2005-2016年玉溪市性传播疾病流行特征及趋势分析

Analysis of epidemiological trends and characteristics of sexual transmitted disease and sexual transmitted HIV/AIDS in Yuxi prefecture from 2005 to 2016

目的了解玉溪市梅毒、经性传播艾滋病和其他性病流行特征和变化趋势,分析三类疾病的关联。方法对玉溪市(2005~2016)年梅毒、性传播艾滋病和其他性病疫情资料进行流行病学分析。结果梅毒报告发病率从2005年的3.03/10万增长到2016年的32.76/10万(χ~2=1 322.23,P<0.01);性传播HIV/AIDS从2005年的4.56/10万,增长到2014年的16.76/10万(χ~2=426.39,P<0.01)之后下降;其他性病则由2005年的12.60/10万下降至2010年的5.38/10万之后又逐年上升。三类疾病集中报告于红塔区且(1~2)月报告病例数均较少。2011年后女性梅毒报告发病率高于男性;2010年后男性HIV/AIDS报告发病率高于女性;2010年前男性其他性病报告发病率下降,但是2013年后又开始快速上升。2013年后梅毒和性传播HIV/AIDS报告发病率的高峰向大龄推移而其他性病历年报告发病率均随年龄增长不断下降。梅毒和HIV/AIDS发现途径均以术前检测和就诊者检测为主而其他性病以性病门诊为主。2012年后,居住于农村人群三类疾病报告发病率均快速上升且高于居住于城市人群。梅毒和HIV/AIDS病例中流动人口的占比逐年下降但在其他性病中占比逐年上升。结论玉溪市三类疾病疫情上升,但是2014年后性传播艾滋病下降,三类疾病中男性、老年人、居住农村人群有疫情加重趋势,需根据不同流行特点采取相应的措施。

Objective To investigate the trends of change and epidemiology characteristics of syphilis,sexual transmitted HIV/AIDS and other sexual transmitted disease(STD)in Yuxi prefecture,and explore the correlation of them.Methods An epidemiological study was performed on syphilis,sexual transmitted HIV/AIDS and other STD cases reported from Yuxi prefecture between 2005 and 2016.Results The reported syphilis incidence increased yearly from 3.03 per 100 000 person years in 2005 to 32.76 per 100 000 person-years in 2016(χ2=1 322.23,P<0.05),sexual transmitted HIV/AIDS increased yearly from 4.56 per 100 000 person years in 2005 to 16.76 per 100 000 person-years in 2014(χ2=426.39,P<0.05)while other STD decreased yearly from 12.60 per 100 000 person years in 2005 to 5.38 per 100 000 person-years in 2010 and then increased.The accumulated reported syphilis,sexual transmitted HIV/AIDS and other STD cases mainly in Hongta district and were less reported in January and February.The reported syphilis incidence of female was higher than male after 2010 while male was higher than female after 2010 among sexual transmitted HIV/AIDS,the reported other STD incidence of male was declined before 2010 and then increased after 2013.The peak of reported syphilis and sexual transmitted HIV/AIDS incidence were advanced to elderly while the reported other STD incidence decreased as the age increased.The syphilis and sexual transmitted HIV/AIDS cases were mainly diagnosed through routine test for inpatient and operation while other STD was mainly through STD outpatient over the years.The reported three desease incidence of cases live in rural increased rapidly and was higher than those live in urban after 2012.The constituent of floating population of reported syphilis and HIV/AIDS were decreased over the years while other STD increased.Conclusion The reported incidence of those three disease showed an upward trend but sexual transmitted HIV/AIDS decreased after 2014 in Yuxi prefecture,the epidemic of those three disease are more serious in male,elderly and those live in rural,corresponding prevention and control strategies are needed to control the epidemic of those three disease.