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目的为制定梅毒及其他性传播疾病防控策略提供科学依据。方法对西安市2011-2014年梅毒发病疫情资料进行描述性研究,找出发病危险因素并提出针对性的预防控制措施。结果 2011-2014年西安市累计报告梅毒发病数5 542例,年均发病率为16.22/10万。男女比例为0.90∶1。职业以农民和无业为主,年龄以25~44岁青壮年为主。隐性梅毒为主,占病例总数的47.19%。结论西安市梅毒发病呈现继续上升趋势,遏制梅毒上升势头刻不容缓。无业人群和农民是梅毒预防的重点人群,应采取以梅毒筛查为重点、倡导使用安全套等安全性行为及全面的健康教育的综合防控模式。
Objective To provide a scientific basis for the development of prevention and control strategies for syphilis and other sexually transmitted diseases. Methods A descriptive study of the epidemic data of syphilis in 2011-2014 in Xi’an City was conducted to identify the risk factors and put forward targeted prevention and control measures. Results In 2011-2014, a total of 5 542 cases of syphilis were reported in Xi’an, with an average annual incidence of 16.22 / 100 000. The male-female ratio is 0.90: 1. Occupation mainly farmers and unemployed, aged 25 to 44 years of young and middle-aged. Hidden syphilis, accounting for 47.19% of the total number of cases. Conclusions The incidence of syphilis in Xi’an continues to increase. It is imperative to curb the upward trend of syphilis. The unemployed population and the peasants are the key population for the prevention of syphilis. Comprehensive screening and prevention mode should be adopted, focusing on syphilis screening and advocating the use of condoms and other safe behaviors and comprehensive health education.