2011—2020年成都市青羊区梅毒流行特征分析  

Epidemiological features of syphilis from 2011 to 2020 in Qingyang District of Chengdu

作　　者：韩天旭[1] 李忠[1] 高凤 童柏铭 蔡娜 HAN Tian-xu;LI Zhong;GAO Feng;TONG Bai-ming;CAI Na(Chengdu Qingyang District Center for Disease Control and Prevention,Chengdu 610091,Sichuan Province,China)

机构地区：[1]成都市青羊区疾病预防控制中心,成都610091

出　　处：《预防医学情报杂志》2022年第10期1340-1345,共6页Journal of Preventive Medicine Information

摘　　要：目的分析《中国预防与控制梅毒规划(2010—2020年)》实施以来,成都市青羊区梅毒的流行病学特征,为科学防控提供依据。方法对2011—2020年成都市青羊区报告梅毒病例资料进行描述性分析,采用年度变化百分比(annual percent change,APC)描述历年发病率趋势,组间构成比比较采用χ^(2)检验,采用SPSS 18.0软件进行统计分析,以P<0.05为差异有统计学意义。结果2011—2020年,成都市青羊区共报告梅毒病例3276例,年均梅毒报告发病率为39.90/10万,发病率呈波动上升趋势,APC为5.23%(t=2.38,P=0.04)。早期梅毒(Ⅰ期、Ⅱ期梅毒)发病率呈下降趋势,APC为-7.32%(t=-3.77,P=0.01);Ⅲ期梅毒病例数较少,但发病率有上升趋势;隐性梅毒发病率呈上升趋势,APC为10.96%(t=3.61,P=0.01);胎传梅毒2020年报告发病率4.03/10万活产数。人群分布方面,男、女性梅毒发病率差异无统计学意义(χ^(2)=14.99,P=0.09),但早期梅毒男性构成比高于女性,隐性梅毒女性病例数多于男性;发病年龄以20~29岁(26.50%)、30~39岁(20.21%)和60岁及以上(25.03%)为主,20~29岁年龄构成有下降趋势,60岁以上年龄构成呈上升趋势;职业方面以家务及待业(24.42%)、离退人员(18.10%)、商业服务(16.76%)为主。结论成都市青羊区基本实现《中国预防与控制梅毒规划(2010—2020年)》目标,但隐性梅毒呈上升趋势,中老年病例数增加,应进一步加强针对重点人群的宣传干预和检测促进。Objective To analyze the epidemiological characteristics of syphilis in Qingyang District of Chengdu since the implementation of The China Syphilis Prevention and Control Plan(2010 to2020),so as to provide scientific basis for prevention and control of syphilis.Methods Descriptive statistics were performed on the data of syphilis in 2010 to 2020 in Qingyang.Changing trend of incidence was described by using annual percent change(APC),and chi-square test was used for comparison between gender groups.Results A total of 3276 cases of syphilis were reported in Qingyang from 2011 to 2020,with an average annual incidence of 39.90/10~5.The overall incidence showed an fluctuated upward trend,and the APC was 5.23%(t=2.38,P=0.04).The incidence of early syphilis(stageⅠandⅡ)was decreasing,the corresponding APC was-7.32%(t=-3.77,P=0.01).The number of syphilis cases in stage III were less,but the incidence showed an increasing trend.The incidence of latent syphilis increased,and the corresponding APC was 10.96%(t=3.61,P=0.01).The incidence of fetal syphilis in 2020 was 4.03/10~5live births.There was no significant difference in the incidence of syphilis among men and women(χ^(2)=14.99,P=0.09),but the proportion of men with early syphilis was higher than that of women,and the number of females with latent syphilis was more than that of males.The age of onset was mainly in 20-29years(26.50%),followed by 30-39 years(20.21%)and over 60 years(25.03%).The proportion of cases aged 20-29 years showed a downward trend,and the proportion of cases of over 60 years showed an upward trend.In terms of occupation distribution of the cases,housework and unemployment(24.42%),retirees(18.10%)and business services(16.76%)ranked among the top three.Conclusions The control plan of syphilis has been basically achieved the goal in Qingyang District.However,the number of latent syphilis was on the rise,and the number of cases of senile diseases increased.It is necessary to strengthen the publicity,intervention and detection promotion in key popu

关 键 词：梅毒 流行特征 发病趋势 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]