实用医学杂志 ›› 2022, Vol. 38 ›› Issue (13): 1685-1689.doi: 10.3969/j.issn.1006⁃5725.2022.13.023

• 调查研究 • 上一篇    下一篇

2011-2020年肇庆市梅毒流行病学特征变化

利超强1,2陈发颖2 陈清1   

  1. 1 南方医科大学公共卫生学院(广州 510515);2 肇庆市皮肤病医院(广东肇庆 526020)

  • 出版日期:2022-07-10 发布日期:2022-07-10
  • 通讯作者: 陈清 E⁃mail:qch.2009@163.com
  • 基金资助:

Changes in the epidemiological characteristics of Syphilis in Zhaoqing City from 2011 to 2020 

Li Chaoq⁃ iang*,CHEN Faying,CHEN Qing.   

  1. Southern Medical University School of Public Health,Guangzhou 510515 China;*Zhaoqing Dermatology Hospital,Zhaoqing 526020,China.

  • Online:2022-07-10 Published:2022-07-10
  • Contact: CHEN Qing E⁃mail:qch.2009@163.com

摘要:

目的 了解肇庆市 10 年间(2011-2020)梅毒流行特征,为制定针对性防治措施提供科学依据。方法 对 2011-2020 年肇庆市梅毒疫情资料进行流行病学分析。结果 2011-2020年,肇庆市累计报告梅毒 13 119 例,发病率呈小幅上升趋势,从 39.18 /10 万升至 41.87/10 万(χ2= 242.909,P <0.05);梅毒分期以隐性梅毒为主,占 86.31%;10 年来,隐性梅毒呈上升趋势,而一、二期和胎传梅毒则均呈下降趋势,尤以胎传梅毒下降最为显著,发病率从121.29/10万活产数下降到1.46/10万活产数(χ2 = 239.912,P < 0.05);梅毒病例主要集中在城区;男女性发病率总体均呈上升趋势(χ2 = 98.697、161.313,P < 0.05),发病数男性多于女性,男女性别比为 1.19(χ2 = 17.620,P < 0.05);发病有随年龄增加而增高的趋势,50 岁以上人群发病率最高,10 ~ 19 岁组发病率 10 年间有增加的趋势。职业以农民和家务及待业最多。结论 2011-2020年间肇庆市梅毒发病率总体呈小幅上升趋势,青少年、老年、男性人群是重点管理对象。

关键词: 梅毒, 流行病学

Abstract:

Objective To understand the epidemiological characteristics of syphilis in Zhaoqing City in the past ten years(2011⁃2020),and provide a scientific basis for preventive interventions. Methods We retro⁃ spectively collected the syphilis registry data in Zhaoqing from 2011 to 2020. Results From 2011 to 2020,a total of 13,119 cases of syphilis were reported in Zhaoqing City,and the incidence of syphilis from 39.18/100 000 to 41.87/100 000 had shown an upward trend,(χ2 = 242.909,P < 0.05). The staging of syphilis is dominated by latent syphilis,accounting for 86.31%;in the past 10 years,latent syphilis has shown an upward trend,while primary syphilis,secondary syphilis and fetal syphilis have all shown a downward trend,especially with fetal syphilis. Most significantly,the incidence rate decreased from 1.2129/100 000 live births to 1.46/100 000 live births(χ2 = 239.912,P < 0.05). Moreover,Syphilis is concentrated in the urban region of Zhaoqing city. Both males and females showed a fluctuating upward trend(χ2 = 98.697,161.313,P < 0.05),and the incidence of males was more than that of females,with a sex ratio of 1.19(χ2 = 17.620,P < 0.05). The incidence tends to increase with age,and the incidence is highest in people over 50 years old,and the incidence in the 10 to 19⁃year⁃old group has an increasing trend in 10 years. Of the total cases,farmers accounted for the highest proportion of occupational distribution,followed by housework and unemployed. Conclusions From 2011 to 2020,the incidence of syphilis in Zhaoqing City showed a slight upward trend,Men,teenagers,and the elderly are the key management targets.

Key words:

 , syphilis, epidemiology