西安市2011-2014年梅毒流行状况分析

Analysis of the Epidemiology of Syphilis in Xi'an from 2011 to 2014

目的为制定梅毒及其他性传播疾病防控策略提供科学依据。方法对西安市2011—2014年梅毒发病疫情资料进行描述性研究，找出发病危险因素并提出针对性的预防控制措施。结果2011—2014年西安市累计报告梅毒发病数5542例，年均发病率为16．22／10万。男女比例为0．90：1。职业以农民和无业为主，年龄以25—44岁青壮年为主。隐性梅毒为主，占病例总数的47．19％。结论西安市梅毒发病呈现继续上升趋势，遏制梅毒上升势头刻不容缓。无业人群和农民是梅毒预防的重点人群，应采取以梅毒筛查为重点、倡导使用安全套等安全性行为及全面的健康教育的综合防控模式。

Objective To analyze the epidemic characteristics of syphilis in Xi ＇an,providing scientific basis for estab- lishing measures to prevent and control the syphilis and other sexually transmitted diseases （STD）. Methods Epidemiologic data from 2011 to 2014 were used to identify the risk factors. Corresponding prevention and control measures were proposed accordingly. Results From 2011 to 2014,5 542 cases of syphilis were reported in Xi ＇an, an annual incidence of 16. 22/100 000. Male： female ratio was 0. 90： 1. Majority of patients were farmers and unemployed peoples aged 25 - 44 years. 47. 19% of patients were recessive syphilis. Conclusion The incidence of syphilis tends to rise in Xi＇an. The syphilis prevention should focus on unemployed population and farmers. The comprehensive prevention and control measures should include syphilis screening, advocating for safe sexual encounter, and public health education.