2017—2019年邢台市性传播疾病流行病学特征分析

Analysis of epidemiological characteristics of sexually transmitted diseases in Xingtai city,2017-2019

目的分析邢台市性传播疾病流行病学特征,为制定针对性预防控制措施提供依据。方法从传染病报告信息管理系统中收集2017—2019年邢台市性传播疾病的相关资料,采用描述性流行病学方法对5种性传播疾病(梅毒、淋病、尖锐湿疣、生殖器疱疹、艾滋病)进行流行病学特征分析。结果 2017—2019年,邢台市5种性传播疾病累计报告3 026例,其中梅毒1783例(58.92%),淋病224例(7.40%),尖锐湿疣348例(11.50%),生殖器疱疹174例(5.75%),艾滋病497例(16.43%),发病率均呈上升趋势(P <0.05)。梅毒、尖锐湿疣发病率女性高于男性,淋病、生殖器疱疹、艾滋病发病率男性高于女性,差异有统计学意义(P <0.05)。5种性传播疾病在不同年龄、职业、受教育程度人群中差异均有统计学意义(P <0.05),发病集中在20~39岁、40~59岁者,其中以20~39岁人群发病率居高;职业方面均以商业服务、农民、家务及待业者发病率居高;随着受教育程度提高,5种性传播疾病的发病率均呈下降趋势。结论邢台市5种常见性传播疾病发病率呈上升趋势,且存在性别、年龄、职业、受教育程度方面的差异;应加强高危人群防治工作。

Objective To analyze the epidemiological characteristics of sexually transmitted diseases in Xingtai city,and provide evidence for the development of targeted prevention and control measures. Methods The data of sexually transmitted diseases in Xingtai from 2017 to 2019 was collected from the infectious disease report information management system. The epidemiological characteristics of 5 sexually transmitted diseases(syphilis,gonorrhea,condyloma acuminatum,genital herpes and AIDS) were analyzed by descriptive epidemiology. Results A total of 3 026 cases of 5 sexually transmitted diseases were reported in Xingtai from 2017 to 2019,including 1 783 cases(58.92%)of syphilis,224 cases of gonorrhea(7.40%),348 cases of genital warts(11.50%),and 174 cases of genital herpes(5.75%),497 cases of AIDS(16.43%). The incidence of the 5 diseases all showed an upward trend(P < 0.05). The incidence of syphilis and genital warts in female was higher than that of male,and the incidence of gonorrhea,genital herpes and AIDS in male was higher than the female,with statistical difference(P < 0.05). There were statistically significant differences in the incidence of the 5 sexually transmitted diseases among people with different age,occupation and education level(P < 0.05). The incidence was concentrated in people of 20-39 years old and 40-59 years old,especially in the people aged 20-39 years old. In terms of occupation,the incidence of commercial services,farmers,domestic work and unemployed persons was higher. The incidence of all 5 sexually transmitted diseases de-clined with increasing education level. Conclusion The incidence of 5 sexually transmitted diseases was on the rise in Xingtai city from 2017 to 2019,and there was difference in gender,age,occupation and education level. The prevention and treatment should be strengthened to control the spread of the diseases.