopt related prevention measures to control syphilis.

关 键 词：梅毒 流行病学 性传播疾病 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]