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目的了解无锡市2006-2015年梅毒的流行特征及趋势,为制定梅毒防控策略提供科学依据。方法用描述性流行病学方法,对2006-2015年无锡市的梅毒病例报告资料进行“三间分布”分析。结果 2006-2015年,无锡市梅毒报告发病率呈现先上升后下降的趋势,2006-2009年年均增长32.6%(由25.19/10万增长到58.66/10万),2009-2015年年均下降10.0%(由58.66/10万下降到31.08/10万)。男女性别比呈下降趋势,由2006年的1.22∶1下降到2015年的0.99∶1。25~34岁组报告发病率最高,2006-2009年年均增长29.1%,2009-2015年年均下降15.0%。<15岁组报告发病率最低,2006-2012年年均增长28.4%,2012-2015年年均下降17.0%。发病人数最多的职业人群分别为家务及待业和农民,分别占32.5%和29.4%。以无锡市户籍为主,占93.2%。报告单位以综合医院为主,占69.1%,社区卫生服务中心/卫生院所占比例由2006年的7.6%上升到2015年的13.5%。结论无锡市梅毒报告发病率呈先上升后下降的趋势,但老年人群报告病例数逐年增多,且胎传梅毒报告发病率仍较高,需采取有针对性的措施进一步控制梅毒的流行。
Objective To understand the epidemiological characteristics and trends of syphilis in Wuxi from 2006 to 2015 and provide a scientific basis for the development of syphilis prevention and control strategies. Methods Descriptive epidemiological methods were used to analyze the data of syphilis cases from 2006 to 2015 in Wuxi City. Results From 2006 to 2015, the incidence of syphilis in Wuxi showed a trend of first rising and then decreasing, with an average annual increase of 32.6% (from 25.19 / 100000 to 58.66 / 100000) in 2006-2009 and an annual average decrease in 2009-2015 10.0% (from 58.66 / 100000 to 31.08 / 100000). The male-to-female sex ratio showed a downward trend, falling from 1.22:1 in 2006 to 0.99: 1.25 in 2015. The highest incidence was reported in the 25.25-year-old group, an average annual increase of 29.1% in 2006-2009, and an average annual decline in 2009-2015 15.0%. The lowest incidence was reported in the 15-year-old group, with an average annual increase of 28.4% in 2006-2012 and an average annual decline of 17.0% in 2012-2015. Occupation groups with the largest number of illnesses were household chores and unemployed peasants, accounting for 32.5% and 29.4% respectively. The main household registration in Wuxi, accounting for 93.2%. The reporting units were mainly general hospitals, accounting for 69.1%. The proportion of community health centers / hospitals rose from 7.6% in 2006 to 13.5% in 2015. Conclusions The prevalence of syphilis in Wuxi City first increases and then decreases. However, the number of reported cases in the elderly is increasing year by year, and the incidence of syphilis in fetal transmission is still high. Therefore, targeted measures should be taken to further control the prevalence of syphilis.