2016—2022年湖北省竹山县梅毒流行特征及控制对策

职业与健康 ›› 2024, Vol. 40 ›› Issue (10): 1352-1355.

2016—2022年湖北省竹山县梅毒流行特征及控制对策

王兴华^1a, 梁锋^1a, 郭巧^1b, 杜飞², 孙长喜², 阮英勇²

1. 十堰市竹山县妇幼保健院 a办公室,b急诊科,湖北十堰 442200;
2. 十堰市竹山县疾病预防控制中心办公室,湖北十堰 442200

收稿日期:2023-06-11 修回日期:2023-10-23 出版日期:2024-05-15 发布日期:2026-03-13
通信作者: 阮英勇,主治医师,E-mail：1779983208@qq.com
作者简介:王兴华,男,主任医师,主要从事呼吸科疾病中西医结合治疗工作。
基金资助:
2021年中央财政重大传染病防控项目（Z195110010004）

Epidemiological characteristics and control strategies of syphilis in Zhushan County of Hubei Province from 2016-2022

WANG Xinghua^1a, LIANG Feng^1a, GUO Qiao^1b, DU Fei², SUN Changxi², RUAN Yingyong²

1. a Office, b Emergency Department, Shiyan Zhushan County Maternal and Child Health Hospital, Shiyan Hubei, 442200, China;
2. Office, Shiyan Zhushan County Center for Disease Prevention and Control, Shiyan Hubei, 442200, China

Received:2023-06-11 Revised:2023-10-23 Online:2024-05-15 Published:2026-03-13
Contact: RUAN Yingyong,Attending physician,E-mail：1779983208@qq.com

摘要/Abstract

摘要： 目的了解湖北省竹山县梅毒流行特征,为制定防治对策提供依据。方法从传染病监测系统中导出2016—2022年竹山县梅毒疫情数据,并对数据进行分析。结果 2016—2022年竹山县共报告梅毒429例,年均报告发病率为13.45/10万,呈逐年上升趋势。疫情分布全县各个乡镇,但以潘口乡、上庸镇、城关镇和双台乡为高,临床分型中隐形梅毒占94.64%,感染来源于非婚性接触,占80.65%;发病职业主要为农民（56.18%）和家务及待业（29.60%）。女性梅毒报告发病率显著高于男性（χ²=29.78,P<0.01）,但55~<75岁老年人男性明显高于女性（χ²=8.55,P<0.01）。发病年龄主要集中于25~<60岁年龄段,占报告发病总数的73.66%,75~<85岁和25~<45岁年龄段报告发病率分别为23.67/10万和23.30/10万,明显高于平均水平,发病老龄化和女性年轻化趋势明显。结论 2016—2022年竹山县梅毒发病率呈逐年上升趋势,疫情分布于全县各个乡镇,当地外出务工人员多、高危行为干预的可及性差及农村妇女生殖道感染率高是导致疫情上升的原因。应健全防控体系,施行外出务工人员梅毒防治提醒和警示等符合当地特点的精准防治策略。

关键词: 梅毒, 流行病学, 预防控制

Abstract: Objective To understand the epidemic characteristics of syphilis in Zhushan County,Shiyan City,and provide a basis for formulating prevention and control strategies. Methods The data of syphilis epidemic in Zhushan County from 2016 to 2022 was derived from the communicable disease surveillance system and the data were analyzed. Results A total of 429 cases of syphilis were reported in Zhushan County from 2016 to 2022,with an average annual reported incidence rate of 13.45/100 000,showing an upward trend year by year. The epidemic situation was distributed in every township of the county,but the highest prevalence was in Pankou Township,Shangyong Township,Chengguan Chamdo and Shuangtai Township. The clinical classification showed that 94.64% of the cases were invisible syphilis,and 80.65% of the cases were caused by non-marital sexual contact. The main occupations were peasants（56.18%） and housework and unemployment（29.60%）. It was significantly higher in women than in men（χ²=29.78,P<0.01）,but it was significantly higher in men aged 55-<75 than in women（χ²=8.55,P<0.01）. The age of onset was mainly concentrated in the age group of 25-<60 years old,accounting for 73.66% of the total reported incidence. The reported incidence rates of 75-<85 years old and 25-<45 years old were 23.67/100 000 and 23.30/100 000,respectively,which were significantly higher than the average level,and the trend of incidence aging and younger women were obvious. Conclusion From 2016 to 2022,the incidence rate of syphilis in Zhushan County shows a rising trend year by year,the epidemic situation is distributed in every township of the county,the reason for the rise of the epidemic situation is the large number of local migrant workers,the poor accessibility of high-risk behavior intervention,and the high rate of reproductive tract infection among rural women. A sound prevention and control system,standardized prevention and control responsibilities,and precise prevention and control strategies that are in line with local characteristics,such as reminders and warnings for syphilis prevention and control for migrant workers,are important measures to curb the spread of the epidemic.

Key words: Syphilis, Epidemiology, Prevention and control

中图分类号:

R181.8⁺1

王兴华, 梁锋, 郭巧, 杜飞, 孙长喜, 阮英勇. 2016—2022年湖北省竹山县梅毒流行特征及控制对策. [J]职业与健康, 2024, 40(10): 1352-1355.

WANG Xinghua, LIANG Feng, GUO Qiao, DU Fei, SUN Changxi, RUAN Yingyong. Epidemiological characteristics and control strategies of syphilis in Zhushan County of Hubei Province from 2016-2022. [J]OCCUPATION AND HEALTH, 2024, 40(10): 1352-1355.

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