Epidemiology of syphilis in Manzhouli city in Inner Mongolia autonomous region,2006 - 2010
摘要: 目的 通过对内蒙古自治区满洲里市2006 - 2010年梅毒进行流行病学分析,为制定防治措施提供科学依据。 方法 对全市梅毒报告资料用SPSS软件进行统计分析,采用描述流行病学方法描述梅毒疫情的流行特征。 结果 5年共报告梅毒308例,年均发病率为34.15/10万,呈高发态势,年均环比增长速度为17.96 %,发病数位居甲、乙类传染病前5位;以Ⅰ期梅毒与隐性梅毒为主,构成比分别占44.81%和36.36%,Ⅱ期梅毒与隐性梅毒呈上升趋势;发病以市区为主,占总病例数的56.82%;男女发病数性别比为1 ∶ 1.10,男性以Ⅰ期梅毒为主,女性以隐性梅毒为主,女性梅毒增长幅度高于男性;发病集中在30~45岁,占全部病例的48.05%,45岁年龄组女性发病显著高于男性,45岁年龄组男性发病显著高于女性;职业以家务、待业和工人为主,占病例总数的47.40%。 结论 满洲里市梅毒发病率正处于高发态势,需根据流行病学特征,采取有针对性的预防控制措施,加强对青壮年、文化水平较低的性活跃人群、外来人口、特殊行业人群等高危人群、重点人群梅毒监测工作,采取婚前、术前、分娩前的筛查筛检,提供免费梅毒咨询检测服务和规范化梅毒诊疗服务,开展高危人群行为干预措施,加大对高危人群、重点人群开展性病防治知识宣传教育力度。Abstract: Objective To understand the epidemiological characteristics of syphilis in Manzhouli from 2006 to 2010 and provide the scientific evidence for developing control measures. Methods Statistical analysis with SPSS software and descriptive epidemiological analysis were conducted on the incidence data of syphilis in Manzhouli during this period. Results A total of 308 syphilis cases were reported, the average annual incidence was 34.15/lakh and the annual growth rate was 17.96%, the case numbers ranked fifth in class A and B communicable diseases. Phase Ⅰ syphilis and latent syphilis accounted for 44.81% and 36.36%, The incidence of phase Ⅱ syphilis and latent syphilis increased. The disease mainly occurred in urban area with the cases accounting for 56.82% of the total. The male to female ratio of the cases was 1 ∶ 1.10. Phase Ⅰ syphilis mainly occurred in males, but phase Ⅱ syphilis in females. The increase of the cases in females was greater than that in males. The cases were mainly people aged 30-45 years, accounting for 48.05%. In age grou P45, the incidence of syphilis was higher in females, but in age group45, the incidence was higher in males. The cases in household servants, the unemployed and workers accounted for 47.40% of the total. Conclusion The incidence of syphilis is still high in Manzhouli, it is important to conduct targeted prevention and control, strengthen the syphilis surveillance in young adults, sex active people with low education level, migrant population and people engaged in special occupation by means of premarital, preoperative and prepartal screening, provide free counseling and standard treatment and strengthen the behavior intervention and health education in high risk population.
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