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

Abstract

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

CLC Number:

R181.8⁺1

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.

References

[1] 王千秋,刘全忠,徐金华.性传播疾病临床诊疗与防治指南[M].上海:上海科学技术出版社,2014:72-90.
[2] 汤少开,杨韵青,彭嘉俊.广州市2011—2020年老年梅毒流行特征分析[J].中国热带医学,2021,21(11):1066-1069.
[3] 范万柳,邓森.2012—2021年三明市沙县区梅毒流行特征分析[J].中国初级卫生保健,2022,36(12):67-69.
[4] 陈祥生,姜婷婷.我国性传播疾病的流行与防治[J].皮肤科学通报,2021,38(1):1-7.
[5] 吴运汉,刘晓灵,张起律,等.福建省宁化县 2010—2019 年梅毒流行特征分析[J].皮肤病与性病,2021,43(5):645-646,661.
[6] 张辉,李思瑶,寇玲玲,等.2005—2020年西安市梅毒流行病学特征分析[J].现代预防医学,2022,49(4):614-620.
[7] 郑敏,陶锐,姚永明,等.2010—2019年贵州省梅毒流行特征与趋势分析[J].中国艾滋病性病,2020,26(9):985-987.
[8] 刘健,叶星,槐鹏程,等.22010—2019年山东省梅毒流行特征分析[J].中国麻风皮肤病杂志,2021,37(2):65-68,95.
[9] 赵晓银,梁达,孙玉兰,等.西宁市2011—2020年梅毒流行特征与趋势分析[J].现代预防医学,2021,48(20):3803-3807.
[10] 邓思梦,宝彬彬,周敏.2010—2020年自贡市梅毒流行特征分析[J].职业与健康,2022,38(10):1375-1378.
[11] 李洁,朱怡静,王蒙杰,等.2005—2019年绵阳市涪城区梅毒流行特征分析[J].医学动物防制,2021,37(11):1067-1070.
[12] 马璐,周健,佘敏,等.2013—2018年贵阳市梅毒流行特征分析[J].应用预防医学,2019, 25(6):490-492.
[13] 崔新杰,白慕天,王宁,等.2009—2018年济南市梅毒流行病学特征分析[J].现代预防医学,2020,47(2):228-232.
[14] 蔺茂文,刘锐,孙春,等.2005—2019年荆州市梅毒流行特征分析[J].实用皮肤病学杂志,2021,14(6):335-338.
[15] 徐敏,李茜瑶,陈强,等.2016—2019年北京市老年人群梅毒流行特征分析[J].中国艾滋病性病,2021,27(10):1140-1142.
[16] 高岩,卢洪洲.老年艾滋病相关高危性行为影响因素的研究进展[J].中国艾滋病性病,2020,26(4):452-454,354.
[17] 韩天旭,李忠,高凤,等.2011—2020年成都市青羊区梅毒流行特征分析[J].预防医学情报杂志,2022,38(10):1340-1345.
[18] 孙长喜,刘兴宝,王海军.新时期农村贫困地区预防艾滋病健康教育适宜技术及应用[J].中国初级卫生保健,2020,34(2):58-62,69
[19] 张敏,豆正东,方艳姣,等.2012—2017年芜湖市 60 岁及以上老年梅毒流行特征[J].中国艾滋病性病,2019,25(9):970-971.
[20] 刘进权,寇彩霞,胡文龙,等.中国老年性病发病趋势及临床特点[J].皮肤科学通报,2019,36(4):460-465.
[21] 王晓蕊,赵亚栋,许亚宁,等.2008—2017年甘肃省梅毒流行病学分析[J].现代预防医学,2019,46(23):4243-4246.
[22] 丁红玲,陈果,吴甲勇.2010—2017年陕西省安康市梅毒流行病学特征[J].职业与健康,2019,35(20):2786-2789.
[23] 张美英,劳海黎,鞠淑臻.2011—2020年山东省滨州市梅毒流行特征分析[J].预防医学论坛,2022,28(6):446-449.