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目的分析浙江省临安市2004-2010年法定报告性传播疾病流行特征及发病趋势,探讨防治工作策略。方法从疾病监测信息报告管理系统导出临安市2004-2010年淋病、梅毒、HIV/AIDS数据进行趋势及描述性分析。结果 2004-2010年临安市法定报告性传播疾病发病率呈上升趋势,其中梅毒与HIV/AIDS呈快速上升趋势,淋病呈下降趋势;城区发病率高于其他农村乡镇;淋病、HIV/AIDS为男性患者多于女性,梅毒女性患者多于男性;发病年龄集中在20～49岁年龄组,但≥60岁男性发病近年上升比较明显;职业以农民和工人为主。结论淋病、梅毒、HIV/AIDS均为性传播疾病,但流行特点有所不同,2004-2010年梅毒与HIV/AIDS发病率呈快速上升趋势,需加强宣传和监测力度,采取综合防治措施,降低梅毒发病率,有助于控制HIV/AIDS的流行。
Objective To analyze the epidemic characteristics and trend of statutory reports of sexually transmitted diseases in Lin’an City, Zhejiang Province from 2004 to 2010 and to explore strategies of prevention and treatment. Methods The trend and descriptive analysis of gonorrhea, syphilis and HIV / AIDS data from 2004 to 2010 in Lin’an City were derived from the disease surveillance information report management system. Results The incidence of STDs increased from 2004 to 2010 in Lin’an City. Syphilis and HIV / AIDS showed a rapid upward trend while gonorrhea showed a decreasing trend. The incidence rate in urban areas was higher than that in other rural towns and villages. Gonorrhea and HIV / AIDS were male More patients than women, syphilis women than men; the age of onset concentrated in the 20 to 49 age group, but more than 60-year-old male incidence increased significantly in recent years; occupations mainly farmers and workers. Conclusions Gonorrhea, syphilis and HIV / AIDS are all sexually transmitted diseases, but the epidemic characteristics are different. The incidence of syphilis and HIV / AIDS shows a rapid upward trend from 2004 to 2010, and publicity and monitoring needs to be stepped up. Comprehensive prevention and control measures should be taken to reduce the incidence of syphilis and HIV / AIDS. The incidence of syphilis helps to control the HIV / AIDS epidemic.