Chen Yuan-Fang, Ding Jian-Ping, Yan Hong-Jing, Lu Jing, Ding Ping, Chen Guo-Hong, Li Jian-Jun, Huan Xi-Ping, Yang Hai-Tao, Tang Wei-Ming, Fu Geng-Feng
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Jiangsu Institute of Parasitic Diseases, Wuxi, China.
PLoS One. 2017 Aug 24;12(8):e0183409. doi: 10.1371/journal.pone.0183409. eCollection 2017.
To analyze the midterm evaluation data from the National Syphilis Prevention and Control Plan (2010-2020) and evaluate the current status of syphilis prevention and control in Jiangsu province, China.
We collected data via (1) field surveys conducted in 2015 and (2) data recorded in existing syphilis surveillance systems. We conducted descriptive statistical analysis to evaluate the current landscape of syphilis control initiatives and their potential effect in syphilis control.
The incidence of all cases of syphilis decreased from 2010 (32.3 per 100,000) to 2015 (30.1 per 100,000), with an annual growth of -1.17% (x2trend = -7.52, P<0.001) in Jiangsu province. The incidence of primary and secondary syphilis and congenital syphilis both decreased significantly from 2010 to 2015. The average awareness rate of syphilis knowledge among professional personnel was 95.4% (3781/3963). Rural residents had the lowest awareness rate (83.5%, 1875/2245) and commercial sex workers had the highest awareness rate (92.1%, 7804/8474) in 2015. Only 47.8% (33908/70894) of patients received provider-initiated syphilis counseling and testing (PISTC) services in sexually transmitted disease (STD) clinics, but 94.5% (87927/93020) of all syphilis patients received free testing for syphilis. Overall, 97.2% (9378/9648) of syphilis reported cases of syphilis at medical institutions were confirmed to be accurate, and 92.2% (5850/6345) of patients diagnosed with syphilis at medical institutions received treatment with penicillin.
The syphilis incidence rate in Jiangsu has decreased in recent years, but remains at a high level. It is essential to promote PISTC services to improve knowledge of syphilis and rates of testing and treatment in Jiangsu province.
分析《全国梅毒防治规划（2010 - 2020年）》的中期评估数据，评估中国江苏省梅毒防控的现状。
我们通过以下两种方式收集数据：（1）2015年开展的现场调查；（2）现有梅毒监测系统记录的数据。我们进行描述性统计分析，以评估梅毒防控举措的当前状况及其在梅毒防控中的潜在效果。
江苏省梅毒总病例发病率从2010年的十万分之32.3降至2015年的十万分之30.1，年增长率为 -1.17%（x²趋势 = -7.52，P<0.001）。2010年至2015年，一期和二期梅毒以及先天性梅毒的发病率均显著下降。专业人员对梅毒知识的平均知晓率为95.4%（3781/3963）。2015年，农村居民知晓率最低（83.5%，1875/2245），商业性工作者知晓率最高（92.1%，7804/8474）。在性病门诊中，仅47.8%（33908/70894）的患者接受了医务人员主动提供的梅毒咨询和检测（PISTC）服务，但所有梅毒患者中有94.5%（87927/93020）接受了梅毒免费检测。总体而言，医疗机构报告的梅毒病例中97.2%（9378/9648）被确认为准确，在医疗机构被诊断为梅毒的患者中有92.2%（5850/6345）接受了青霉素治疗。
近年来江苏省梅毒发病率有所下降，但仍处于较高水平。在江苏省，推广医务人员主动提供的梅毒咨询和检测服务以提高梅毒知识知晓率以及检测和治疗率至关重要。
