2012—2021年如皋市梅毒流行特征分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (22): 3102-3106.

2012—2021年如皋市梅毒流行特征分析

王海荣^1,2a, 连玉龙¹, 范从杰^2b, 吕家爱^2a

1.南通大学公共卫生学院,江苏南通 226000;
2.如皋市疾病预防控制中心a卫生监测科,b急性传染病与免疫规划科,江苏如皋 226500

收稿日期:2023-04-19 修回日期:2023-05-21 出版日期:2023-11-15 发布日期:2026-03-26
通信作者: 连玉龙,副教授,E-mail：lianyulong444@163.com
作者简介:王海荣,女,在读硕士研究生,研究方向为疾病预防控制。

Analysis on syphilis prevalence characteristics in Rugao City from 2012-2021

WANG Hairong^1,2a, LIAN Yulong¹, FAN Congjie^2b, LYU Jiaai^2a

1. School of Public Health,Nantong University,Nantong Jiangsu 226000,China;
2. a Monitoring Department,b Acute Infectious Diseases and Immune Planning Department,Rugao Center for Disease Control and Prevention,Rugao Jiangsu 226500,China

Received:2023-04-19 Revised:2023-05-21 Online:2023-11-15 Published:2026-03-26
Contact: LIAN Yulong,Associate professor,E-mail：lianyulong444@163.com

摘要/Abstract

摘要： 目的了解如皋市梅毒流行现状和特征,为科学防控梅毒提供依据。方法对2012—2021年如皋市报告的梅毒病例资料进行分析,利用年度变化百分比（annual percent change,APC）描述发病率变化趋势。结果 2012—2021年,如皋市共报告梅毒病例3 902例,年均报告发病率27.43/10万,发病率呈上升趋势（APC=15.94%,P<0.01）。隐性梅毒年均报告发病率20.49/10万,发病率呈上升趋势（APC=27.75%,P<0.01）,隐性梅毒的发病高峰年龄在≥60岁;早期梅毒年均报告发病率6.69/10万,发病率呈下降趋势（APC=-4.57%,P<0.01）,男性早期梅毒的发病高峰年龄组在20~<30岁组,2016年之前,女性早期梅毒的发病高峰年龄在20~<30岁组,2020年之后,<20岁组、≥60岁组女性早期梅毒发病呈上扬趋势;晚期梅毒年均报告发病率0.26/10万,报告发病率无明显变化趋势（APC=3.00%,P>0.05）。职业分布以农民最多（61.12%）,其次为家务和待业（22.40%）和离退人员（7.66%）;报告发病地区主要在如城街道、城北街道及东陈镇等主城及邻近主城区,2012—2015年各地区报告发病率无明显变化趋势,2016—2021年如城街道报告发病率呈下降趋势（APC=-6.86%,P=0.042）,江安镇报告梅毒发病率呈上升趋势（APC=10.22%,P<0.05）。结论如皋市梅毒发病呈上升趋势,以隐性梅毒为主,早期梅毒需重点关注<20岁女性、20~<30岁男性和≥60岁群体。应开展针对性的性病防治知识宣传及干预措施,农村地区亦要加强梅毒防治的宣传干预。

关键词: 梅毒, 流行病学特征, 趋势分析

Abstract: Objective To analyze the status and epidemiological characteristics of syphilis in Rugao City,provide a basis for scientific prevention and control of syphilis. Methods The data of syphilis cases reported in Rugao City from 2012 to 2021 were analyzed,and the annual change percentage（APC） was used to describe the trend of incidence rate. Results From 2012 to 2021,totally 3 902 syphilis cases were reported in Rugao City,the average annual reported incidence was 27.43/100 000,and the incidence was on the rise（APC=15.94%,P<0.01）. The average annual reported incidence of recessive syphilis was 20.49/100 000, the incidence was on the rise（APC=27.75%,P<0.01）,and the peak age group of latent syphilis appeared in ≥60 year-old group. The average annual reported incidence of early syphilis was 6.69/100 000, the incidence showed a downward trend（APC=-4.57%,P<0.01）.The peak age group of male early syphilis was the 20-<30 age group. Before 2016, the peak age group of female early syphilis was the 20-<30 age group. After 2020, the incidence of female early syphilis in the <20 age group and ≥ 60 age group showed an upward trend. The annual average reported incidence rate of late syphilis was 0.26/100 000, The reported incidence rate had no obvious upward trend（APC=3.00%,P>0.05）. For the occupational distribution,the most cases were farmers（61.12%）,followed by household and unemployed（22.40%） and retired individuals（7.66%）. The cases were mainly reported in the main city and adjacent main urban areas,including Rucheng Street,Chengbei Street and Dongchen Town. There was no obvious change trend in the reported incidence of each region from 2012 to 2015,and reported incidence in Rucheng Street showed an upward trend（APC=-6.86%,P<0.05）,while the reported incidence of syphilis in Jiang'an Town was on the rise（APC=10.22%,P<0.05）. Conclusions The incidence of syphilis in Rugao City is on the rise,which is dominated by the recessive syphilis,the early syphilis should focus on women aged <20 years old,men aged 20-<30 years old,women aged 40-<50 years old,and people aged ≥60 years old. It is necessary to carry out targeted publicity and intervention measures for sexually transmitted disease prevention and control,and strengthen publicity and intervention for syphilis prevention and control in rural areas.

Key words: Syphilis, Epidemiological characteristics, Trend analysis

中图分类号:

R181.8⁺1

王海荣, 连玉龙, 范从杰, 吕家爱. 2012—2021年如皋市梅毒流行特征分析. [J]职业与健康, 2023, 39(22): 3102-3106.

WANG Hairong, LIAN Yulong, FAN Congjie, LYU Jiaai. Analysis on syphilis prevalence characteristics in Rugao City from 2012-2021. [J]OCCUPATION AND HEALTH, 2023, 39(22): 3102-3106.

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