摘要
目的 了解2016—2021年四川省凉山州梅毒流行特征,为制定有效的梅毒精准防控策略提供参考依据。方法 采用描述流行病学方法对2016—2021年凉山州的梅毒疫情数据进行分析。结果 2016—2021年凉山州梅毒报告病例数共计18 065例,年均发病率为62.40/10万,年均增长2.82%。各年女性报告病例数均高于男性,男女性别比为1∶2.18。在梅毒病例构成中,Ⅰ期梅毒2 536例(14.04%)、Ⅱ期梅毒667例(3.69%)、Ⅲ期梅毒54例(0.3%)、胎传梅毒479例(2.65%)、隐性梅毒14 329(79.32%),胎传梅毒构成比逐年下降,隐性梅毒构成比逐年上升。艾滋病疫情重点县为梅毒高发区,国家级重点县和州级重点县发病率分别为121.99/10万和72.67/10万。25~49岁年龄组人群发病率最高,年均发病率为113.58/10万,50岁及以上人群发病增速较快,年均增速分别为5.80%和4.24%。职业分布以农民及民工最多(83.52%)。结论 2016—2021年四川省凉山州梅毒报告发病率高,且呈上升变化,需采取多病同防策略,加强梅毒筛查和防治,特别是高发地区及高发人群。
Objective To understand the epidemic characteristics of syphilis in Liangshan Prefecture,Sichuan Province from 2016 to 2021,and to provide reference for the formulation of effective and precise syphilis prevention and control strategies. Methods Descriptive statistics were performed to analyze the data of syphilis epidemic in Liangshan Prefecture from 2016 to 2021. Results From2016 to 2021, a total of 18 065 syphilis cases were reported in Liangshan Prefecture, with an annual incidence of 62.40/10^(5) and an annual increase of 2.82%. The number of reported female cases was higher than that of males cases,and the male-to-female ratio was 1∶2.18. There were 2536 cases(14.04%) of syphilis in stage Ⅰ,667 cases(3.69%) in stage Ⅱ,54 cases(0.3%) in stage Ⅲ,479 cases(2.65%) of fetal-transmitted syphilis,and 14 329 cases(79.32%) of recessive syphilis. The proportion of fetal syphilis decreased year by year, whereas the proportion of recessive syphilis increased yearly. The incidence of syphilis was 121.99/10^(5) in the national key counties and 72.67/10^(5) in the state key counties. The incidence rate was the highest in 25~49 yearold group(113.58/10^(5)), and the incidence rate increased rapidly in people aged ≥50 years old.Farmers and migrant workers accounted for 83.52% of the total cases. Conclusions The reported incidence of syphilis was high, and increasing from 2016 to 2021 in Liangshan Prefecture of Sichuan Province. Therefore, comprehensive disease prevention strategies should be adopted to strengthen the screening and prevention of syphilis, especially in the high-incidence areas and populations.
作者
游璐
王菊
廖强
关陶
邓明菊
詹紫艳
余刚
吉克春农
YOU Lu;WANG Ju;LIAO Qiang;GUAN Tao;DENG Ming-ju;ZHAN Zi-yan;YU Gang;JI-KE Chun-nong(Liangshan Center for Disease Control and Prevention,Sichuan Liangshan Yi Autonomous Prefecture,Xichang 615000,Sichuan Province,China)
出处
《预防医学情报杂志》
CAS
2022年第9期1209-1214,共6页
Journal of Preventive Medicine Information
关键词
梅毒
发病率
变化趋势
凉山州
syphilis
incidence
changing trend
Liangshan Prefecture
