2014—2023年浙江省瑞安市常住人口梅毒流行特征分析  

Analysis of syphilis epidemiological characteristics among the resident population in Ruian City,2014-2023

作　　者：洪万胜[1] 陈江敏[1] 周李敏 胡允雷 陈春楠 陈良钗 李君[2] 黄洁茹 周祖木 HONG Wansheng;CHEN Jiangmin;ZHOU Limin;HU Yunlei;CHEN Chunnan;CHEN Liangchai;LI Jun;HUANG Jieru;ZHOU Zumu(Ruian Center for Disease Control and Prevention,Wenzhou,Zhejiang 325200,China;Wenzhou Center for Disease Control and Prevention,Wenzhou,Zhejiang 325000,China;The Affiliated Kangning Hospital of Wenzhou Medical University/Zhejiang Provincial Clinical Research Center for Mental Disorders,Wenzhou,Zhejiang 325000,China)

机构地区：[1]瑞安市疾病预防控制中心,浙江温州325200 [2]温州市疾病预防控制中心,浙江温州325000 [3]温州医科大学附属康宁医院/浙江省精神心理疾病临床研究中心,浙江温州325000

出　　处：《上海预防医学》2024年第11期1026-1030,共5页Shanghai Journal of Preventive Medicine

基　　金：瑞安市科技项目(MS2023001)。

摘　　要：【目的】了解瑞安市梅毒流行特征,为制定梅毒防控策略提供科学依据。【方法】采用描述流行病学方法,分析2014—2023年瑞安市常住人口梅毒报告病例的感染情况,并分析其流行特征。【结果】瑞安市2014—2023年共报告5482例梅毒病例,男女之比为1∶1.47;2014—2023年梅毒年均发病率为37.51/10万,女性发病率呈下降趋势(APC=-4.78%,P<0.05);一期、二期梅毒发病率下降,隐性梅毒占比上升;2017—2023年胎传梅毒持续零报告。报告的病例以20~<50岁占比最高,占总报告病例数的60.29%;人群分布以家务及待业占比最高(42.70%);医疗单位诊疗科室报告的病例以皮肤科最多(33.38%)。最可能的感染途径以异性传播为主,占85.84%。【结论】瑞安市女性梅毒发病率呈下降趋势,但疫情状况仍不容乐观,应加大重点人群和高危人群的防治力度,加强健康教育,遏制梅毒流行。[Objective]To understand the epidemiological characteristics of syphilis in Ruian City,so as to provide a scientific basis for developing syphilis prevention and control strategies.[Methods]Descriptive epidemiological methods were used to investigate the infection status of syphilis cases reported among the permanent resident population in Ruian City from 2014 to 2023,and its epidemiological characteristics were analyzed.[Results]A total of 5482 syphilis cases were reported in Ruian from 2014 to 2023,with a male-female ratio of 1∶1.47.The average annual incidence rate from 2014 to 2023 was 37.51/100000,with a declining trend in the incidence rate among females(APC=-4.78%,P<0.05).The incidence of primary and secondary syphilis decreased,while the proportion of latent syphilis cases increased.No cases of congenital syphilis were reported from 2017 to 2023.The majority of cases(60.29%)were reported among individuals aged 20-<50 years.In terms of occupation,the highest proportion was found among housekeepers and the unemployed,constituting 42.70%the total cases.Dermatology departments reported the most cases in medical institutions,accounting for 33.38%of the total cases.The most likely route of infection was heterosexual transmission,accounting for 85.84%.[Conclusion]The incidence of syphilis among females in Ruian City shows a declining trend,but the overall situation remains concerning.Prevention and control efforts should be intensified among key groups and highrisk populations,along with an enhancement on health education to curb the spread of syphilis.

关 键 词：梅毒 流行特征 分析 性传播 防控 

分 类 号：R511[医药卫生—内科学]