李艳芬, 夏春雨, 李丹华. 上海市青浦区2009-2018年梅毒流行特征分析[J]. 上海预防医学, 2021, 33(2): 120-123. DOI: 10.19428/j.cnki.sjpm.2021.19675
引用本文: 李艳芬, 夏春雨, 李丹华. 上海市青浦区2009-2018年梅毒流行特征分析[J]. 上海预防医学, 2021, 33(2): 120-123. DOI: 10.19428/j.cnki.sjpm.2021.19675
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LI Yan-fen, XIA Chun-yu, LI Dan-hua. Epidemiological analysis of syphilis from 2009 to 2018 in Qingpu District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2021, 33(2): 120-123. DOI: 10.19428/j.cnki.sjpm.2021.19675
Citation: LI Yan-fen, XIA Chun-yu, LI Dan-hua. Epidemiological analysis of syphilis from 2009 to 2018 in Qingpu District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2021, 33(2): 120-123. DOI: 10.19428/j.cnki.sjpm.2021.19675
shu

上海市青浦区2009-2018年梅毒流行特征分析

Epidemiological analysis of syphilis from 2009 to 2018 in Qingpu District, Shanghai

    摘要
  • 摘要:
    目的了解上海市青浦区2009-2018年梅毒流行特征，为制定梅毒防治策略提供科学依据。
    方法收集国家疾病预防控制信息系统中2009-2018年青浦区梅毒疫情数据，描述和分析其流行特征。
    结果梅毒报告发病率由2009年的27.17/10万下降至2018年的24.69/10万。Ⅱ期梅毒构成比减少，由2009年的64.98%减少到2018年的57.14%（P < 0.001），而隐性梅毒构成比增加，由2009年23.74%上升到2018年的32.89%（P < 0.001）。报告发病率男性高于女性，男女比例有扩大趋势，由2009年的1.01 : 1增加至2018年的1.51:1。发病年龄主要集中在20 ~ 59岁性活跃人群为主，≥60岁的老年人群发病率逐年上升。户籍以上海市为主，但上海市户籍构成比呈下降趋势，由2009年的81.71%下降到2018年的59.14%，外省市户籍构成比由2009年的18.29%上升到2018年的40.86%（P < 0.001）。病例来源中性病门诊报告构成比由2009年的89.11%下降到2018年的46.51%（P < 0.001），住院检测及其他门诊就诊者报告构成比由2009年的8.56%上升到2018年50.49%。
    结论青浦区梅毒发病率下降，Ⅱ期梅毒呈下降趋势，老年病例增加较快，下一步应根据梅毒流行特征采取有效的控制措施。

     

    Abstract:
    ObjectiveTo understand the epidemiological features of syphilis in Qingpu District for developing control strategies.
    MethodsThe data of syphilis cases(2009-2018)were collected and analyzed.
    ResultsThe reported syphilis incidence decreased from 27.17/105 in 2009 to 24.69/105 in 2018. The ratio of secondary syphilis declined from 64.98% in 2009 to 57.14% in 2018, while that of latent syphilis increased from 23.74% in 2009 to 32.89% in 2018. The incidence of syphilis was higher in males than in females, and the average male/female ratio increased from 1.01:1 in 2009 to 1.51:1 in 2018. The incidence of syphilis was the highest in the age group of 20-59 years, but the constituent ratio increased in the aged group(≥ 60 year). The cases were mainly in the local household register, but the composition ratio showed a downward trend from 81.71% in 2009 to 59.14% in 2018. The main source of cases was STD outpatients. It decreased from 89.11% in 2009 to 46.51% in 2018, and the proportion of inpatients and other outpatients increased from 8.56% in 2009 to 50.49% in 2018.
    ConclusionThe incidence of syphilis shows a decreasing trend. The incidence of reported secondary syphilis has decreased in general but increased rapidly in older patients. More measures are urgently in need to control epidemic syphilis effectively.

     

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