宜宾市2007-2016年60岁及以上人群梅毒流行特征分析
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摘要
目的了解宜宾市老年人口梅毒流行特点和趋势,为制定性传播疾病的防治策略提供科学依据。方法收集宜宾市近2007-2016年60岁及以上人群梅毒发病资料进行描述性流行病学分析。结果 2007-2016年宜宾市60岁及以上人口累计报告梅毒病例1 102例,年平均发病率为13. 17/10万,梅毒发病率呈增长趋势,差异有统计学意义(χ_(趋势)~2=275. 23,P=0. 000),其中2015年发病率最高,发病率达到25. 35/10万;男女性别比为2. 38:1,男性年平均发病率18. 92/10万,女性年平均发病率7. 64/10万,差异有统计学意义(χ~2=179. 86,P=0. 000);各期梅毒患者性别构成比、各年龄组各期梅毒患者性别构成比差异均无统计学意义(P>0. 05);梅毒患者以隐性梅毒(占68. 87%)为主,其次是Ⅰ期梅毒(22. 69%)、Ⅱ期梅毒(6. 26%)和Ⅲ期梅毒(2. 18%),各期梅毒的发病人数随年龄增长呈递减趋势。职业分布以农民最多(837例,占75. 95%),其次为家务及待业人员(224例,占20. 33%)。结论 2007-2016年间宜宾市60岁及以上老年人口梅毒发病率呈增长趋势,男性发病率高于女性,梅毒患者以隐性梅毒为主,农民居多,因此,需重视对老年人梅毒的检测,加强对老年人特别是农民的宣传干预力度,控制梅毒的传播和蔓延。
Objective To investigate the epidemiological features and trends of syphilis among elderly population in Yibin City so as to provide a scientific basis for formulating prevention and control strategies of sexually transmitted diseases( STDs).Methods The data regarding the incidence of syphilis in people aged 60 years and above in Yibin City from 2007 to 2016 were collected to perform descriptive epidemiological analysis. Results A total of 1,102 syphilis cases in people aged 60 years and above in Yibin City during 2007-2016 were cumulatively reported,with the average annual incidence rate of 13.17/100,000. The incidence rates of syphilis during 2007-2016 showed an upward trend,with statistically significant differences( χ_(tendency)~2 = 275.23,P = 0.000). The incidence rate in 2015 was the highest,reaching 25.35/100,000. The male-to-female ratio was 2. 38: 1,and there were statistically significant differences in the incidence rate between male and female( 18.92/100,000 vs. 7.64/100,000,χ~2 = 179.86,P = 0. 000). No statistically significant differences were found in the sex ratio among patients with different stages of syphilis( P>0.05) as well as among syphilis patients at different stages in different age groups( P> 0.05). Most of the patients were latent syphilis( 68.87%),followed by stage I syphilis( 22.69%),stage Ⅱ syphilis( 6.26%) and stage Ⅲ syphilis( 2.18%).The number of syphilis patients at each stage showed a decreasing tendency with increasing age. Most of the patients were farmers( 837/1,102,75.95%),followed by homemakers and the unemployed( 224/1,102,20.33%). Conclusions The incidence rate of syphilis in elderly people aged 60 years and above in Yibin City during 2007-2016 showed an upward tendency. The incidence was higher in males than in females. The majority of the patients were latent syphilis,and most of them were farmers. Therefore,we should pay more attention to the detection of syphilis in the elderly,intensify the propaganda and intervention among the elderly,especially in farmers,and control the transmission and spread of syphilis.
Objective To investigate the epidemiological features and trends of syphilis among elderly population in Yibin City so as to provide a scientific basis for formulating prevention and control strategies of sexually transmitted diseases( STDs).Methods The data regarding the incidence of syphilis in people aged 60 years and above in Yibin City from 2007 to 2016 were collected to perform descriptive epidemiological analysis. Results A total of 1,102 syphilis cases in people aged 60 years and above in Yibin City during 2007-2016 were cumulatively reported,with the average annual incidence rate of 13.17/100,000. The incidence rates of syphilis during 2007-2016 showed an upward trend,with statistically significant differences( χ_(tendency)~2 = 275.23,P = 0.000). The incidence rate in 2015 was the highest,reaching 25.35/100,000. The male-to-female ratio was 2. 38: 1,and there were statistically significant differences in the incidence rate between male and female( 18.92/100,000 vs. 7.64/100,000,χ~2 = 179.86,P = 0. 000). No statistically significant differences were found in the sex ratio among patients with different stages of syphilis( P>0.05) as well as among syphilis patients at different stages in different age groups( P> 0.05). Most of the patients were latent syphilis( 68.87%),followed by stage I syphilis( 22.69%),stage Ⅱ syphilis( 6.26%) and stage Ⅲ syphilis( 2.18%).The number of syphilis patients at each stage showed a decreasing tendency with increasing age. Most of the patients were farmers( 837/1,102,75.95%),followed by homemakers and the unemployed( 224/1,102,20.33%). Conclusions The incidence rate of syphilis in elderly people aged 60 years and above in Yibin City during 2007-2016 showed an upward tendency. The incidence was higher in males than in females. The majority of the patients were latent syphilis,and most of them were farmers. Therefore,we should pay more attention to the detection of syphilis in the elderly,intensify the propaganda and intervention among the elderly,especially in farmers,and control the transmission and spread of syphilis.
