2005—2010年广东省育龄妇女人群中二期梅毒及隐性梅毒流行趋势分析
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杨斌

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R759.1

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Epidemiological trends of the secondary and latent syphilis among women of childbearing age in Guangdong Province of China: from 2005 to 2010
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    摘要:

    目的对广东省2005—2010年育龄妇女(15~49岁)人群中二期梅毒及隐性梅毒的流行趋势进行分析。方法对中国疾病监测信息报告管理系统中梅毒疫情报告数据进行统计分析。结果(1)流行趋势:广东省育龄妇女人群隐性梅毒发病率自2005年的17.37/10万(病例数3 300例)增加至2010年的49.79/10万(病例数10 100例),平均年增长率为24.55%,χ2趋势检验结果显示呈快速递增状态(χ2=4.85,P=0.028);而二期梅毒呈轻度下降,年平均增长率为-2.42%(χ2=3.31,P=0.069)。(2)年龄分布:主要以25~35岁人群发病率较高,达85.45/10万~98.75/10万。(3)疫情上报医疗机构构成比:以综合医院为主,占60.86%;其次为妇幼保健院(14.26%)、皮肤病防治机构(10.32%);卫生院、社区卫生服务中心等基层医疗机构仅占1.66%。结论广东省育龄妇女人群中二期梅毒呈轻度下降,而隐性梅毒则呈快速增长趋势,提示应加大在育龄妇女中的梅毒筛查力度,同时还应进一步加强基层医疗机构的梅毒筛查能力建设,以控制育龄妇女人群中梅毒疫情的上升及母婴梅毒的传播。

    Abstract:

    ObjectiveTo analyze the epidemiological trends of the secondary and latent syphilis among women of childbearing age (15-49 years old) in Guangdong Province of China from 2005 to 2010.MethodsData collected from China Information System for Diseases Control and Prevention were analyzed statistically.Results(1) Epidemiological trend: The incidence of latent syphilis among women of childbearing age  in Guangdong Province of China increased  from 17.37/100 000 (3 300 patients) in 2005 to 49.79/100 000 (10 100 patients)  in 2010, with an average annual increase rate of 24.55% (χ2=4.85, P=0.028);the epidemiological trend of secondary syphilis slightly declined with an average annual increase rate of -2.42% (χ2=3.31, P=0.069).  (2) Age distribution: A higher incidence was found among women aged 25-35 years old, which was up to 85.45/100 000 -98.75/100 000. (3) Proportions of reports by different medical institutions: General hospitals accounted for 60.86%, followed by maternal and children health hospitals (14.26%), institutes of skin disease prevention (10.32%), and primary care institutes including hygiene stations and community health service centers (1.66%). ConclusionSlightly decreased incidence of secondary syphilis and rapid increase in latent syphilis among women of childbearing ages called for greater efforts in screening syphilis and raised capacity of screening at primary care institutes. Such endeavors will contribute to the control of the increasing incidence of syphilis among those women and mothertochild transmission of syphilis.

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任旭琦,杨立刚,陈永锋,等.2005—2010年广东省育龄妇女人群中二期梅毒及隐性梅毒流行趋势分析[J]. 中国感染控制杂志,2012,11(3):174-177.
REN Xuqi, YANG LIgang, CHEN Yongfeng, et al. Epidemiological trends of the secondary and latent syphilis among women of childbearing age in Guangdong Province of China: from 2005 to 2010[J]. Chin J Infect Control, 2012,11(3):174-177.

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  • 收稿日期:2012-02-12
  • 最后修改日期:2012-03-29
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  • 在线发布日期: 2012-05-30
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