2010—2017年陕西省安康市梅毒流行病学特征  

Epidemiological characteristics of syphilis in Ankang City of Shaanxi Province from 2010-2017

作　　者：丁红玲[1] 陈果[1] 吴甲勇 DING Hong-ling;CHEN Guo;WU Jia-yong(STD/AIDS Prevention and Control Department,Ankang Center for Disease Control and Prevention,Ankang Shaanxi,725000,China)

机构地区：[1]安康市疾病预防控制中心性病艾滋病防制科

出　　处：《职业与健康》2019年第20期2786-2789,共4页Occupation and Health

摘　　要：目的了解安康市《中国预防与控制梅毒规划(2010-2020年)》实施以来梅毒流行病学特征,为制定防治对策提供参考依据。方法应用描述流行病学方法对2010-2017年安康市梅毒报告病例资料进行分析。结果梅毒报告发病率由2010年14.21/10万增长到2017年的26.17/10万。一期和二期梅毒(早期显性梅毒)、胎传梅毒报告发病率年均下降分别为2.22%和9.43%;隐性梅毒报告病例数年均增长12.32%,对全部梅毒增长贡献率达107.84%(330/306)。安康市10个县区除岚皋县外梅毒疫情均有不同程度增长,但不同地区梅毒报告发病差异较大,居前3位的是镇坪县、岚皋县和白河县。女性报告发病率高于男性,男女性别比为0.75∶1,但60岁以上年龄组男女性别比为1.37∶1。高发年龄段为≥60岁老年人群,占报告病例总数的37.46%,所占构成比呈上升趋势(χ^2=71.324,P<0.01)。17个职业类别中,以农民最多,占报告病例总数70.82%;家务及待业类病例增长幅度最大,年均增长10.53%。结论梅毒已成为2010-2017年安康市严重影响居民身心健康的重要公共卫生问题之一,建议根据其流行病学特征采取有效的防治措施。Objective To understand the epidemiological characteristics of syphilis in Ankang City after the implementation of the Syphilis Prevention and Control Program in China(2010-2020), provide reference for formulating prevention and control countermeasures. Methods Descriptive epidemiological methods were used to analyze the data of syphilis cases in Ankang City from 2010-2017. Results The reported incidence of syphilis increased from 14.21/lakh in 2010 to 26.17/lakh in 2017. The annual average reported incidence of phaseⅠ and Ⅱsyphilis(early dominant syphilis) and fetal syphilis decreased by 2.22% and 9.43%respectively. The reported case number of latent syphilis increased annually by 12.32%, which the contribution rate to the growth of syphilis was 107.84%(330/306). The epidemic situation of syphilis in ten counties/districts in Ankang City in different degrees except Langao County, while the reported incidence rates of syphilis in different regions had large different, and the top three were Zhenping County, Langao County, and Baihe County. The reported incidence for females was higher than that of the male,with the male-to-female ratio of 0.75 ∶ 1, however, the male-to-female ratio was 1.37 ∶ 1 in age group of over 60 years old. The group of over 60 years old had the higher incidence, accounting for 37.46% of total reported cases, and the proportion showed a rising trend(χ^2=71.324, P<0.01). The farmer accounted for the largest proportion in 17 occupations, accounting for 70.82% of total reported case. Household and unemployment growth was greatest, with an annual growth rate of 10.53%. Conclusion Syphilis has become one of the important public health problems which seriously affect residents’ physical and mental health in Ankang City from 2010-2017. It is suggested that effective preventive measures should be taken according to the epidemiological characteristics.

关 键 词：梅毒 流行病学 趋势 

分 类 号：R181.8[医药卫生—流行病学]