浙江省2004—2014年梅毒流行趋势分析

Prevalence trend of syphilis in Zhejiang province 2004- 2014

目的了解浙江省2004-2014年梅毒流行趋势，为制定防控策略提供参考依据。方法对浙江省2004-2014年梅毒疫情进行汇总、统计和分析。结果2004-2014年报告病例数年均增幅为8．97％，年均报告发病率为67．32／10万，年均增幅为7．09％；各地区间报告发病率差异较大，除舟山市外其余各市报告发病率均呈增长趋势；男女性别比为0．80：1；20～44年龄段的梅毒报告例数最多，但报告病例数所占构成比有所下降，由2004年的72．41％下降到2014年的55．27％；职业以农民为主，占38．45％，离退休人员年均增幅较大，为19．76％；I期和II期梅毒所占梅毒构成比减少，隐性梅毒构成比逐年增加。结论梅毒已成为浙江省重要的公共卫生问题之一，需进一步加大防治力度，采取更有效的综合防控措施。

Objective To investigate prevalence trend of syphilis in Zhejiang province and to provide a scientific basis for control strategy development. Methods An epidemiological study was performed on syphilis cases reported from Zhejiang province between 2004 to 2014. Results The reported syphilis incidence was 67. 32 per 100 000,with an av- erage annual growth rate of 7. 09%. Obvious differences in the incidence were observed among various regions in Zhejiang province,but the increase trend for the incidence was the same for all regions except for the Zhoushan municipality. The male to female ratio was 0. 80：1 for the incidence. The majority of the reported syphilis cases were aged 20 -44 years but the pro- portion of the cases with the age group decreased from 72. 41%in 2004 to 55.27%in 2014. Among the cases reported,38. 45% were farmers and the number of retired people raised rapidly with an annual increase of 19. 76%. Of the cases reported,the ratio of primary and secondary syphilis declined yearly,while that of latent syphilis increased. Conclusion Syphilis remains a major public health issue in Zhejiang province and the epidemic needs to be controlled effectively.