摘要
目的了解2015-2019年北京市密云区性传播疾病(sexually transmitted disease,STD)流行状况,为制定有针对性的防控措施提供科学依据。方法从传染病报告信息管理系统收集2015-2019年密云区常住居民STD的发病资料,采用χ^(2)检验分析发病率的差异,发病趋势采用χ^(2)趋势检验,并采用Geoda软件对病例空间分布做聚集性分析。结果五年间密云区累计报告STD 905例,年均报告发病率为37.32/10万。梅毒、淋病、尖锐湿疣和生殖道沙眼衣原体平均发病率分别为27.42/10万、5.03/10万、2.22/10万和2.64/10万,其中梅毒占比最大(73.48%),且报告发病率呈逐年下降趋势(χ^(2)_(趋势)=13.98,P=0.007)。20~39岁年龄组病例数最多(41.66%),职业以家务及待业为主(44.09%),病例主要集中在经济相对发达,人口密度较大的乡镇,五年累计病例空间分布不存在空间自相关(Moran’s I=-0.0207,P=0.882)。结论密云区STD呈一般流行水平,在防治策略领域,除采取人群普遍干预手段外,还应加强对重点区域和重点人群的干预工作。
Objective To understand the prevalence of sexually transmitted diseases(STD) in Miyun district of Beijing from 2015 to 2019,and to provide scientific basis for developing targeted prevention and control measures.Methods The incidence data of STD of permanent residents in Miyun district from 2015 to 2019 were collected from the infectious disease reporting and information management system.The chi-square test was used to analyze the differences in incidence,and chisquare trend test was used for testing incidence tendency,and Geoda software was applied to cluster analysis of the spatial distribution of cases.Results A total of 905 cases of STD were reported in Miyun district during the five-year period,with an average annual reported incidence of 37.32 per 100 000.The average incidence of syphilis,gonorrhea,condyloma acuminatum and chlamydia trachomatis of the genital tract were 27.42/100 000,5.03/100 000,2.22/100 000 and 2.64/100 000,respectively,with syphilis accounting for the largest proportion(73.48%),and the reported incidence rate showed a decreasing trend year by year(trend X2=13.98,P=0.007).The number of cases was highest in the age group of 20-39 years(41.66%),the occupation was mainly housework and unemployment(44.10%),the cases were mainly concentrated in towns and villages with relatively developed economy and high population density,and there was no spatial autocorrelation in the spatial distribution of cumulative cases over five years(Moran’s I=-0.0207,P=0.882).Conclusions The STD in Miyun district is at a general prevalence level.In the field of prevention and control strategies,in addition to population-wide interventions,interventions in the key areas and key populations should also be strengthened.
作者
翟艳春
孙勇
ZHAI Yan-chun;SUN Yong(Miyun Center for Disease Prevention and Control,Beijing 101500,China)
出处
《首都公共卫生》
2021年第4期200-202,共3页
Capital Journal of Public Health
关键词
性传播疾病
流行特征
空间聚集
Sexually transmitted disease(STD)
Epidemiological characteristics
Spatial clustering
