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目的了解甘肃省梅毒的流行病学特征,为制定防治对策提供依据。方法应用描述性流行病学方法,对2006-2015年甘肃省报告的梅毒病例资料进行“三间分布”分析。结果梅毒报告发病率由2006年的5.69/10万增长到2015年的17.06/10万,年均增长12.97%。其中一期与二期梅毒报告发病率呈先上升后下降的趋势;隐性梅毒报告病例数年均增长22.09%,对全部梅毒增长贡献率达103.48%。全省14个市州梅毒疫情均有不同程度增长,但不同地区梅毒报告发病差异较大,以少数民族地区甘南州和省会城市兰州市较高。男女性别比由2006年的1.31:1下降至2015年0.86:1,2012年后女性超过男性。高发年龄段为20~49岁性活跃人群,占报告病例总数的56.07%。>60岁老年人群梅毒报告发病率从2006年的5.71/10万增长到2015年的34.91/10万,年均增长22.28%。其中报告的梅毒病例中隐性梅毒占77.70%。在20种人群类别中,报告病例数农民占41.64%,年均增长为21.93%。结论梅毒已成为甘肃省重要的公共卫生问题之一,应根据其流行特点采取有效的防治措施。
Objective To understand the epidemiological characteristics of syphilis in Gansu province and provide evidence for prevention and treatment measures. Methods Descriptive epidemiological methods were used to analyze the data of syphilis cases reported in Gansu Province from 2006 to 2015. Results The incidence of syphilis increased from 5.69% in 2006 to 17.06% in 2015 with an average annual increase of 12.97%. The incidence of syphilis in stage I and stage II increased first and then decreased; the number of cases of latent syphilis increased by 22.09% in a few years, and the contribution rate to all syphilis was 103.48%. The epidemic situation of syphilis in 14 cities and prefectures in our province all increased to some extent, but the incidence of syphilis in different areas was quite different, with Gannan Prefecture in the minority areas and Lanzhou in the capital city higher. The sex ratio of men and women dropped from 1.31: 1 in 2006 to 0.86: 1 in 2015, and more women than men in 2012. High prevalence age range of 20 to 49 years of active population, accounting for 56.07% of the total number of reported cases. > The incidence of syphilis in the 60-year-old population increased from 5.71 / 100,000 in 2006 to 34.91 / 100,000 in 2015, with an average annual increase of 22.28%. Among the reported cases of syphilis, latent syphilis accounted for 77.70%. Among 20 kinds of population groups, the number of reported cases accounted for 41.64% of farmers, an average annual increase of 21.93%. Conclusion Syphilis has become one of the important public health problems in Gansu Province. Effective measures should be taken according to its prevalence.