北京市丰台区2009—2020年梅毒和淋病流行病学特征分析  

Analysis of epidemiological characteristics of syphilis and gonorrhea in fengtai district of Beijing from 2009 to 2020

作　　者：田丽娜[1] 王欣心[1] 郭永超[1] 杨霄星[1] 李彦奇[1] 史文雅[1] 刘超[1] 张建军[1] TIAN Li′na;WANG Xinxin;GUO Yongchao;YANG Xiaoxing;LI Yanqi;SHI Wenya;LIU Chao;ZHANG Jianjun(Fengtai District Center for Disease Control and Prevention of Beijing,Beijing 100071,China)

机构地区：[1]北京市丰台区疾病预防控制中心,北京100071

出　　处：《中国现代医生》2021年第36期138-141,149,F0003,共6页China Modern Doctor

基　　金：北京市卫生健康系统“丰泽计划”支持项目(2021-40558)。

摘　　要：目的分析北京市丰台区2009—2020年梅毒和淋病的流行特征,为制订防治策略提供科学依据。方法通过中国疾病预防控制信息系统收集整理2009—2020年丰台区梅毒、淋病疫情数据并进行描述性流行病学分析。结果2009—2020年丰台区报告梅毒病例5640例、淋病1811例,年均报告发病率为22.07/10万和7.31/10万,梅毒发病率波动并总体下降(χ^(2)趋势=69.946,P<0.05),淋病发病率呈明显下降趋势(χ^(2)趋势=118.865,P<0.001);隐性梅毒居各期梅毒首位,占60.76%,占比逐年上升(χ^(2)趋势=283.377,P<0.001);梅毒病例以20~49岁青壮年、60岁以上老年人、待业人员、离退人员为主;淋病病例以男性、20~49岁青壮年、待业人员、商业服务人员为主;两种性病发病主要集中在经济发达的中东部地区。结论丰台区的梅毒和淋病发病总体呈下降趋势,但隐性梅毒发病占比上升,重点人群和区域发病依然严峻。提示在今后公共卫生服务中应进一步落实梅毒主动筛查,强调更多关注流动人口及老年人的健康需求,努力提高他们的健康水平。Objective To analyze the epidemic characteristics of syphilis and gonorrhea in Fengtai District of Beijing from 2009 to 2020 and provide a scientific basis for formulating prevention and control strategies.Methods The epidemic data of syphilis and gonorrhea in Fengtai district from 2009 to 2020 were collected and analyzed by China Disease Prevention and Control Information System.The data on syphilis and gonorrhea epidemics in Fengtai District from 2009 to 2020 were collected and organized through the China Disease Prevention and Control Information System and descriptive epidemiological analysis was conducted.Results From 2009 to 2020,5640 cases of syphilis and 1811 cases of gonorrhea were reported in Fengtai District,with an average annual reported incidence rate of 22.07/100,000 and 7.31/100,000.The incidence of syphilis fluctuated and decreased overall(χ^(2) trend=69.946,P<0.05),and the incidence of gonorrhea showed a significant downward trend(χ^(2) trend=118.865,P<0.001);latent syphilis ranked first in all stages of syphilis,accounting for 60.76%,and the proportion is increasing year by year(χ^(2 )trend=283.377,P<0.001);syphilis cases were mainly young adults aged 20-49 years,the elderly over 60 years,unemployed,and retired;gonorrhea cases were mainly male,young adults aged 20-49 years,unemployed,and commercial service personnel;the incidence of the two venereal diseases was mainly concentrated in economically developed central and eastern regions.Conclusion The incidence of syphilis and gonorrhea in Fengtai district shows an overall downward trend,but the incidence of latent syphilis is increasing.The incidence of key populations and regions remains severe.It is suggested that in the future public health services should further implement active screening for syphilis,emphasize more attention to the health needs of the floating population and the elderly,and strive to improve their health.

关 键 词：梅毒 淋病 性传播疾病 流行特征 

分 类 号：R759[医药卫生—皮肤病学与性病学]