2013—2017年城固县自愿咨询检测对象梅毒感染情况分析

Analysis of syphilis infection among voluntary counseling and testing subjects in Chenggu county from 2013 to 2017

目的对城固县自愿咨询和检测(VCT)对象进行血清学梅毒筛查与分析,了解梅毒感染状况,为制定干预措施提供科学依据。方法对2013—2017年城固县3 886名VCT对象进行流行病学调查和梅毒抗体检测,并对结果进行统计学分析。结果 3 886名VCT对象中,梅毒阳性率为8.80%(342/3 886)。各年份梅毒阳性率比较,差异具有统计学意义(P<0.05)。342例梅毒感染者中,单位职工、外出务工人员、流动人员的梅毒阳性率有显著差异(P<0.05)。342例梅毒感染者中,男女比例为3.62∶1;感染人群年龄以18～50岁为主(95.32%)。不同性别梅毒阳性率无显著差异(P>0.05);不同VCT检测原因的梅毒阳性率有显著差异(P<0.05)。结论疾控工作者应承担起健康知识多元化传播的重责,扩大健康知识知晓率,让更多有高危性行为者主动选择VCT服务;各级医疗机构应建立健全VCT服务网络,从而有效遏制艾滋病、梅毒等性疾病的蔓延。

Objective To screen and analyze the serological syphilis of volunteer counseling and testing(VCT) objects in Chenggu county, and to understand the syphilis infection status, so as to provide scientific basis for formulating intervention measures. Methods Epidemiological investigation and syphilis antibody detection were carried out among3 886 VCT objects in Chenggu county from 2013 to 2017, and the results were analyzed statistically. Results The positive rate of syphilis was 8.80%(342/3 886) among 3 886 VCT objects. The positive rate of syphilis in each year was significantly different(P<0.05). Among 342 syphilis infected patients, there was significant difference in syphilis positive rate among unit workers, migrant workers and migrant workers(P<0.05). Among 342 syphilis infected patients, ratio of male to female was 3.62∶1, and the age of the infected population was mainly 18-50 years old(95.32%). There was no significant difference in the positive rate of syphilis between different gender(P >0.05), and there was significant difference in the positive rate of syphilis among different causes of VCT(P<0.05). Conclusion The CDC medical officials should take the responsibility of diversified dissemination of health knowledge, expand the awareness rate of health knowledge in order to let more high-risk sexual actors accept VCT service on their own initiative;medical institutions at all levels should establish and improve VCT service network, so as to effectively curb the spread of AIDS, syphilis and other diseases.