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南京市2005-2010年法定报告的淋病和梅毒流行病学特征 被引量:27

Analysis of epidemiological features of gonorrhea/syphilis cases reported in Nanjing city from 2005 to 2010
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摘要 目的了解近年来南京市淋病、梅毒发病的流行趋势及特点,为制定有效的防制对策提供科学依据。方法对南京市2005—2010年全国疾病监测信息报告管理系统中,淋病、梅毒的疫情资料进行描述性流行病学分析。结果近6年来,南京市淋病发病率逐年下降,从2005年的59.45/10万下降至2010年的14.63/10万;梅毒发病率逐年增长,从2005年的25.35/10万增长到2010年的37.83/10万。梅毒分期中,以早期(一、二期)显性梅毒为主,占73.27%;各年度梅毒病例的分期差异有统计学意义(P<0.0001)。淋病、梅毒的发病年龄均集中在20~49岁,分别占83.25%和72.37%。淋病各年龄组均是男性多于女性;梅毒小年龄组女性多于男性,大年龄组则是男性多于女性,差异有统计学意义。职业分布中两者均以工人、家务及待业和农民为主。结论应根据南京市淋病、梅毒的流行病学特征,采取针对性的预防措施,控制淋病、梅毒的发病率。由于梅毒与艾滋病之间的密切关系,使得控制梅毒的发病率对于控制艾滋病的流行具有重要意义。 Objective To understand the epidemiological features of gonorrhea and syphilis eases reported in Nanjing city, so as to provide evidence for the development of effective control strategies. Methods Data concerning gonorrhea/syphilis collected from the national disease surveillance report system from 2005 to 2010 were descriptively analyzed. Results In the past six years, the incidence rate of gonorrhea decreased in Nanjing city from 59.45 per 100 000 residents in 2005 to 14.63 per 100 000 residents in 2010,whereas that of syphilis increased from 25.35 per 100 000 in 2005 to 37.83 per 100 000 in 2010. Among the syphilis cases, primary syphilis(stage I and II ) cases were dominant, accounting for 73. 27%, and there was a significant difference in the staging of syphilis (P〈 0. 0001). Most cases of gonorrhea and syphilis were 20--49 years old, which accounted for 83.25% and 72.37%. The reported cases of gonorrhea in males were higher than in females among all age groups, while those of syphilis in females were higher than in males among lower age groups and that was opposite among higher age groups, and the difference was significant (P〈0. 001). In the terms of occupation, workers, the unemployed and farmers con stituted the major proportion in both diseases. Conclusion On the basis of the epidemiological feature of gonorrhea and syphilis in Nanjing, specific preventive interventions should he taken to control the incidence of these two diseases. Since syphilis is prone to the transmission of AIDS, the control of syphilis transmission has an important implication for the control of AIDS epidemic.
出处 《中国艾滋病性病》 CAS 2012年第3期187-189,共3页 Chinese Journal of Aids & STD
关键词 淋病 梅毒 流行病学 Gonorrhea Syphilis Epidemiology
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