2010—2022年徐州市泉山区梅毒疫情分析

Analysis of syphilis epidemic in Quanshan District, Xuzhou City from 2010 to 2022

目的 分析泉山区2010—2022年梅毒发病趋势和流行现状,为梅毒防治提供依据。方法 收集“中国疾病预防控制信息系统”中2010—2022年报告现住地为泉山区的梅毒病例资料,分析流行病学特征。结果 2010—2022年报告现住地泉山区的梅毒病例1 606例,发病率为20.7/105,13年中发病率最高的年份为2011年,发病率为31.8/10~5。其中Ⅰ期、Ⅱ期、Ⅲ期、胎传、隐性梅毒发病率分别为3.1/10~5、3.0/10~5、0.3/10~5、0.3/10~5、14.0/10~5。男性报告发病750例,发病率为25.6/10~5;女性报告发病为856例,发病率为27.9/10~5,男女性别比为0.9∶1,男女发病率差异无统计学意义(χ^(2)=3.135,P=0.077)。隐性梅毒报告1 085例(67.6%),远远高于Ⅰ期(243例)、Ⅱ期(231例)、Ⅲ期(24例)和胎传梅毒(23例)。梅毒发病各年龄段均有报告,其中15~59岁人群发病例数最多,为1 117例(69.6%),60岁及以上人群发病470例(29.3%)。结论 泉山区梅毒报告年均发病率低于江苏省平均水平,15~59岁为性活跃人群,发病较高;60岁以上人群为梅毒重点监测人群,需要加强宣传教育和行为干预,提高医疗机构住院病例梅毒筛查工作质量,以提高梅毒确诊病例正规治疗率。

Objective To analyze the incidence trend and epidemiological status of syphilis in Quanshan District from 2010 to 2022,so as to provide evidence for the prevention and treatment of syphilis.Methods The data of syphilis cases reported in Quanshan District from 2010 to 2022 in the Chinese Information System for Disease Control and Prevention were collected,and the epidemiological characteristics were analyzed.Results From 2010 to 2022,1606 cases of syphilis were reported in Quanshan District,with an incidence rate of 20.7/105,and the highest incidence of the 13-year was in 2011,with an incidence of 31.8/105.The incidences of stageⅠ,stageⅡ,stageⅢ,fetal transmission and recessive syphilis were 3.1/105,3.0/105,0.3/105,0.3/105,and 14.0/105,respectively.A total of 750 males were reported with an incidence rate of 25.6/105 and 856 females with an incidence rate of 27.9/105,with a male-to-female ratio of 0.9∶1,and there was no significant difference in the incidence between males and females(χ^(2)=3.135,P=0.077).A total of 1085 cases(67.6%)of occult syphilis were reported,much higher than that of stageⅠ(243 cases),stageⅡ(231 cases),stageⅢ(24 cases)and fetal syphilis(23 cases).The incidence of syphilis was reported in all age groups,with 1117 cases(69.6%)in people aged 15-59 years and 470 cases(29.3%)in people aged 60 years and above.Conclusions The average annual incidence of syphilis in Quanshan District is lower than the average in Jiangsu Province,and the incidence of syphilis is higher in sexually active people aged 15-59.People over the age of 60 are the key monitoring groups for syphilis,and it is necessary to strengthen publicity,education and behavioral intervention,improve the quality of syphilis screening for inpatient cases in medical institutions,and improve the formal treatment rate of confirmed syphilis cases.