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目的了解甘南州梅毒流行特征,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2004-2016年甘肃省甘南州报告的梅毒病例资料进行“三间分布”分析。结果甘南州梅毒报告发病率从2004年的4.54/10万增长至2016年43.97/10万,年均增长20.83%。全州8个县(市)梅毒疫情均有显著的增长,不同地区梅毒报告发病率差异较大,碌曲县、玛曲县和夏河县发病率高达192.63/10万。男女性别比由2005年的2.13∶1下降至2016年0.56∶1;20~39岁性活跃人群报告病例数占报病总数的68.99%;≥65岁老年人群2005-2016年年均增长40.08%。在20种人群类别中,牧民报告病例占47.96%;农民年均增长30.91%。结论甘南州梅毒流行较为严重,尤以农牧区为重,应根据当地特点,制定有效的控制措施。
Objective To understand the epidemiological characteristics of syphilis in Gannan Prefecture and provide basis for prevention and treatment measures. Methods Using descriptive epidemiological method, the data of syphilis cases reported in Gannan Prefecture of Gansu Province during 2004-2016 were analyzed by “three distribution ”. Results The incidence of syphilis in Gannan increased from 4.54 / 100 000 in 2004 to 43.97 / 100 in 2016 with an average annual increase of 20.83%. The epidemic situation of syphilis in 8 prefectures and cities in the whole country has been significantly increased. The incidence of syphilis in different districts varies greatly. The incidence rates of Luqu County, Maqu County and Xiahe County are as high as 192.63 / 100,000. The sex ratio of men and women decreased from 2.13:1 in 2005 to 0.56:1 in 2016. The number of reported cases of sexually active people aged 20-39 accounted for 68.99% of the total reported cases. The average age of 65-year-olds increased 40.08% . Among the 20 kinds of population groups, pastoralists reported 47.96% of the cases; peasants grew 30.91% on average. Conclusion Gannan syphilis epidemic is more serious, especially in farming and pasturing areas, should be based on local characteristics, to develop effective control measures.