2010—2019年陕西省生殖器疱疹流行病学分析

Epidemiological analysis of genital herpes in Shaanxi Province from 2010 to 2019

目的 了解陕西省生殖器疱疹流行病学特征,为制定控制对策提供依据。方法 用描述性流行病学方法对2010—2019年陕西省报告的生殖器疱疹病例资料进行“三间分布”分析。结果 2010—2019年,陕西省生殖器疱疹累计报告6 222例,报告发病率总体呈下降趋势,由2010年2.49/10万下降到2019年0.95/10万,年均下降10.15%。报告病例总数居全省前3位的地区是西安市(3 980例)、渭南市(529例)、咸阳市(357例),占全省病例总数的78.21%(4 866/6 222)。2010—2019年男性报告发病率均高于女性,男、女性别比3.43∶1。高发年龄段为20~49岁的性活跃人群,2011—2013年和2016年以25~29岁年龄组报告发病率最高;2014—2015年和2017—2019年以30~34岁年龄组发病率最高。2010—2019年,在所有类型医疗机构中,以综合医院报告病例数最多,其次为皮肤性病专科医院。结论 2011—2019年陕西省生殖器疱疹处于低流行态势,15~49岁人群是重点防治人群,防治对策包括积极发现和治疗病例、避免漏诊,对重点人群开展健康教育和行为干预等。

Objective To understand the epidemiological characteristics of genital herpes in Shaanxi Province,and to provide a basis for formulating control measures.Methods Descriptive epidemiological methods were used to analyze the''three distribution''of genital herpes cases reported in Shaanxi Province from 2010 to 2019.Results From 2010 to 2019,a total of 6222 cases of genital herpes were reported in Shaanxi Province.The overall reported incidence rate showed a downward trend,from 2.49/100000 in 2010 to 0.95/100000 in 2019,with an average annual decline of 10.15%.The top three regions with the highest total number of reported cases were Xi'an city(3980 cases),Weinan city(529 cases)and Xianyang city(357 cases),accounting for 78.21%(4866/6222)of the total cases in the province.From 2010 to 2019,the reported incidence of males was higher than that of females,with a male-to-female ratio of 3.43∶1.The high-risk age group was sexually active people aged 20-49 years old,and the highest incidence was reported in the 25-29 age group in 2011-2013 and 2016.The highest incidence was in the 30-34 age group in 2014-2015 and 2017-2019.From 2010 to 2019,among all types of medical institutions,the number of cases reported in general hospitals was the highest,followed by dermatology and venereal disease specialized hospitals.Conclusion From 2010 to 2019,genital herpes in Shaanxi Province was in a low prevalence state,and the population aged 15-49 years old is a key prevention and control population.The prevention and control measures included actively discovering and treating cases,avoiding missed diagnosis,and carrying out health education and behavioral intervention for key populations.