摘要
Objective： To analyze the epidemiological characteristics of sexually transmitted infections （STIs） in Guangzhou from 2000 to 2003, in order to provide scientific evidence for control and prevention efforts. Methods： STI reports and demographic data in Guangzhou from 2000 to 2003 were collected and analyzed using the National STD Computer Management Software. Results： The incidence rate of total STIs decreased.The incidence of syphilis, gonorrhea and condyloma acuminata decreased yearly from 41.71/100,000,70.13/100,000 and 83.02/100,000 in 2000 to 32.36/100,000,54.35/100,000 and 67.03/100,000 in 2003, respectively.The incidence of HIV/AIDS increased yearly.Nongonococcal urethritis （cervicitis） was the most prevalent STI. Conclusions： Incidence of STIs in Guangzhou is decreasing overall, but the incidence of HIV/AIDS is increasing and there is a change in the pattern of STI epidemics. Efforts should be made to keep the epidemic under control.
目的探讨2000-2003年广州市性病疫情流行病学特征,为上级进一步制订预防控制措施提供科学依据。万法采用全国性病计算机管理系统软件,对2000-2003年广州市性病疫情报病资料及人口数据进行流行病学分析。结果近4年来,性病年发病率呈现逐年稳定下降态势。各种性病中,除艾滋病发病数及发病率逐年略为上升外,梅毒、淋病、非淋菌性尿道(宫颈)炎、尖锐湿疣及生殖器疱疹等几种性病的发病数及发病率均呈逐年下降趋势。其中,梅毒、淋病、尖锐湿疣的年发病率,由2000年的41.71/10万、70.13/10万和83.02/10万下降至2003年的32.36/10万、54. 35/10万和67.03/10万,降幅达1 9.3%-22.5%。病种构成以非淋菌性尿道(宫颈)炎比例最高,其次为尖锐湿疣, 淋病居第三位,各年分别与上年相比较,艾滋病、淋病、非淋菌性尿道(宫颈)炎、生殖器疱疹等所占构成比呈逐年增加趋势:梅毒、尖锐湿疣、软下疳、性病性淋巴肉芽肿等构成比呈下降态势。结论梅毒、淋病、尖锐湿疣、非淋菌性尿道(宫颈)炎明显下降,但HIV/AIDS的增长呈明显上升趋势,形势不容乐观,性病流行病学病谱改变,应加强HIV/AIDS的预防控制措施。
