2013—2019年攀枝花市性传播疾病疫情流行特征分析  

Analysis on epidemic characteristics of sexually transmitted diseases in Panzhihua from 2013 to 2019

作　　者：刘瑜[1] 李春霞[1] 白永华[1] 廖洪秀[1] 谭志灵 LIU Yu;LI Chun-xia;BAI Yong-hua;LIAO Hong-xiu;TAN Zhi-ling(Panzhihua Center far Disease Control and Prevention,Sichuan 617000,China)

机构地区：[1]攀枝花市疾病预防控制中心,四川617000

出　　处：《医学动物防制》2021年第11期1071-1073,1077,共4页Journal of Medical Pest Control

基　　金：四川省财政厅四川省卫生健康委提前下达2021年重大传染病防控中央补助资金项目(2100409—重大公共卫生服务)(川财社[2020]211号)。

摘　　要：目的了解2013—2019年攀枝花市监测的5种性传播疾病的疫情流行特征及变化趋势,为制定防控措施提供依据。方法收集2013—2019年中国疾病预防控制信息系统中报告的攀枝花市性病病例资料,使用SPSS 20.0软件对疫情数据进行整理并做描述性流行病学分析。结果2013—2019年攀枝花市共报告性病病例1 800例,年均报告发病率为20.84/10万,发病率总体呈上升的趋势(χ^(2)=30.16,P<0.05),各年发病率差异有统计学意义(χ^(2)=44.86,P<0.05)。以梅毒(820例,45.6%)和尖锐湿疣(410例,22.8%)为主,其中梅毒年报告发病率呈逐年上升趋势(χ^(2)=150.76,P<0.05);东区和仁和区为主(占59.3%);男女性别比为1.19∶1;职业以农民、家务及待业两种职业为主(1 056例,58.7%);20~49岁中青年人群报告病例最多(1 249例,占69.4%),60岁以上老年人群报告病例数较多(262例,14.6%),年均发病率呈逐年上升趋势(χ^(2)=15.47,P<0.05)。结论攀枝花市性病总体流行呈上升趋势,应加强以梅毒为主的性病监测,加强大中学生、老年人群、农民、家务及待业等高危人群的性病防治宣传教育及行为干预,提高人群性病防治知识知晓率。Objective To understand epidemic characteristics and changing trend of five monitored sexually transmitted disease(STD) in Panzhihua from 2013 to 2019,and to provide scientific basis for formulating effective prevention and control measures for STD.Methods The data of STD cases reported in Chinese Information System for Disease Control and Prevention in Panzhihua from 2013 to 2019 were collected.SPSS 20.0 software was used to sort out the epidemic data and make descriptive epidemiological analysis.Results A total of 1 800 STD cases with annually reported incidence rate of 20.84/100 000 on average were reported in Panzhihua from 2013 to 2019,the overall incidence showed an increasing trend (χ^(2)=30.16,P<0.05),and the difference in the incidence among years was statistically significant (χ^(2)=44.86,P<0.05).Syphilis (820 cases,45.6%)and condyloma acuminatum (410 cases,22.8%) were main cases,and the annual reported incidence of syphilis increased year by year (χ^(2)=150.76,P<0.05).Eastern District and Renhe District were main areas (59.33%);the reported sex ratio of males to females was 1.19∶1;the main occupations were farmers,households and unemployed (1 056 cases,58.7%).Most cases were reported in young and middle-aged people aged between 20 and 49 years (1 249 cases,69.4%).More cases were reported in the elderly population over 60 years old (262 cases,14.6%),and annual average incidence rate increased year by year(χ^(2)=15.47,P<0.05).Conclusion The overall prevalence of STD in Panzhihua is on the rise,it is necessary to tighten the monitoring on STD dominated by syphilis,strengthen the publicity,education and behavioral intervention on prevention and treatment of STD in high risk populations including college and middle school students,elderly population,farmers,households and unemployed,and improve the awareness rate of populations on the prevention and treatment of STD.

关 键 词：性传播疾病 流行特征 防控措施 梅毒 尖锐湿疣 分析 

分 类 号：R759[医药卫生—皮肤病学与性病学]