北京市通州区2005-2014年梅毒和淋病流行病学特征分析

Epidemiological Characteristics Analysis of Syphilis and Gonorrhea in Tongzhou District of Beijing During 2005-2014

目的分析北京通州区2005—2014年梅毒和淋病的流行特征，为制定防治策略提供依据。方法对北京通州区2005—2014年通过中国疾病预防控制信息系统上报的梅毒和淋病病例进行描述性流行病学分析。结果北京通州区2005—2014年累计报告梅毒和淋病分别为2567例和971例，年均报告发病率分别为25．59／10万和9．68／10万，发病率年均增长速度分别为11．46％和-10．53％，发病均无季节性，以20—49岁高发，职业以家务及待业为主，城区及其周边地区高发。梅毒报告病例以隐性梅毒为主（61．75％），且隐性梅毒报告病例女性多于男性，其他各期梅毒和淋病的报告病例中均男性多于女性。结论北京通州区2005—2014年梅毒和淋病的发病出现“剪刀差”特征，应根据这两种疾病的流行病学特征采取针对性措施控制其传播。

Objective To analyze the epidemiological characteristics of syphilis and gonorrhea in Tongzhou district of Beijing during 2005 -2014 and provide scientific evidence for prevention strategy. Methods Syphilis and gonorrhea cases reported through ＇ China information system for disease control and prevention＇ in Tongzhou District of Beijing were analyzed by descriptive study. Results There were 2 567 syphilis cases and 971 gonorrhea cases reported in Tongzhon District of Beijing from 2005 to 2014. The average annual incidence was 25.59 per 100,000 and 9.68 per 100,000, and the average annual growth rate of incidence was 11.46% and - 10. 53% , respectively. Syphilis and gonorrhea have no seasonal variation. The majority of patients with syphilis and gonorrhea were aged from 20 to 49, engaged in housework or unemployed, and lived in the city and its surrounding regions. Among the syphilis cases, latent syphilis cases were dominant accounting for 61.75%. There were more female patients than males with latent syphilis, but more male patients than females with gonorrhea or every stage of syphilis. Conclusion The epidemic trends of syphilis and gonorrhea exhibited a feature of ＂ scissors ＂. We should take pertinent measures according to the epidemiological characteristics of syphilis and gonorrhea to control the spread of these two diseases.