摘要
目的分析丽水市梅毒疫情流行特征,揭示其流行规律,为制定防控策略提供参考依据。方法收集丽水市2006-2015年梅毒疫情资料,进行描述性流行病学分析。结果 2006-2015年丽水市累计报告梅毒病例16 195例,年平均发病率为62.68/10万;十年间发病率呈现稳中有降的态势,各年间的发病率差别有统计学意义(χ~2=416.53,P<0.05)。各型别中隐性梅毒占64.66%,Ⅰ期梅毒占20.38%;隐性梅毒与Ⅲ期梅毒呈逐渐增高之势,而Ⅰ期梅毒、Ⅱ期梅毒与胎传梅毒呈逐渐下降之势。丽水市所辖9个县(市、区)中,莲都区发病率最高为103.24/10万,庆元县最低为29.73/10万,差异有统计学意义(χ~2=1946.04,P<0.05)。病例以女性居多,男性、女性的发病率分别为51.28/10万和74.83/10万,差异有统计学意义(χ~2=571.30,P<0.05)。20~49岁组病例占66.38%,农民病例占59.29%,初中文化病例占48.65%,已婚病例占74.53%。结论丽水市梅毒疫情虽然有下降趋势,但发病率仍处于高位;应针对重点地区、重点人群采取相应措施来控制疫情流行。
Objective To analyze the epidemiological characteristics of syphilis in Lishui,to reveal the internal epidemic law,so as to provide reference for the prevention and control strategy. Method The syphilis epidemic data from 2006 to2015 were collected in Lishui city,descriptive epidemiological was used to analyze. Result There were 16 195 cases of syphilis reported in Lishui from 2006 to 2015,with an average annual incidence of 62. 68/100000. The incidence of syphilis showed a stable and declining trend during the ten years. The difference was statistically significant（ χ^2= 416. 53,P〈0. 05）.All types of latent syphilis accounted for 64. 66%,Phase Ⅰ syphilis accounted for 20. 38%; Latent syphilis and stage Ⅲsyphilis were gradually increased,while stage Ⅰsyphilis,stageⅡsyphilis and fetal transmission syphilis showed a declining trend. Under the jurisdiction of the nine counties in the urban area,the highest incidence was Lindu district,the rate was103. 24/100 000,Qingyuan county was the lowest,the rate was 29. 73/100 000,but the difference was significant（ χ^2=1946. 04,P 〈0. 05）. The incidences of male and female were 51. 28/100000 and 74. 83/100000,respectively. The difference was significant（ χ^2= 571. 30,P〈0. 05）. In addition,20-49 years old cases accounted for 66. 38%,59. 29% of cases was farmers,junior high school cultural cases accounted for 48. 65%,married couples accounted for 74. 53%. Conclusion The epidemic of Lishui syphilis although is a downward trend,but the incidence rate is still high; it should focus on key areas,focus groups to take appropriate measures to control the epidemic.
作者
应丽红
舒雪伍
胡肖雄
YING Li-hong;SHU Xue-wu;HU Xiao-xiong(Jinyun County Center for Disease Control and Prevention,Zhejiang 321400, China;Lishui Municipal Center for Disease Control and Prevention)
出处
《中国公共卫生管理》
2017年第5期689-691,共3页
Chinese Journal of Public Health Management
关键词
梅毒
流行病学
趋势
syphilis
epidemiology
trend analysis
