上海市普陀区2005—2019年梅毒疫情分析  

Epidemiological Analysis of Syphilis from 2005-2019 in Putuo District of Shanghai

作　　者：魏巍[1] 杨咏梅[1] 后永春[1] 刘艳[1] 郑亦慧 Wei Wei;Yang Yongmei;Hou Yongchun;Liu Yan;Zheng Yihui(Putuo District Center for Disease Control and Prevention,Shanghai 200333,China)

机构地区：[1]上海市普陀区疾病预防控制中心,上海200333

出　　处：《健康教育与健康促进》2020年第5期572-575,共4页Health Education and Health Promotion

基　　金：上海市卫生和计划生育委员会科研课题(201640240)。

摘　　要：目的分析上海市普陀区2005—2019年梅毒疫情特征,为制定有效的防治措施提供科学依据。方法对中国疾病预防控制信息系统的疾病监测信息报告和管理系统中的上海市普陀区2005—2019年报告和监测的梅毒病例资料进行流行病学分析。结果2005—2019年,普陀区共计报告梅毒10,094例,发病率为55.2/105;2009年为发病高峰,发病率为77.1/105。其中I期、II期、III期、胎传和隐性梅毒发病率分别为12.9/105、13.8/105、0.5/105、1.3/105和26.3/105。报告病例中本辖区人口占66.2%,男女性别比1.1∶1,20~39岁年龄组报告最多(45.2%)。近5年≥60岁年龄组呈明显上升趋势。本地病例以≥50岁年龄组为主(46.9%),男女性别比1.4∶1;外省市病例以20~39岁为主(69.9%),男女性别比0.6∶1。女性感染者较男性年轻化,20~39岁人群分别占比56.0%和35.3%。本市≥30岁男性和≥20岁女性、外省市≥20岁女性和≥50岁男性以隐性梅毒为主;外省市30~59岁男性以I期梅毒为主;本市和外省市20~29岁男性以II期梅毒为主。结论普陀区梅毒发病趋势呈先上升后下降并趋缓,需开展监测工作。应在娱乐场所及社区男性老年人群中推广干预措施、健康教育、咨询检测为一体的综合干预服务以控制梅毒的蔓延和传播。Objective To analyze the trends and epidemiological characteristics of syphilis in Putuo District of Shanghai,so as to provide scientific basis for making control strategies.Methods The data of reported cases of syphilis in Putuo District from 2005 to 2019 were analyzed with epidemiological methods.Results A total of 10,094 cases of syphilis were reported from 2005 to 2019,and the incidence was 77.09/105.The incidences of Phase I,Phase II,Phase III,congenital and latent syphilis were 12.92/105,13.8/105,0.52/105,1.29/105 and 26.25/105,respectively.The cases were constituted by local residents(66.2%);the ratio of male to female was 1.1 to 1;most cases were aged from 20-39 years old(45.2%);those people with≥60 years old were more and more likely to be found infected.Local residents predominated by those people with≥50 years old(46.9%)and other province predominated by 20-39 years old(69.9%),the ratios of male to female were 1.4 to1 and 0.6 to 1.Female were much younger than male,and there were 56.0%of female and 35.3%of male who were aged between 20-39 years old.Latent syphilis was mostly reported in local male residents who were≥30 years old,female who were≥20 years old,and other provinces’female with≥20 years old,male with≥50 years old.Phase I was reported in other provinces’male aged from 30 to 59 years old;Phase II syphilis were mostly reported in local male residents and other provinces’male aged 20-29 years old.Conclusion The trends of syphilis incidence was increasing and then declining in recent years.The measure of reinforcing monitor,propaganda and education,comprehensive interventions in the commercial sex workers and local man should be taken to control and prevent the spread of syphilis.

关 键 词：梅毒 流行病学 疫情 

分 类 号：R759.1[医药卫生—皮肤病学与性病学] R181.3[医药卫生—临床医学]