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目的了解广州市番禺区2009~2013年梅毒流行特征和发病趋势,探讨相关防治措施。方法从梅毒分期、性病、年龄、职业、文化程度分布等流行病学特征对番禺区2009-2013年梅毒报告病例进行回顾性分析。结果2009-2013年间,该区共报告梅毒4 539例,梅毒报告发病率波动在46.94/10万~58.96/10万,年平均报告发病率为52.20/10万,高于同期广州市梅毒报告发病率;男女性别比为1.21∶1远高于广州市梅毒性别比;梅毒分期中二期患者比例最大(65.57%);年龄分布上以20~40岁患者占比最大(79.32%);职业分布上以无业人员占比最大(52.02%);文化程度分布上以初中及以下占比最大(48.87%);在报告发病人群中,以流动人口占比最大(59.02%)。结论梅毒发病患者主要为20~40岁人群,以无业人员、初中及以下学历者、流动人口为主,应强化针对性强的梅毒防治综合措施,有效防控梅毒。
Objective To understand the prevalence and trend of syphilis between 2009 and 2013 in Panyu District of Guangzhou City and to explore the related prevention measures. Methods The epidemiological characteristics of syphilis staging, sexually transmitted diseases, age, occupation and educational level were retrospectively analyzed in 2009 and 2013 in Panyu District. Results In 2009-2013, a total of 4 539 syphilis cases were reported in this district. The incidence of syphilis was fluctuating between 46.94 / 100 and 58.96 / 100 000, with an average annual incidence of 52.20 / 100 000, higher than the incidence of syphilis reported in Guangzhou The sex ratio of male to female was 1.21: 1, which was significantly higher than that of syphilis in Guangzhou. The proportion of patients with stage II syphilis was the highest (65.57%). The distribution of age was from 20 to 40 years old (79.32%). The proportion of unemployed persons accounted for the largest proportion (52.02%). The proportion of educational level among junior high schools and below accounted for the largest proportion (48.87%). Among the reported groups, the floating population accounted for the largest proportion (59.02%). Conclusion The main pathogens of syphilis are 20-40-year-olds. The majority of them are unemployed, junior high school or below, and floating population. Comprehensive syphilis prevention and control measures should be intensified to effectively prevent syphilis.