Baigalmaa Jantsansengeegiin, Erdenechimeg Choijiljaviin, Narantuya Jadambaagiin, Bulbul Aumakhanii, Tugsjargal Jamsranjaviin, Dolgion Erdenebatiin, Soyolmaa Erdenebaatariin, Enkhtuya Minjuuriin, Jugderjav Badrakhiin, Otgonsukh Sodnomyn
National Center for Communicable Diseases, Ulaanbaatar, Mongolia . ; Mongolian Field Epidemiology Training Programme, Ministry of Health, Ulaanbaatar, Mongolia .
Western Pac Surveill Response J. 2012 Dec 21;3(4):86-93. doi: 10.5365/WPSAR.2012.3.2.008. Print 2012 Oct.
In Western Pacific Region countries, sexually transmitted infections (STI) rates vary but are considered high. In Mongolia, syphilis incidence has increased between 2001 and 2011; therefore, the objective of this study was to describe the epidemiology of syphilis in Mongolia to provide evidence for prevention and control activities.
A retrospective analysis of syphilis was conducted using STI data from the passive surveillance system. This included demographic and clinical information and laboratory test results. In addition, a test for the trend of syphilis notification rates over time was conducted.
Syphilis notification rates increased by twofold from 71 per 100 000 in 2001 to 152 per 100 000 in 2011 (P < 0.006), and there were significant differences observed between the capital city and the province rates over time (P = 0.011). Generally, notification rates among females were significantly higher than males (P < 0.001) except that male rates increased to 185 per 100 000, higher than female rates of 179 per 100 000 in 2009. The increase of notifications of latent syphilis for males (P < 0.009) and females (P < 0.006) was significant.
This is the first analysis of the overall situation of syphilis in Mongolia, and although the years with the largest number of cases corresponded to large-scale screening programmes, we observed a significant increase in syphilis notification rates over time. These results will be useful for evidence-based prevention and control activities such as awareness campaigns for young adults.
在西太平洋地区国家，性传播感染（STI）率各不相同，但被认为较高。在蒙古，2001年至2011年间梅毒发病率有所上升；因此，本研究的目的是描述蒙古梅毒的流行病学情况，为预防和控制活动提供依据。
利用被动监测系统的性传播感染数据对梅毒进行回顾性分析。这包括人口统计学和临床信息以及实验室检测结果。此外，还对梅毒报告率随时间的趋势进行了检测。
梅毒报告率从2001年的每10万人71例增加到2011年的每10万人152例，增长了两倍（P < 0.006），且随着时间的推移，首都和省份的报告率存在显著差异（P = 0.011）。一般来说，女性的报告率显著高于男性（P < 0.001），但在2009年男性报告率增至每10万人185例，高于女性的每10万人179例。男性（P < 0.009）和女性（P < 0.006）潜伏梅毒报告的增加具有显著性。
这是对蒙古梅毒总体情况的首次分析，尽管病例数最多的年份与大规模筛查项目相对应，但我们观察到梅毒报告率随时间显著增加。这些结果将有助于开展基于证据的预防和控制活动，如针对年轻人的宣传运动。
