摘要
目的分析福建省大田县梅毒的流行特征和发病趋势,为制定有效的防治措施提供参考。方法从中国疾病预防控制信息系统导出2010—2022年大田县梅毒确诊病例个案资料,应用描述流行病学方法分析梅毒流行特征和发病趋势,采用SPSS 19.0软件统计分析数据,以Joinpoint 4.8.0.1软件建立Joinpoint回归模型、计算年度变化百分比(annual percent change,APC)。结果2010—2022年大田县梅毒发病率呈上升趋势(趋势χ^(2)=9.905,P<0.05),共报告梅毒病例882例,年均发病率21.29/10万,年均增长率2.75%;其中隐性梅毒呈波动上升趋势(APC=8.730%,P<0.05),早期梅毒呈明显下降趋势(APC=-27.901%,P<0.05),三期梅毒一直保持在低水平,胎传梅毒自2017年未见报告。男性发病率略低于女性(χ^(2)=8.913,P<0.05),60岁及以上年龄组发病率最高70.71/10万,不同年龄组发病率差异有统计学意义(χ^(2)=685.544,P<0.05),病例以农民为主、占70.29%,均溪镇报告发病数最多、占32.19%;病例报告单位主要为综合医院(占84.13%)。结论大田县梅毒发病水平总体波动上升,流行类型主要以隐性梅毒为主,应加强女性、老年人和农民等重点人群的宣传教育,同时提高基层医疗机构的检测和诊治水平,控制梅毒传播。
Objective To analyze the epidemic characteristics and incidence trends of syphilis in Datian county of Fujian province,and provide reference for formulating effective prevention and control measures.Methods The data of confirmed cases with syphilis in Datian county from 2010 to 2022 were collected from China Disease Prevention and Control Information System,and the epidemic characteristics and incidence trends of syphilis were analyzed with descriptive epidemiological methods and statistically analyzed by SPSS 19.0 software.The joinpoint regression model was established by Joinpoint 4.8.0.1 software,and the annual percent change(APC)was calculated.Results The incidence rates showed upward trend(trendχ^(2)=9.905,P0.05)in Datian county from 2010 to 2022.A total of 882 syphilis cases were reported,with average annual incidence rate of 21.29/100000,and average annual growth rate of 2.75%.The incidence rates showed fluctuating upward trend(APC=8.730%,P<0.05)in latent syphilis,and downward trend(APC=-27.901%,P0.05)in early syphilis.Tertiary syphilis stayed at low level,and no fetal syphilis reported since 2017.The incidence rate of the male was slightly lower than the female(χ^(2)=8.913,P<0.05).The incidence rate was the highest with 70.71/100000 in the age group of 60 years and above.There was statistical difference in the incidence rates among different age groups(χ^(2)=685.544,P<0.05).The cases were mainly farmers,accounting for 70.29%.Most cases were reported in Junxi town,accounting for 32.19%,and the generally hospitals were the main reporting units,accounting for 84.13%.Conclusions The incidence rate of syphilis shows fluctuating upward trend in Datian county,and latent syphilis is the main epidemic type.The publicity and education should be strengthened in the key groups of women,the elderly and farmers.Meanwhile,the level of testing,diagnosis and treatment in the grassroots medical institutions should be improved for controlling the spread of syphilis.
作者
陈咪咪
CHEN Mi-mi(The Center for Disease Control and Prevention of Datian County,County,Fujian 366100,China)
出处
《疾病预防控制通报》
2023年第5期65-68,共4页
Bulletin of Disease Control & Prevention(China)
关键词
梅毒
流行特征
疾病监测
Syphilis
Epidemiology characteristics
Disease surveillance
