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目的了解浙江省嵊泗列岛梅毒发病趋势及流行特征。方法对2004-2007年网络直报的梅毒疫情资料用Excel2003软件的数据透视表功能进行回顾性分析。结果4年梅毒平均报告发病率为73.39/10万,2004-2007年梅毒发病率依次为49.15/10万、67.76/10万、67.20/10万和109.97/10万,呈明显上升趋势(χ2=20.16,P<0.001);县城城区梅毒4年总体发病率是小岛乡镇的1.62倍,明显高于小岛乡镇(χ2=13.94,P<0.001);女性梅毒发病率为84.31/10万,男性为62.17/10万,女性高于男性(χ2=5.39,P<0.05)。梅毒发病年龄主要集中在20～49岁年龄组,占梅毒总病例数的81.43%。渔(船)民梅毒发病数占男性梅毒总病例数的37.37%(37/99);女性家务及待业人员梅毒发病数占女性梅毒病例总数的76.81%(106/138)。结论4年来,嵊泗县梅毒疫情呈明显上升趋势,渔(船)民和家务待业人群分别是男女性梅毒防治的重点人群。因此,梅毒防治工作必须引起高度重视。
Objective To understand the prevalence and epidemiological characteristics of syphilis in Shengsi Islands, Zhejiang Province. Methods The data of syphilis outbreaks from 2004 to 2007 online were retrospectively analyzed using the PivotTable function of Excel2003 software. Results The average reported incidence of syphilis was 73.39 / lakh in 4 years. The incidence of syphilis was 49.15 / lakh, 67.76 / lakh, 67.20 / lakh and 109.97 / lakh respectively in 2004-2007 (χ2 = 20.16, P <0.001). The overall incidence of syphilis in county town in 4 years was 1.62 times of that of island towns and was significantly higher than that of small towns (χ2 = 13.94, P <0.001). The incidence of syphilis in females was 84.31 / 62.17 / 100000, women than men (χ2 = 5.39, P <0.05). The age of onset of syphilis mainly concentrated in the age group of 20 to 49, accounting for 81.43% of the total number of syphilis cases. The incidence of syphilis in fishery (ship) accounts for 37.37% (37/99) of the total cases of male syphilis; the incidence of syphilis among female domestic workers and unemployed persons accounts for 76.81% (106/138) of the total number of female syphilis cases. Conclusions In the past four years, the epidemic situation of syphilis in Shengsi County has been on the rise. The population of fishermen (boat people) and domestic workers are the key groups for prevention and control of syphilis among men and women respectively. Therefore, prevention and treatment of syphilis must pay great attention.