| 姚强,曾凡荣,费丽娟,孔文明,杜娜,吴李梅,王燕敏.浙江省2010-2019年梅毒流行趋势分析[J].中华流行病学杂志,2020,41(8):1313-1318 |
| 浙江省2010-2019年梅毒流行趋势分析 |
| Epidemiology of syphilis in Zhejiang province, 2010-2019 |
| 收稿日期:2020-03-24 出版日期:2020-08-25 |
| DOI：10.3760/cma.j.cn112338-20200324-00425 |
| 中文关键词: 梅毒 流行病学 分析 |
| 英文关键词: Syphilis Epidemiology Analysis |
| 基金项目:浙江省基础公益研究计划（LGF20H260004）；浙江省皮肤病防治研究所项目（2018YJKT01，2017YJKT05） |
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| 中文摘要: |
| 目的 了解浙江省梅毒流行趋势，为制定防控策略提供依据。方法 对2010-2019年通过中国疾病预防控制信息系统传染病监测信息系统报告的浙江省梅毒病例资料进行描述性分析。结果 浙江省梅毒报告发病率由2010年的94.90/10万下降至2019年的53.53/10万，年均下降6.16%。其中，胎传、一期和二期梅毒下降明显，发病率年均下降分别为43.47%、21.38%和14.19%。隐性梅毒构成比逐年上升。全省除丽水市外，其余10个地（市）梅毒发病率均呈下降趋势；男性和女性梅毒报告发病率均呈下降趋势，年均下降分别为4.80%和6.45%。男性≥60岁人群报告发病率最高，女性20～34岁报告发病率最高，年龄构成中≥60岁病例占比上升明显。职业分布以农民为主，占43.00%。结论 浙江省梅毒发病率呈下降趋势，但疫情形势仍然严峻，应加大综合防治力度和质量控制。 |
| 英文摘要: |
| Objective To investigate the epidemiological characteristics of syphilis in Zhejiang province and to provide scientific basis for the development of syphilis prevention and control strategies. Methods A descriptive epidemiological analysis was conducted on the incidence data of syphilis in Zhejiang from 2010 to 2019. Results During the period, the incidence rate of syphilis decreased from 94.90/100 000 in 2010 to 53.53/100 000 in 2019 with an average decreasing rate of 6.16%. The annual decreases of the incidences of congenital syphilis, primary syphilis and secondary syphilis were all obvious, which were 43.47%, 21.38% and 14.19% respectively. The proportion of latent syphilis cases increased with year. Except for Lishui, the incidences of syphilis in the remaining 10 prefectures showed declining trends. The incidence rates in both men and women showed declining trends with the average rates of 4.80% and 6.45% respectively. The incidence peaks occurred in old men aged ≥ 60 years and in sexually active women aged 20-34 years, and the syphilis cases in age group ≥ 60 years increased significantly. The cases were mainly farmers, accounting for 43.00%. Conclusion The incidence of syphilis in Zhejiang showed a decreasing trend, but the situation remains serious, indicating that the intensity and quality of the comprehensive prevention and control needs to be further strengthened. |
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