摘要
目的了解山东省青岛市两区梅毒和淋病疫情形势及流行病学特征,为制定有针对性的防控对策提供依据。方法对2014-2022年山东省青岛市市北区和崂山区的梅毒和淋病病例报告数据进行描述性流行病学分析。结果山东省青岛市市北、崂山两区梅毒报告发病率由2014年的39.53/10万增长至2021年的47.89/10万,不同年度间发病率差异有统计学意义(χ^(2)=115.02,P<0.000),但年份与发病率之间不存在线性关系(χ^(2)=1.098,P=0.259)。各期(类)梅毒发病趋势不同,隐性梅毒呈增长趋势,一期、二期梅毒、三期梅毒发病率呈下降趋势,胎传梅毒发病率明显降低,2020-2022年连续3年病例报告数为0;两区淋病报告病例717例,由2014年的7.13/10万下降至2022年的3.87/10万。淋病报告发病率总体呈下降趋势,年份与发病率之间存在线性关系(χ^(2)=28.448,P<0.000)。梅毒发病以20~59岁为主,占全部梅毒病例数的72.56%,性别比为1.02∶1,职业以家务及待业为主。淋病发病以20~34岁为主,占全部淋病病例数的62.90%,性别比为14.9∶1,职业以家务及待业为主(39.99%)。结论2014-2022年山东省青岛市两区梅毒发病率总体呈增长趋势,两区淋病发病率呈明显下降趋势,性活跃人群是防治重点。
Objective To analyze the epidemic situation and epidemiological characteristics of syphilis and gonorrhea in 2 districts of Qingdao city,so as to provide basis for formulating targeted prevention and control strategies.Methods The descriptive epidemiological method was conducted to analyze the data of syphilis and gonorrhea in Shibei and Laoshan district of Qingdao city from 2014 to 2022.Results The incidence of syphilis in 2 districts increased from 39.53/10~5 in 2014 to 47.89/10~5 in 2021,with significant difference in the incidence of the disease among different years(χ^(2)=115.02,χ^(2)=115.02,P<0.000),but there was no linear relationship between year and incidence(χ^(2)=1.098,P=0.259).Trends in the incidence of syphilis varied by stage(type),with an increasing trend in latent syphilis,a decreasing trend in the incidence of stage Ⅰ,stage Ⅱ,and stage Ⅲ syphilis,and a significant decrease in the incidence of foetal-transmitted syphilis,with the number of cases reported for 3 consecutive years in 2020-2022 being zero;There were 717 cases of gonorrhea reported in the 2 districts,the incidence of gonorrhea decreased from 7.13/10~5 in 2014 to 3.87/10~5 in 2022.There was an overall downward trend in the reported incidence of gonorrhea,with a linear relationship between year and incidence(χ^(2)=28.448,P<0.000).The cases of syphilis was mainly 20-59 years old,accounting for 72.56% of all syphilis cases,The ratio of male to female was 1.02∶1.The occupation was mainly housework and unemployment.The cases of gonorrhea was mainly 20 to 34 years old,accounting for 62.90% of all gonorrhea cases,the ratio of male to female was 14.90∶1.The occupation was mainly housework and unemployment(39.99%).Conclusion In 2014-2022,the incidence of syphilis in the 2 districts of Qingdao city,Shandong province showed an overall increasing trend,and the incidence of gonorrhea in the 2 districts showed a significant decreasing trend,with the sexually active population being the focus of prevention and treatment.
作者
刘广燕
宋永宁
傅泳
王红玉
LIU Guang-yan;SONG Yong-ning;FU Yong;WANG Hong-yu(STD and AIDS Prevention and Control Section,Laoshan District Center for Disease Control and Prevention,Qingdao City,Shandong 26610l,China;STD and AIDS Prevention and Control Section,Shibei District Center for Disease Control and Prevention,Qingdao City;STD and AIDS Prevention and Control Institute,Qingdao City Center for Disease Control and Prevention)
出处
《预防医学论坛》
2023年第8期629-632,共4页
Preventive Medicine Tribune
关键词
梅毒
淋病
发病率
性传播疾病
Syphilis
Gonorrhea
Incidence
Sexually transmitted diseases