2014-2017年河南省许昌市梅毒流行病学特征

Epidemiological characteristics of syphilis in Xuchang, Henan province,2014-2017

目的分析2014-2017年许昌市梅毒的流行特征,为预防梅毒的传播提供科学依据。方法收集2014-2017年中国疾病预防控制信息系统报告的许昌市梅毒数据,采用描述性流行病学的方法对梅毒的流性特征进行分析。结果2014-2017年许昌市梅毒平均年发病率为24.21/10万,呈上升趋势(P<0.001);许昌市梅毒的构成以隐性梅毒为主,占82.35%;女性发病率(25.86/10万)高于男性(22.67/10万),差异有统计学意义(P<0.001);65岁及以上年龄组发病率最高,为70.51/10万;东城区、魏都区、襄城县梅毒发病率居全市前三位,分别为39.55/10万、38.08/10万、37.03/10万;梅毒职业分布以农民为主,占69.01%。结论2014-2017年许昌市梅毒发病率呈增长趋势,控制形势仍然十分严峻。加强对大众梅毒知识宣教,普及梅毒血清学筛查,对进一步控制许昌市梅毒的流行有重要意义。

Objective To analyze the epidemiological characteristics of syphilis in Xuchang from 2014 to 2017,and to provide a scientific basis for prevention of syphilis transmission.Methods The data of syphilis in Xuchang during 2014-2017 were collected through the China Disease Prevention and Control Information System,and then descriptive epidemiological method was used to analyze the epidemiological characteristics of syphilis.Results The average annual incidence rate of syphilis in Xuchang during 2014-2017 was 24.21/100000,showing a constantly increasing tendency(P<0.001).The incidence rate went up to 26.25/100000 in 2017 from 21.96/100000 in 2014,with an increase of 19.54%.Latent syphilis was the predominant type in Xuchang,accounting for 82.53%.The incidence rate of syphilis was significantly higher in females than that in males(25.86/100000 vs 22.67/100000,P<0.001).The incidence rate in the age group of>65 years was the highest(70.51/100000).Dongcheng(39.55/100000),Weidu(38.08/100000)and Xiangcheng(37.03/100000)ranked the top three incidence rates of syphilis.Most of the patients were farmers,accounting for 69.01%.Conclusions The incidence rate of syphilis in Xuchang from2014 to 2017 is increased.It is of great significance for further reducing the prevalence of syphilis in Xuchang to strengthen the public education on syphilis and popularize serological screening test for syphilis.