广西主要性传播疾病信息系统把握风险能力的分析

Risk control ability of information system of major sexually transmitted diseases in Guangxi

目的以政策文本分析视角,通过量化表达把握主要性传播疾病风险的程度,并验证其可行性。方法从政府、卫计委网站和其他数据库检索涉及主要性传播疾病(乙肝、艾滋、淋病、梅毒)问题的公开信息与文献,从中统计有关识别、预警、干预与效果评估资料,用综合量化法把握广西性传播疾病风险程度,运用典型相关分析的方法分析主要性传播疾病发病率与把握风险程度之间的关系。结果广西识别风险的能力由2005年的10.45%逐渐上升到2016年70.99%,预警风险的能力在2.01%以下;干预风险的能力呈波动上升趋势;提出风险干预措施的能力由2005年的0%,到2016年的2.67%,信息系统把握风险的能力与乙肝发病率呈正相关(r=0.523),与艾滋、淋病、梅毒发病率呈负相关(r=-0.348、-0.764、-0.423),提出性传播疾病问题干预措施的程度,开展性传播疾病问题干预效果评估的程度与主要性传播疾病发病率呈正相关(r=0.456、0.306)。结论适宜的性传播疾病信息系统应能识别、预警和防控健康风险因素并产生显著的效果,广西性传播疾病信息体系把握风险的能力亟待提升,量化表达把握风险的程度是可行的。

Objective Based on the analysis of policy texts,we quantify the degree of risk of major sexually transmitted diseases and verify its feasibility.Methods Search public information and literature on the main sexually transmitted diseases(STD)(hepatitis B,AIDS,gonorrhea,syphilis)from the website of the government,the Health Planning Commission and other database systems,and collect information on identification,early warning,intervention and effect evaluation.The comprehensive quantitative method was used to grasp the degree of risk of STD and typical correlation analysis used to analyze the relationship between the incidence of major STD and the degree of risk.Results Guangxi’s ability to identify risks gradually increased from 10.45%in 2005 to 70.99%in 2016,and the ability to warn risk was below to 2.01%;the ability to intervene was fluctuating and the ability to propose risk interventions ranged from 0%in 2005 to 2.67%in 2016.The ability of information system to grasp risk was positively correlated with the incidence of hepatitis B(r=0.523),and negatively correlated with the incidence of AIDS,gonorrhea,syphilis(r=-0.348,-0.764,-0.423).The extent of identifying STD and the influencing factors,and the extent to which interventions for STD were positively correlated with the incidence of major STD(r=0.456,0.306).Conclusion Appropriate STD information system should be able to identify,early warning,and prevent and control health risk factors,and produce significant effects.The ability of Guangxi STD Information System to grasp risks needs to be improved,and it is feasible to quantitatively express the degree of risk.