2013—2022年江苏省徐州市梅毒流行特征及趋势分析  

Epidemiological characteristics and trends of Syphilis in Xuzhou,Jiangsu Province,2013-2022

作　　者：刘会平 孙传武[1] 穆程秀 张利宁[1] LIU Huiping;SUN Chuanwu;MU Chengxiu;ZHANG Lining(Department of STD and AIDS Prevention,Xuzhou Center for Disease Control and Prevention,Jiangsu 221000,China)

机构地区：[1]徐州市疾病预防控制中心性病艾滋病防制科,江苏徐州221000

出　　处：《现代疾病预防控制》2025年第2期125-128,133,共5页MODERN DISEASE CONTROL AND PREVENTION

摘　　要：目的 了解2013—2022年徐州市梅毒流行特征及发病趋势,为梅毒防控策略制定提供参考依据。方法 采用描述性流行病学方法,分析2013—2022年徐州市梅毒报告病例流行病学特征,Joinpoint回归模型分析梅毒报告发病率时间趋势。结果 2013—2022年,徐州市累计报告梅毒14 377例,年均报告发病率16.11/10万。其中,隐性梅毒10 437例,占72.60%;男性6 737例,女性7 640例,年均报告发病率男性(14.99/10万)低于女性(17.24/10万)(χ^(2)=70.530,P<0.05);年均报告发病率最高的年龄组为20~<30岁(25.16/10万),其次为30~<40岁(24.01/10万)和≥50岁(21.60/10万);在男性10~<20岁年龄组和≥50岁年龄组报告发病率分别在2013—2022年、2013—2018年呈快速上升趋势(APC2013—2022=13.38%,APC2013—2018=13.48%,P均<0.05)。职业以农民(52.79%)和家务及待业人群(28.61%)为主。年均报告发病率最高的地区是鼓楼区(34.73/10万),最低的是沛县(9.00/10万)。结论 2013—2022年徐州市梅毒疫情处于相对较低的流行趋势,但10~<20岁和≥50岁男性梅毒发病情况应引起关注,需采取综合性的防控策略,减轻梅毒危害。Objective To examine the epidemiological characteristics and trends of syphilis in Xuzhou from 2013 to 2022, providing valuable insights for the development of prevention and control strategies. Methods A descriptive epidemiological analysis was conducted on reported syphilis cases in Xuzhou from 2013 to 2022. Time trend analysis of the syphilis incidence was performed using the Joinpoint regression model. Results From 2013 to 2022, a total of 14 377 syphilis cases were reported in Xuzhou, with an average annual incidence rate of 16.11/105. Of these, 10 437 cases(72.60%) were latent syphilis. The total cases included 6 737males and 7 640 females. The annual reported incidence rate among males(14.99/105) was significantly lower than that of females(17.24/105, χ^(2)= 70.530, P<0.05). The highest incidence rate was observed in individuals aged 20-< 30 years(25.16/105), followed by those aged 30-< 40 years(24.01/105) and those aged 50 years and older(21.60/105). Notably, the incidence among males aged 10-< 20 years and those aged 50 years and older showed a rapid upward trend from 2013 to 2022 and from 2013 to 2018 respectively(APC2013-2022= 13.38%, APC2013-2018= 13.48%, P<0.05). The most affected occupations were farmers(52.79%) and household or unemployed workers(28.61%). The region of the highest annual reported incidence was in Gulou District(34.73/105) and the lowest was in Pei County(9.00/105). Conclusions From 2013 to 2022, syphilis in Xuzhou remained at a relatively low prevalence, but special attention should be given to the increasing incidence in males aged 10-<20 years and 50 years and older. Comprehensive prevention and control strategies are necessary to mitigate the impact of syphilis in these populations.

关 键 词：梅毒 性传播疾病 隐性梅毒 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]