2011—2020年灌云县梅毒流行趋势与特征分析

doi:10.3969/j.issn.1006-3110.2022.10.012

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摘要目的分析2011—2020年灌云县梅毒流行趋势与特征,为制定防控策略提供依据。方法运用描述性流行病学分析2011—2020年灌云县梅毒流行趋势与特征,采用年估计百分比变化分析梅毒报告发病率时间变化趋势。结果 2011—2020年,灌云县梅毒报告发病率由12.47/10万升高到20.84/10万,年均升高5.44%(P=0.060),其中隐性梅毒年均升高14.11%(P=0.000),Ⅰ期、Ⅱ期梅毒年均下降分别为1.49%、6.57%(P=0.787 & 0.144);夏季发病率最高,达4.23/10万,冬季升高趋势明显,年均升高7.25%(P=0.013);男女性别比为0.58∶1,报告发病率年均增长分别为3.56%、6.61%(P=0.180 & 0.019);20～29岁人群报告高发(30.39/10万),60岁以上人群发病增速明显,20～49岁男性呈下降趋势,老年男性的发病高于老年女性;职业以农民及民工和家务及待业为主,家务及待业增幅最大(14.13%)。结论 2011—2020年灌云县梅毒报告发病率呈上升趋势,尤其隐性梅毒增长趋势明显,需根据不同时间、人群、地区采取针对性防控措施。

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	颜晓今
	戴咏哲

关键词 ：年估计百分比变化, 梅毒, 流行趋势

Abstract：Objective To analyze the epidemic trend and features of syphilis in Guanyun County from 2011 to 2020, and to provide a basis for formulating prevention and control strategies. Methods The prevalence trend and characteristics of syphilis in Guanyun County from 2011 to 2020 were analyzed by descriptive epidemiology, and the temporal variation trend of reported syphilis incidence was analyzed by the estimated annual percentage change. Results From 2011 to 2020, the reported incidence rate of syphilis in Guanyun County rose from 12.47/100,000 to 20.84/100,000, with an average annual increase of 5.44% (P=0.060). The average annual increase rate of latent syphilis was 14.11% (P=0.000), while the average annual decrease rates of stage I and II syphilis were 1.49% (P=0.787) and 6.57% (0.144), respectively. The incidence rate was found to be the highest in summer (4.23/100,000), and increased obviously in winter, with an average annual increase of 7.25% (P=0.013). The ratio of male to female was 0.58:1, and the average annual increase of reported morbidity was 3.56% (P=0.180) and 6.61% (0.019), respectively. The incidence rate was higher in adults aged 20-29 years (30.39/100,000), and increased significantly in adults aged above 60 years. The incidence rate in males aged 20-49 years showed a downward trend. The incidence rate was higher in the male elderly than in the female elderly. The main occupations of patients were farmers, out-of-town labourers, houseworkers and the unemployed, with the largest increase in houseworkers and the unemployed (14.13%). Conclusion The reported incidence rate of syphilis in Guanyun County in 2011-2020 showed an upward trend, especially in latent syphilis. It is necessary to take targeted prevention and control measures according to different time, populations and regions.

Key words： estimated annual percentage change syphilis epidemic trend

收稿日期: 2021-12-16

R759.1

通讯作者: 戴咏哲,E-mail:59391121@qq.com。

作者简介: 颜晓今(1980-),男,本科,副主任医师,主要从事传染性疾病预防控制工作。

引用本文:

颜晓今, 戴咏哲. 2011—2020年灌云县梅毒流行趋势与特征分析[J]. 实用预防医学, 2022, 29(10): 1206-1209. YAN Xiao-jin, DAI Yong-zhe. Epidemic trend and characteristics of syphilis in Guanyun County, 2011-2020. , 2022, 29(10): 1206-1209.

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https://www.syyfyx.com/CN/10.3969/j.issn.1006-3110.2022.10.012 或 https://www.syyfyx.com/CN/Y2022/V29/I10/1206

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