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2014-2023年宜春市奉新县梅毒流行趋势及防控对策

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目的 分析2014-2023年宜春市奉新县梅毒疫情流行特征,思考并完善梅毒防控措施.方法 从中国疾病预防控制信息系统导出2014-2023年现住址为宜春市奉新县的梅毒病例和人口资料,运用SPSS 20.0软件统计分析梅毒流行趋势,组间构成比的差异采用x2检验,发病率趋势的比较采用趋势x2检验,以P<0.05为差异有统计学意义.结果 2014-2023年奉新县梅毒累计报告999例,年均报告发病率33.48/10万,年均增长速度为5.41%,总体呈上升趋势(x2趋势=82.071,P<0.001).病例报告以隐性梅毒为主(84.18%),发病呈上升趋势;Ⅰ期和Ⅱ期梅毒发病率呈下降趋势.地区主要集中在冯川镇(34.23%).女性报告发病率略高于男性,但男性发病率年均增长速度高于女性.高发年龄组为70岁及以上(22.92%),其次是50~59岁(18.22%)和60~69岁年龄组(17.32%),40岁及以上年龄组梅毒报告发病率均呈上升趋势.职业以农民为主(69.37%),商业服务和离退人员病例数的年均增幅最高(分别为14.93%和16.65%).结论 宜春市奉新县梅毒疫情总体呈上升趋势,应继续加大梅毒的宣传和检测力度,对梅毒病例进行全程规范化管理,从源头控制梅毒的传播.
Epidemic characteristics and prevention and control strategies of syphilis in Fengxin County of Yichun City from 2014 to 2023
Objective To analyze the epidemic characteristics of syphilis in Fengxin County of Yichun City from 2014 to 2023,and to provide the evidence to improve the prevention and control measures of syphilis.Methods Data of syphilis cases and population with current address in Fengxin County of Yichun City during 2014 to 2023 were derived from China Disease Prevention and Control Information System.SPSS 20.0 software was used to analyze the prevalence trend of syphilis.Chi-square test was used for the difference of composition ratio between groups,and Chi-square trend test was used for comparison of incidence trend,the difference P<0.05 was considered statistically significant.Results From 2014 to 2023,a total of 999 cases of syphilis were reported in Fengxin County,with an average annual reported incidence of 33.48/105,with an average annual growth rate of 5.41%,showing an overall upward trend(x2trends=82.071,P<0.001).The majority of cases reported were recessive syphilis(84.18%),and the incidence was on the rise.The incidence of stage Ⅰ and stage Ⅱ syphilis showed a decreasing trend.The main area was Fengchuan town(34.23%).The reported incidence of women was slightly higher than that of men,but the average annual rate of incidence in men was higher than that in women.The high incidence age group was over 70 years old(22.92%),followed by 50-59 years old(18.22%)and 60-69 years old(17.32%).The reported incidence of syphilis in 40 years old people and above showed an increasing trend.They were mainly farmers(69.37%),and the annual growth rate of the number of cases of commercial services and retirees was the highest(14.93%and 16.65%,respectively).Conclusions The syphilis epidemic situation in Fengxin County of Yichun City is on the rise,and the publicity and detection of syphilis should be strengthened,and the standardized management of syphilis cases should be carried out to control the transmission of syphilis from the source.

syphilisepidemic characteristicsprevention and control measureselderly menfarmer

陈丽萍、余齐秀、汪子安、张浩坤、陈娟、李琴

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奉新县疾病预防控制中心,江西奉新 330700

赣南医科大学公共卫生与健康管理学院,江西赣州 341000

梅毒 流行特征 防控对策 老年男性 农民

2024

职业卫生与病伤
四川省疾病预防控制中心

职业卫生与病伤

影响因子:0.725
ISSN:1006-172X
年,卷(期):2024.39(6)