2012—2021年南通市淋病流行特征分析

Epidemiological analysis of gonorrhea in Nantong from 2012 to 2021

目的研究南通市淋病的流行特征和趋势,为制定淋病防控策略提供科学依据。方法收集2012—2021年南通市淋病病例资料和人口学数据,用描述流行病学方法对数据进行分析。结果2012—2021年南通市淋病报告发病率从5.49/10万上升至11.09/10万,年均发病率为8.04/10万,发病总体呈上升趋势(χ^(2)=259.2,P<0.01)。各年男女淋病报告发病率性别比为5.33∶1~13.36∶1,淋病高发年龄组为20~<40岁,以25~<30岁年龄组年均淋病报告发病率最高(31.35/10万),淋病发病率年均增长幅度居前3位的为15~<20岁(29.52%)、20~<25岁(12.26%)和30~<35岁(11.84%)。各职业人群淋病报告病例数以农民为主,共报告2391例(40.43%),年均淋病报告增长幅度最大的为学生(24.78%)。地区年均淋病报告发病率居前3位的分别为开发区、崇川区和海安市,年均增长幅度居前3位的分别为如皋市、海安市和通州区。结论2012—2021年南通市淋病发病率总体呈上升趋势,男性发病率高于女性,年轻化趋势,地区和职业差异,应根据流行特征制定精准干预措施。

Objective To understand the epidemiological characteristics and trends of gonorrhea in Nantong City,and to provide a scientific basis for the formulation of prevention and control strategies for gonorrhoea.Methods A descriptive epidemiological method was used to analyze the data collected from the case information and demographic data on gonorrhoea in Nantong City from 2012 to 2021.Results From 2012 to 2021,the reported incidence of gonorrhea in Nantong increased from 5.49/100000 to 11.09/100000,with an average annual incidence of 8.04/100000,showing an overall upward trend(χ^(2)=259.2,P<0.01).The gender ratio of the annual reported incidence of gonorrhea in male and female ranged from 5.33∶1-13.36∶1,and the age group with the highest incidence of gonorrhea was 20 to<40 years old,with the highest average annual incidence of gonorrhea in the age group of 25 to<30 years old(31.35/100000),and the top three annual increases in the incidence of gonorrhea were in the age groups of 15 to<20 years old(29.52%),20 to<25 years old group(12.26%),and and 30 to<35 years old group(11.84%).The number of reported gonorrhea cases in each occupational group was mainly farmers,with 2391 cases reported(40.43%),and the largest increase in the annual average reported gonorrhea cases was among students(24.78%).The top three reported incidences of gonorrhea in the region were in the Development Zone,Chongchuan District and Hai′an City,and the top three annual growth rates were in Rugao City,Hai′an City and Tongzhou City.Conclusion The overall incidence of gonorrhea in Nantong City is on a rising trend from 2012 to 2021,with a higher incidence in males than in females,a trend towards younger age groups,and regional and occupational differences,precise interventions should be formulated according to epidemiological characteristics.