2013-2021年贵州省性病门诊男性就诊者梅毒流行趋势分析  

Analysis of Syphilis Epidemic Trend Among Male Patients in STD Clinics in Guizhou Province from 2013 to 2021

作　　者：周凤 郑敏[2,3] 李军 姚永明[2] 钱晓涵[2] 杨光红 ZHOU Feng;ZHENG Min;LI Jun;YAO Yongming;QIAN Xiaohan;YANG Guanghong(Key Laboratory of Environmental Pollution and Disease Survellance,Ministry of Education,Guizhou Medical University School of Public Health and Health,Guiyang 550025,China;Guizhou Center for Disease Control and Prevention,Guiyang 550004,China;Guizhou Medical University,Guiyang 550025,China)

机构地区：[1]贵州医科大学公共卫生与健康学院环境污染与疾病监控教育部重点实验室,贵州贵阳550025 [2]贵州省疾病预防控制中心,贵州贵阳550004 [3]贵州医科大学,贵州贵阳550025

出　　处：《中国皮肤性病学杂志》2023年第9期1060-1064,共5页The Chinese Journal of Dermatovenereology

基　　金：贵州省科技计划项目(黔科合支撑[2021]一般026)。

摘　　要：目的了解贵州省性病门诊男性就诊者梅毒感染率的变化特征,为制定梅毒防控措施提供科学依据。方法通过艾滋病防治工作信息系统,查找2013—2021年贵州省艾滋病哨点性病门诊男性就诊者个案数据,采用Joinpoint回归模型进行分析。结果2013—2021年性病门诊男性就诊者32483例,梅毒感染者1256例(3.87%)。2013—2018年梅毒感染率呈缓慢下降趋势(年度变化百分比APC=-8.55%),但2018—2021年快速上升(APC=60.76%)。未接受安全套宣传、发放或艾滋病咨询与检测人群梅毒感染率上升明显,年均涨幅为22.38%,高于接受过宣教干预人群。近3个月发生临时性行为者梅毒感染率年均涨幅高达25.42%,且2018—2021年梅毒感染率上升速度明显高于未发生临时性行为者(APC:74.40%vs.61.64%)。结论2013—2021年贵州省性病门诊男性就诊者梅毒感染率整体呈现上升趋势,在2018年后加速上升,是梅毒防控的重点人群。宣教干预是重要、有效的防控措施,可通过性病诊疗的规范化服务过程开展,尤其是中老年男性人群需要加强关注。Objective To understand the changing characteristics of syphilis infection rate among male patients in STD clinics in Guizhou Province,and to provide scientific basis for formulating syphilis prevention and control measures.Methods Through the AIDS prevention and control work information system,the case data of male patients in AIDS sentinel STD clinics in Guizhou Province from 2013 to 2021 were retrieved and analyzed by Joinpoint regression model.Results From 2013 to 2021,there were 32483 male outpatients in STD clinic,and 1256(3.87%)infected with syphilis.The syphilis infection rate showed a gradual downward trend from 2013 to 2018(APC=-8.55%),but increased rapidly from 2018 to 2021(APC=60.76%).The syphilis infection rate of people who did not receive condom promotion,distribution or AIDS counseling and testing increased significantly,with an average annual increase of 22.38%,which was higher than that of people who received education intervention.In the past three months,the average annual increase of syphilis infection rate among people with temporary sexual behavior was as high as 25.42%,and the increase rate of syphilis infection rate from 2018 to 2021 was significantly higher than that of people without temporary sexual behavior(APC:74.40%vs.61.64%).Conclusion From 2013 to 2021,the syphilis infection rate of male outpatients in STD clinics in Guizhou Province showed an overall upward trend,and accelerated after 2018,which was the key population for syphilis prevention and control.Education intervention is an important and effective prevention and control measure,which can be carried out through the standardized service process of STD diagnosis and treatment,especially for middle-aged and elderly men.

关 键 词：梅毒 Joinpoint回归分析 性病门诊 男性 

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]