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目的分析2004-2007年浙江省舟山海岛梅毒报告发病监测结果。方法对监测数据用流行病学描述性研究方法进行统计分析。结果舟山海岛2004-2007年累计报告各类梅毒3818例,其中Ⅰ期占30.17%,Ⅱ期占22.86%,Ⅲ期占0.37%,胎传占4.92%,隐性占41.67%。梅毒年均报告发病率为98.62/10万,4年中年均上升率为19.84%,其中隐性梅毒年均增长率达47.65%。海岛地区梅毒发病女性多于男性,病例性比1∶0.87,其发病主要在“20～29岁”、“30～39岁”、“40～49岁”3个年龄段,占报告发病总数的75.72%,其中男性以“30～39岁”段最高28.05%,女性则以“20～29岁”段最高34.48%。早期(Ⅰ期、Ⅱ期)和隐性梅毒的病例年龄分布,女性高峰年龄段均比男性小10岁以上,其中隐性梅毒两性相差20岁左右。梅毒发病职业构成,以家务(政)及待业者最多41.27%,其次是渔(船)民14.60%,尤其是隐性梅毒中渔(船)民占22.12%,对梅毒传播扩散构成潜在威胁。结论梅毒发病流行已成为严重的公共卫生问题,亟需采取综合性防制措施,共同遏制急剧上升态势。
Objective To analyze the surveillance results of the incidence of syphilis in Zhoushan Island, Zhejiang Province from 2004 to 2007. Methods Statistical analysis of the monitoring data using descriptive epidemiological methods. Results A total of 3818 syphilis cases were reported in Zhoushan Island from 2004 to 2007, of which 30.17% were in stage Ⅰ, 22.86% in stage Ⅱ, 0.37% in stage Ⅲ, 4.92% in fetal stage and 41.67% in recessive stage. The annual average incidence of syphilis was 98.62 / 100000, the annual average rate of increase in four years was 19.84%, of which the average annual growth rate of latent syphilis was 47.65%. The incidence of syphilis in island areas is higher than that of males, with a case-to-case ratio of 1: 0.87. The incidence of syphilis in island areas is mainly in the three age groups of “20-29”, “30-39”, “40-49” Accounting for 75.72% of the total reported cases, of which the highest is 28.05% for males and the highest for females is 34.48% for segments “20-29”. Age (Ⅰ, Ⅱ) and latent syphilis cases age distribution, the peak age of women than men over 10 years of age, including latent syphilis between 20-year-old gender difference. Syphilis occupational occupational composition, with household (political) and unemployed up to 41.27%, followed by 14.60% of fishing (boat) people, especially tactile syphilis in the fisheries (boat) people accounted for 22.12%, a potential threat to the spread of syphilis. Conclusion The prevalence of syphilis has become a serious public health problem, and it is urgent to adopt comprehensive prevention and control measures to curb the sharp rise.