2016-2019年北京市老年人群梅毒流行特征分析

Epidemiological characteristics of syphilis among older adults in Beijing,2016-2019

目的了解2016-2019年北京市60岁及以上人群梅毒流行病学特点,为制订该人群防治策略提供依据。方法通过中国疾病预防控制信息系统收集北京市2016-2019年梅毒报告数据,应用描述流行病学方法进行分析。结果2016-2019年北京市老年人群梅毒报告病例数依次为1378例、1426例、1526例、1604例,年均增长率为5.19%。老年人群梅毒病例数在全部梅毒病例中的构成比由2016年的26.94%增加到2019年的30.26%。一期和二期梅毒年报告发病率从2016年的4.05/10万增加到2019年的4.21/10万。隐性梅毒病例所占构成比依次为90.13%、89.27%、90.89%和89.71%。各年男性报告发病率高于女性。60~64岁年龄组报告病例数最多,70~74岁组一期和二期梅毒报告发病率增幅最大(26.93%)。结论2016-2019年北京市老年人群梅毒报告病例数逐年增加,在全市梅毒病例中的构成比呈上升趋势,隐性梅毒所占比例高。要重视老年人的性健康,根据其流行特点采取有效的防控措施。

Objective To investigate epidemiological features of syphilis among people aged≥60 years,to provide evidence for developing prevention strategies.Methods The data of syphilis cases were collected from the disease surveillance information reporting system between 2016 and 2019 and analyzed with the descriptive epidemiological method.Results During the study period,the number of reported syphilis cases among older adults was 1378(2016),1426,(2017),1526(2018),and 1604(2019)respectively,with an average annual increasing rate of 5.19%.The proportion of syphilis cases among older adults increased from 26.94%in 2016 to 30.26%in 2019.The incidence of reported primary and secondary syphilis increased from 4.05 per 100000 in 2016 to 4.21 per 100000 in 2019.The proportion of latent syphilis was 90.13%(2016),89.27%(2017),90.89%(2018),and 89.71%(2019).The incidence of syphilis was higher in males than that in females each year.The highest proportion of syphilis cases was in the group of 60-64 years.The age group of 70-74 years showed the highest average annual rate of increase(26.93%)in the reported incidence of primary and secondary syphilis.Conclusion The number of reported syphilis cases among older adults increased year by year,the proportion of syphilis cases among older adults showed an increasing trend in Beijing from 2016 to 2019.The proportion of latent syphilis was high.More attention should be paid to sexual health among elderly adults,and effective preventive and control measures are needed according to epidemiological characteristics.