2011-2015年云南省梅毒流行病学分析

Epidemiological Analysis of Syphilis in Yunnan Province during 2011-2015

目的了解云南省梅毒流行特征,为相关部门制定梅毒防治措施提供依据。方法对云南省2011-2015年梅毒疫情资料进行回顾性分析。结果 2011-2015年云南省报告一期、二期、三期和胎传梅毒病例8 086例,年平均发病率为3.42/10万。2011-2015年云南省梅毒发病率呈逐年下降趋势,由2011年4.13/10万下降到2015年1.76/10万。男女性别比例为0.85∶1。主要集中于20~49岁性活跃期青壮年,占发病总数70.65%。以农民、家务和待业居多,分别占61.06%和10.56%。地区分布主要集中于昭通市、昆明市、红河州、曲靖市和文山州。结论云南省梅毒发病率呈下降趋势,但地区分布仍有差异,各地应根据当地梅毒发病情况制定适应的梅毒防治规划与措施,有效预防控制梅毒的流行。

Objective To describe the epidemiological characteristics of syphilis in Yunnan province and provide evidence for formulating preventive and controlling strategy. Methods Data from syphilis registry in Yunnan province during 2011 -2015 were retrospectively analyzed. Results From 2011 to 2015, a total of 8086 cases were reported with an average annual incidence of 3.42/100,000. The prevalence of syphilis in Yunnan was decreased gradually during 2011 -2015, characterized by 4. 13/100,000 in 2011 and 1.76/100,000 in 2015. The gender ratio was 0. 85/1 （male/female）. Majority of patients with syphilis （70. 65% ） was sexually active adults in age 20 - 49, most of them were farmers, household and unemployed individuals, which accounted for 61.06% and 10. 56% , respectively. Geographically, most patients with syphilis were from Zhaotong, Kunming, Honghe, Qujing and Wenshan. Conclusion The prevalence of syphilis in Yunnan was decreased gradually during 2011 -2015, however, there were differences found in regional distribution. It was necessary for healthcare authorities to outline appropriate location-based strategies for controlling syphilis in Yunnan province.