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目的探讨建瓯市梅毒流行病特征和发病趋势,为制定防控措施提供依据。方法对建瓯市2003—2014年梅毒疫情资料进行分析。结果建瓯市2003—2014年共报告梅毒1 573例,年均发病率24.68/10万。发病率从2003年的19.74/10万增长至2014年的48.11/10万,年均增速9.1%,发病呈上升趋势,近3年上升明显。患者性别比1∶1.29;高发年龄为20~49岁(73.4%),农民占35.2%;发病无明显季节高峰;城区疫情高于农村;梅毒以Ⅰ期、Ⅱ期和隐性梅毒为主。结论建瓯市2003—2014年梅毒疫情呈上升趋势,应继续加大性病防治力度,加强高危人群性健康教育和行为干预,以有效控制梅毒的传播和流行。
Objective To investigate the characteristics and trend of syphilis epidemics in Jian’ou City and provide the basis for prevention and control measures. Methods The data of syphilis epidemics in Jian’ou City from 2003 to 2014 were analyzed. Results A total of 1 573 cases of syphilis were reported in Jianou City from 2003 to 2014, with an average annual incidence of 24.68 / 100 000. The incidence increased from 19.74 / 100,000 in 2003 to 48.11 / 100,000 in 2014, with an average annual growth rate of 9.1%. The incidence was on the rise, with an obvious increase in the past three years. The sex ratio of patients was 1:1.29; the prevalence was 20-49 years old (73.4%), and peasants accounted for 35.2%. There was no obvious seasonal peak in incidence; the epidemic situation in urban areas was higher than that in rural areas; and syphilis was mainly stage Ⅰ, Ⅱ and latent syphilis. Conclusion The epidemic situation of syphilis in Jian’ou City during 2003-2014 is on an upward trend. Sexual disease prevention and treatment should be further strengthened to improve sexual health education and behavioral intervention among high-risk population so as to effectively control the spread and prevalence of syphilis.