2004—2017年中国淋病发病与死亡趋势分析  

Incidence and mortality of Gonorrhoea in China,2004—2017

作　　者：陈慧 杨森[2] CHEN Hui;YANG Sen(Caidian People’s Hospital,Wuhan,Hubei 430000,China;不详)

机构地区：[1]武汉市蔡甸区人民医院皮肤与性病科,湖北430000 [2]常州大学计算机与人工智能学院、阿里云大数据学院、软件学院

出　　处：《现代预防医学》2022年第11期1937-1944,共8页Modern Preventive Medicine

摘　　要：目的 分析2004—2017年我国淋病发病数量、发病率、死亡率的变化情况,为监控淋病变化趋势提供参考。方法 利用中国公共卫生科学数据中心的淋病发病数据,采用Python 3.6编程语言构建淋病发病数、发病率数据库。利用Joinpoint回归模型分析、估计2004—2017年期间淋病在我国31省(市、自治区)、不同年龄段的发病数平均年度变化百分比,并采用层次聚类方法,分析31省(市、自治区)、各年龄段的淋病发病聚集程度,并采用热力图可视化展示。结果 从全国发病水平上看,我国2004—2017年期间淋病发病总数为1 805 378例,总体呈现下降趋势,其平均年度变化百分比为-3.2(95%CI:-5.9~-0.4,P<0.0012),2004—2017年期间仅报告了18例淋病致死案例,淋病的致死率处于较低水平;从31省(市、自治区)层面看,在2004—2017年期间淋病的发病数量均在下降,但在内蒙古、湖北、湖南、广东、海南、贵州、云南地区出现了先下降后上涨的趋势;从各年龄段层面看,0~10岁年龄段的淋病发病数量持续减少,15~80岁年龄段的淋病发病数呈现先下降后上升趋势,且在青中年人中出现了一定的聚集现象,增长速度较快。结论 总体上我国的淋病感染人数在减少,病死率低,但近些年淋病的发病人数呈现上升的趋势,且在青中年人群中上涨明显,因此我国需在青中年人群中进一步加强对淋病的宣传防疫工作,将淋病的发病数量进一步控制在一个较低的层面。Objective To analyze the changes of gonorrhea incidence in China from 2004 to 2017,and to provide useful information for the prevention and control of gonorrhea.Methods Gonorrhea incidence data was downloaded from China public health data center.The Joinpoint regression model was used to analyze and estimate the average annual change percentage of gonorrhea incidence in different provinces and age groups in China from 2004 to 2017.The hierarchical cluster analysis method was used to analyze the aggregation level of gonorrhea incidence among age groups in recent five years.Results At the national incidence level,the number of gonorrhea cases in China from 2004 to 2017 was 1805378,showing a downward trend,with an average annual change percentage of-3.2(95% CI:-5.9--0.4,P<0.0012).The death rate of gonorrhea was at a low level,and only 18 death cases of gonorrhea were reported from 2004 to 2017.From the perspective of provinces(cities,autonomous region),the incidence of gonorrhea were on the decrease from 2004 to 2017,but the increasing tendency was to appear in Inner Mongolia,Hubei,Hunan,Guangdong,Hainan,Guizhou and Yunnan.From the perspective of all age groups,the incidence of gonorrhea in the 0-10 age group continued to decrease,and the incidence of gonorrhea in the 15-80 age group showed a downward trend and then an upward trend.Furthermore,there was a certain aggregation among young and middle-aged people.Conclusion The number of gonorrhea infections in China is decreasing and the case fatality rate is quite low,but in recent five years,the number of gonorrhea cases has shown an upward trend significantly among the young and middle-aged population.Therefore,China needs to further strengthen the publicity and epidemic prevention of gonorrhea among the young and middle-aged population,and further control the number of gonorrhea cases at a lower level.

关 键 词：淋病 发病率 地域分布 年龄分布 变化趋势 

分 类 号：R181.3[医药卫生—流行病学] R759.2[医药卫生—公共卫生与预防医学]