青海省性病门诊男性就诊者梅毒流行病监测分析

Analysis on the Epidemiological Surveillance of Male Patients with Syphilis Among STD Clinics in Qinghai Province

目的了解青海省性病门诊男性就诊者梅毒流行情况,为下一步针对性采取干预措施提供依据。方法在全省共设立5个性病门诊梅毒监测点,于2009-2012年连续对首次主动前来监测点性病门诊或相关门诊就诊且年龄在15岁及以上的男性进行血清流行病学监测。结果 5个点2009-2012年共监测6 460名性病门诊男性就诊者,梅毒总阳性率为9.42%,2009-2012年监测阳性率呈上升趋势,2011和2012年两年连续维持在10%以上水平。Logistic回归分析显示,时间、年龄、民族、最近三个月是否发生商业性行为和最近三个月商业性行为次数是梅毒阳性率的影响因素,其中最近三个月商业性行为次数是梅毒阳性率的主要影响因素。结论青海省性病门诊男性就诊者梅毒阳性率呈上升趋势,近两年维持较高水平,性病门诊应提供规范科学的诊疗服务,减少传染源、控制梅毒的传播和蔓延。

Objective To investigate the prevalence of syphilis among male outpatients of STD clinics in Qinghai Prov- ince, and provide evidence for further targeted intervention to syphilis. Methods Five surveillance sites of syphilis were set up in Qinghai Province, and sero- epidemiological surveillance was conducted among male outpatients aged over 15 years initially treated in STD clinics or other related clinics from 2009 to 2012. Results A total of 6,460 male outpatients were investigated during the period of 2009- 2012, and the total positive rate of syphilis was 9.42%. The positive rate increased gradually from 2009 to 2012; moreover, it was maintained above 10% in 2011 and 2012. The results of Logistic analysis showed that year, age, minority nationality, commercial sex in last three months and the frequency of commercial sex in last three months were the factors influencing the positive rate of syphilis, and the frequency of commercial sex in last three months was the main factor among these influencing factors. Conclusions There is an increasing incidence trend of syphilis among male outpatients of STD clinics in Qinghai Province; moreover, the positive rate of syphilis maintains high level in recent years. STD clinics should provide the patients with standard medical services so as to reduce the source of infection and control the spread of syphilis.