2010—2022年云南省德宏州性病流行特征分析  

Epidemiological characteristics of sexually transmitted diseases in Dehong Prefecture,Yunnan Province from 2010 to 2022

作　　者：龚渝蓉 张帆[2] 杨跃诚 唐仁海 叶润华 王继宝 项丽芬 高洁 何纳[3] 丁盈盈[3] 段松 GONG Yurong;ZHANG Fan;YANG Yuecheng;TANG Renhai;YE Runhua;WANG Jibao;XIANG Lifen;GAO Jie;HE Na;DING Yingying;DUAN Song(Department of AIDS and STD Prevention,Dehong Dai and Jingpo Autonomous Prefecture Center for Disease Control and Prevention,Mangshi,Yunnan 678400,China;Vanke School of Public Health,Tsinghua University,Beijing 100084,China;Department of Epidemiology,School of Public Health,Fudan University,Key Laboratory of Public Health Safety,Ministry of Education,Shanghai 200032,China)

机构地区：[1]德宏傣族景颇族自治州疾病预防控制中心艾滋病性病防制科,云南芒市678400 [2]清华大学万科公共卫生与健康学院,北京100084 [3]复旦大学公共卫生学院流行病学教研室,公共卫生安全教育部重点实验室,上海200032

出　　处：《上海预防医学》2023年第10期987-992,共6页Shanghai Journal of Preventive Medicine

摘　　要：【目的】掌握2010—2022年云南省德宏州性病的发病特点和流行趋势,为德宏州性病防控提供依据。【方法】从中国疾病预防控制信息系统下载2010—2022年德宏州性病病例的疫情卡片,按病种对发病率、人口学特征进行描述性分析;从全国性病防治管理信息系统下载2014—2022年德宏州各类人群梅毒筛查数据,计算重点人群梅毒阳性率。【结果】2010—2022年德宏州共报告性病病例18225例,报告发病率从2010年的17.1/10万上升至2022年的172.0/10万,呈上升趋势(χ_(趋势)^(2)=42.9,P<0.001)。淋病、梅毒、尖锐湿疣、生殖道沙眼衣原体感染和生殖器疱疹的报告病例数分别为7801例(占42.8%)、4563例(占25.0%)、3426例(占18.8%)、1660例(占9.1%)和775例(占4.3%)。性病报告病例以男性(12336例,占67.7%)、15~<45岁青壮年(15839例,占87.2%)、农民(9230例,占50.7%)为主。梅毒病例中65岁及以上老年人群占10.5%。在各类重点人群中,男男性行为人群梅毒阳性率最高(10.1%),其次为性病门诊就诊者(8.1%),暗娼、自愿咨询检测人群、吸毒人群和戒毒所/劳教所人群的梅毒阳性率分别为2.2%、1.6%、1.4%和1.3%。【结论】2010—2022年德宏州性病疫情呈快速上升趋势,淋病、梅毒的发病率较高。男男性行为人群、吸毒人员、暗娼、性病门诊就诊者的梅毒阳性率较高,未来应加强对这类人群的宣传教育和行为干预,减少性病的流行和传播。[Objective]To understand the epidemiological characteristics and trends of sexually transmitted diseases(STDs)in Dehong Prefecture,Yunnan Province from 2010 to 2022,so as to provide a basis for the prevention and control of STDs in Dehong Prefecture.[Methods]The 2010‒2022 epidemic cards of STD cases in Dehong Prefecture were downloaded from the China Disease Control and Prevention Information System,and descriptive analysis of the incidence rate and demographic characteristics by disease type was conducted.The syphilis screening data of various populations in Dehong Prefecture between 2014 and 2022 were obtained from the National STD Control and Management Information System,and the syphilis positivity rates of key populations were calculated.[Results]A total of 18225 STD cases were reported in Dehong Prefecture from 2010 to 2022,and the reported incidence rate increased from 17.1/105 in 2010 to 172.0/105 in 2022,showing an increasing trend(χ_(trend)^(2)=42.9,P<0.001).The number of reported cases of gonorrhea,syphilis,condyloma acuminatum,genital chlamydia infection,and genital herpes were 7801(42.8%),4563(25.0%),3462(18.8%),1660(9.1%),and 775(4.3%),respectively.The majority of the reported STD cases were males(12336 cases,67.7%),young adults aged 15 to<45 years(15839 cases,87.2%),and farmers(9230 cases,50.7%).The elderly group aged 65 years and over accounted for 10.5%of syphilis cases.Among different types of key populations,the highest syphilis positivity rate was found among men who have sex with men(10.1%),followed by STD clinic attendees(8.1%),and the syphilis positivity rates among clandestine prostitutes,voluntary counseling and testing population,drug addicts,and drug rehabilitation center/re-education through labor center population were 2.2%,1.6%,1.4%,and 1.3%,respectively.[Conclusion]From 2010 to 2022,the STD epidemic in Dehong Prefecture showed a rapidly increasing trend,with a higher incidence of gonorrhea and syphilis,and a higher syphilis positivity rate among men who have sex with men,drug add

关 键 词：性病 流行特征 重点人群 梅毒 阳性率 

分 类 号：R181.81[医药卫生—流行病学] R183[医药卫生—公共卫生与预防医学]