2008-2017年烟台市梅毒流行病学分析

Epidemiological analysis of syphilis in Yantai city,2008-2017

目的了解烟台市梅毒流行特征和发病趋势,为制定防治措施提供科学依据。方法对2008-2017年烟台市报告的梅毒疫情进行分析。结果梅毒发病率和隐性梅毒发病率呈上升趋势,二期梅毒发病率呈下降趋势,差异均有统计学意义(P<0.001)。病例数居前3位的县市区是芝罘区、牟平区和龙口市,占46.10%。梅毒高发年龄集中在20~44岁,占67.73%。男女性别比为0.81∶1,其中15~39岁年龄组病例女性多于男性,40岁以上年龄组男性多于女性。职业分布以农民(34.36%)和家务及待业(28.75%)为主。结论梅毒疫情呈上升趋势,主要是隐性梅毒增长较快。应进一步加强梅毒干预防治措施,重点加强对高危人群隐匿梅毒的筛查。

Objective To understand the epidemiological characteristics and incidence trends of syphilis in Yantai city,and provide scientific evidence for making prevention and control measures.Methods The syphilis epidemic reported by Yantai city in 2008-2017 was analyzed.Results The incidence of syphilis and recessive syphilis showed an upward trend,and the incidence of secondary syphilis showed a downward trend(all P<0.001).The counties with the top 3 cases were Zhifu district,Muping district and Longkou city,accounting for 46.10%.The high incidence of syphilis was concentrated in 20 to 44 years old,accounting for 67.73%.The male⁃female ratio was 0.81∶1,with more women than men in the 15-39 age group and more men than women in the>40 age group.The occupational distribution was dominated by farmers(34.36%)and household chores and unemployed(28.75%).Conclusion The syphilis epidemic was on the rise,mainly due to the rapid growth of recessive syphilis.The prevention and treatment measures for syphilis intervention should be further strengthened,and the screening of occult syphilis in high⁃risk groups should be strengthened.