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2010-2023年仪征市梅毒流行特征分析

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目的 了解仪征市梅毒流行特征,为控制梅毒传播提供科学依据.方法 收集2010-2023年仪征市梅毒报告数据,采用流行病学集中度、圆形分布法分析梅毒发病特征.结果 2010-2023年共报告新发梅毒3 012例,年均发病率为37.97/10万.病例男女比为1.05∶1.报告病例以隐性梅毒为主(1 836例,占60.96%).14年间,早期梅毒、隐性梅毒历年发病季节性特征均较弱,早期梅毒报病高峰日为6月19日,高峰期为2月23日-10月12日;隐性梅毒报病高峰日为7月18日,高峰期为3月4日—12月1日.早期梅毒发病,男性集中在≥50岁人群,年均发病率为21.56/10万;女性集中在15~49岁人群,年均发病率为22.39/10万,总体呈下降趋势(AAPC=-14.6%,P<0.05);隐性梅毒发病,男、女均集中≥50岁人群,年均发病率分别为48.25/10万、32.25/10万,总体均呈上升趋势(AAPC=20.4%、16.1%,P值均<0.05).病例职业以农民(占48.41%)、家务及待业(占19.99%)为主,地区主要集中在真州镇(占32.20%).结论 仪征市早期梅毒发病呈下降趋势,隐性梅毒发病呈上升趋势.需进一步扩大监测覆盖面,进行多维度防控.
Prevalence characteristics of syphilis in Yizheng City from 2010 to 2023
Objective To investigate the characteristics of syphilis prevalence in Yizheng City,so as to provide insights into syph-ilis control.Methods Data pertaining to reported syphilis cases in Yizheng City from 2010 to 2023 were collected,and the concentra-tion patterns of syphilis incidence were analyzed using concentration ratio and circular distribution methods.Results A total of3 012 incident syphilis cases were reported in Yizheng City from 2010 to 2023,with annual incidence of 37.97/105.The ratio of male to fe-male cases was 1.05∶1,and the latent syphilis was the predominant typeof syphilis(1 836 cases,60.96%).The incidence of early syphilis and latent syphilis appeared minor seasonal distribution characteristics in Yizheng City during the 14-year study period.The peak period of early syphilis was from February 23 to October 12,with a peak on June 19,and the peak period of early syphilis was from March 4 to December 1,with a peak on July 18.The onset of early syphilis was concentrated among men at ages of 50 years and older,with annual incidence of 21.56/105,and was concentrated among women at ages of 15 to 49 years,with annual incidence of 22.39/105,appearing an overall tendency towards a decline(AAPC=-14.6%,P<0.05).The onset of latent syphilis was concentrated among both men and women at ages of 50 years and older,with annual incidence of 48.25/105 and32.25/105,respectively,appearing an over-all tendency towards a rise(AAPC=20.4%and 16.1%,bothPvalues<0.05).Farmer(48.41%)and housework and unemployment(19.99%)were predominant occupations,and the cases were concentrated in Zhenzhou Township(32.20%).Conclusions The in-cidence of early syphilis appeared a tendency towards a decline and the incidence of latent syphilis appeared a tendency towards a rise in Yizheng City from 2010 to 2023.Expanded detection and improved knowledge of sexually-transmitted diseases are required for multi-dimensional syphilis control.

SyphilisEpidemiological characteristicConcentration ratioCircular distribution

周荦琳、张进、顾云、翟桂琴、马久华、史灵恩

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仪征市疾病预防控制中心,江苏扬州 211400

江苏省现场流行病学培训项目

江苏省疾病预防控制中心

梅毒 流行特征 集中度 圆形分布

2024

江苏预防医学
江苏省疾病预防控制中心 江苏省预防医学会

江苏预防医学

影响因子:1.319
ISSN:1006-9070
年,卷(期):2024.35(4)