引文
[1]曲光瑾,张云明,罗善顺.积极老龄化的医学人文关怀[J].医学与哲学,2017,38(2):89-92.
[2]向前,谭剑,许军,等.基于供给需求理论的老龄化人口卫生服务的探讨[J].医学与哲学,2016,37(1):61-63.
[3]郭梦,班悦,孙千惠,等.中国人口老龄化与疾病的经济负担[J].医学与哲学,2015,36(1):32-34.
[4]龚向东,岳晓丽,腾菲,等. 2000-2013年中国梅毒流行特征与趋势分析[J].中华皮肤科杂志,2014,47(5):310-315.
[5]李万书,黄雁林,张念军,等.宜宾市2004-2010年乙类传染病流行特征分析[J].现代预防医学,2013,40(14):2584-2586,2595.
[6]朱建军,于力力,石慧,等.某三甲医院2007-2016年网报梅毒统计分析[J].检验医学与临床,2017,14(15):2205-2207,2210.
[7]文伟,彭雪峰.三种梅毒血清学试验的临床诊断价值比较[J].实用预防医学,2017,24(8):1007-1008.
[8]樊尚荣,梁丽芬. 2015年美国疾病控制中心性传播疾病诊断和治疗指南(续)—梅毒的诊断和治疗指南[J].中国全科医学,2015,18(27):3260-3264.
[9]龚向东,蒋娟,苏晓红.我国梅毒流行形势与控制对策探讨[J].中华皮肤科杂志,2014,47(5):307-309.
[10]王瑞,杨俊亚,王菲菲,等.老年梅毒患者186例临床分析[J].中国老年学杂志,2013,33(16):4034-4035.
[11]谢显扬,李晓霞. 2010-2014平远县梅毒流行病学特征分析[J].实用预防医学,2016,23(8):987-989.
[12]Buddeberg C,Bucher T,Hornung R. Erectile dysfunction in men in their second half of life[J]. Urologe A,2005,44(9):1045-1046,1048-1051.
[13]王海连,王德厚,王伟,等.承德市老年人群梅毒723例流行病学调查报告[J].河北医学,2016,22(8):1398-1400.
[14]陆华湘,朱宇佳,吴兴华,等.广西部分地区老年男性嫖客商业性行为特征及HIV感染相关危险因素研究[J].中华流行病学杂志,2015,36(1):31-34.
[15]邹亚明,刘凤英,陈磊,等.广东省2005-2014年梅毒流行趋势和疾病负担[J].中山大学学报(医学科学版),2016,37(1):142-147.
[2]向前,谭剑,许军,等.基于供给需求理论的老龄化人口卫生服务的探讨[J].医学与哲学,2016,37(1):61-63.
[3]郭梦,班悦,孙千惠,等.中国人口老龄化与疾病的经济负担[J].医学与哲学,2015,36(1):32-34.
[4]龚向东,岳晓丽,腾菲,等. 2000-2013年中国梅毒流行特征与趋势分析[J].中华皮肤科杂志,2014,47(5):310-315.
[5]李万书,黄雁林,张念军,等.宜宾市2004-2010年乙类传染病流行特征分析[J].现代预防医学,2013,40(14):2584-2586,2595.
[6]朱建军,于力力,石慧,等.某三甲医院2007-2016年网报梅毒统计分析[J].检验医学与临床,2017,14(15):2205-2207,2210.
[7]文伟,彭雪峰.三种梅毒血清学试验的临床诊断价值比较[J].实用预防医学,2017,24(8):1007-1008.
[8]樊尚荣,梁丽芬. 2015年美国疾病控制中心性传播疾病诊断和治疗指南(续)—梅毒的诊断和治疗指南[J].中国全科医学,2015,18(27):3260-3264.
[9]龚向东,蒋娟,苏晓红.我国梅毒流行形势与控制对策探讨[J].中华皮肤科杂志,2014,47(5):307-309.
[10]王瑞,杨俊亚,王菲菲,等.老年梅毒患者186例临床分析[J].中国老年学杂志,2013,33(16):4034-4035.
[11]谢显扬,李晓霞. 2010-2014平远县梅毒流行病学特征分析[J].实用预防医学,2016,23(8):987-989.
[12]Buddeberg C,Bucher T,Hornung R. Erectile dysfunction in men in their second half of life[J]. Urologe A,2005,44(9):1045-1046,1048-1051.
[13]王海连,王德厚,王伟,等.承德市老年人群梅毒723例流行病学调查报告[J].河北医学,2016,22(8):1398-1400.
[14]陆华湘,朱宇佳,吴兴华,等.广西部分地区老年男性嫖客商业性行为特征及HIV感染相关危险因素研究[J].中华流行病学杂志,2015,36(1):31-34.
[15]邹亚明,刘凤英,陈磊,等.广东省2005-2014年梅毒流行趋势和疾病负担[J].中山大学学报(医学科学版),2016,37(1):142-147.
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