2018-2022年浙江省性病流行特征分析  

Epidemiological characteristics of sexually transmitted diseases in Zhejiang Province from 2018 to 2022

作　　者：王燕敏 孔文明 沈云良 吴李梅 费丽娟 杜娜 张洪涛 WANG Yanmin;KONG Wenming;SHEN Yunliang;WU Limei;FEI Lijuan;DU Na;ZHANG Hongtao(Department of Disease Control and Prevention,Zhejiang Province Dermatology Hospital,Deqing,Zhejiang 313200,China)

机构地区：[1]浙江省皮肤病医院防治科,浙江德清313200

出　　处：《预防医学》2023年第12期1071-1074,1079,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江省皮肤病医院科技项目(2017YJKT09)。

摘　　要：目的了解2018-2022年浙江省性病流行特征,为完善性病防治策略提供依据。方法通过中国疾病预防控制信息系统传染病监测系统收集2018-2022年浙江省梅毒、淋病、尖锐湿疣、生殖器疱疹和生殖道沙眼衣原体感染病例资料,分析5种性病发病时间、地区和人群分布特征,采用年度变化百分比(APC)分析发病率变化趋势。结果2018-2022年浙江省报告5种性病共386770例,年均报告发病率为127.80/10万;年均报告发病率由高到低分别为梅毒(44.11/10万)、生殖道沙眼衣原体感染(40.20/10万)、淋病(24.92/10万)、尖锐湿疣(13.32/10万)和生殖器疱疹(5.34/10万)。2018-2022年浙江省性病报告发病率呈下降趋势(APC=-9.332%,P<0.05),年均增长率为-9.41%;其中,梅毒(APC=-11.536%,P<0.05)、尖锐湿疣(APC=-7.509%,P<0.05)和生殖道沙眼衣原体感染(APC=-9.009%,P<0.05)报告发病率均呈下降趋势。杭州市、台州市和丽水市性病报告发病率居前三位,分别为185.98/10万、133.85/10万和122.73/10万。女性性病年均报告发病率为140.60/10万,高于男性的117.83/10万(P<0.05)。2018-2022年浙江省性病报告病例以20~<50岁为主,265314例占68.60%。职业以农民、家务及待业为主,分别报告118096和85924例,占30.53%和22.22%。结论2018-2022年浙江省性病报告发病率总体呈下降趋势,发病存在地区差异,20~<50岁人群、农民和家务及待业人员是性病高发人群。Objective To investigate the epidemiological characteristics of sexually transmitted diseases(STDs)in Zheji-ang Province from 2018 to 2022,so as to provide insights into improving STDs prevention and control strategies.Meth-ods Data of syphilis,gonorrhea,condyloma acuminatum,genital herpes and genital Chlamydia trachomatis infections re-ported in Zhejiang Province from 2018 to 2022 were collected from the Infectious Disease Surveillance System of Chi-nese Disease Prevention and Control Information System.The temporal,spatial and population distribution of STDs were analyzed,and the trends in incidence of STDs were evaluated using annual percent change(APC).Results A total of 386770 STDs cases were reported in Zhejiang Province from 2018 to 2022,with mean annual reported incidence of 127.80/105.The mean annual reported incidence from high to low was syphilis(44.11/105),genital Chlamydia trachoma-tis infections(40.20/105),gonorrhea(24.92/105),condyloma acuminatum(13.32/105),and genital herpes(5.34/105).The in-cidence of STDs appeared a tendency towards a decline from 2018 to 2022(APC=-9.332%,P<0.05),with an average annual growth rate of-9.41%.Syphilis(APC=-11.536%,P<0.05),condyloma acuminatum(APC=-7.509%,P<0.05),and genital Chlamydia trachomatis infections(APC=-9.009%,P<0.05)showed a appeared a tendency towards a de-cline.The top three highest reported incidence were reported in Hangzhou City(185.98/105),Taizhou City(133.85/105)and Lishui City(122.73/105),respectively.The mean annual reported incidence of females was higher than that of males(140.60/105 vs.117.83/105;P<0.05).Most STDs cases were at ages of 20 to 49 years(265314 cases,68.60%).Farmers(118096 cases,30.53%),household and unemployed personnel(85924 cases,22.22%)were the predominant occupation.Conclusions The incidence of STDs appeared a tendency towards a decline in Zhejiang Province from 2018 to 2022,with regional differences in incidence.People at ages of 20 to 49 years,farmers,household and unem-ployed personnel are high-risk populations for STDs.

关 键 词：梅毒 淋病 尖锐湿疣 生殖器疱疹 生殖道沙眼衣原体 流行特征 

分 类 号：R75[医药卫生—皮肤病学与性病学]