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2013-2018 年北京市海淀区梅毒感染及流行病学特征。

Syphilis infection and epidemiological characteristics in Haidian District, Beijing, China, 2013-2018.

机构信息

Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, 510632, People's Republic of China; Department of Preventive Health Care, Four Seasons Hospital, Haidian District, Beijing, 100097, People's Republic of China.

Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, 510632, People's Republic of China.

出版信息

Public Health. 2021 Jan;190:62-66. doi: 10.1016/j.puhe.2020.11.009. Epub 2020 Dec 21.

DOI:10.1016/j.puhe.2020.11.009
PMID:33360028
Abstract

OBJECTIVES

This study aimed to investigate the epidemiological characteristics of syphilis between 2013 and 2018 in the Haidian District of Beijing in China. In addition, this study suggests potential strategies to control the spread of syphilis infection.

STUDY DESIGN

Observational study.

METHODS

Data were collected from the Infectious Disease Reporting System at medical institutions within the Haidian District of Beijing between 2013 and 2018. Epidemiological methods, combined with Chi-squared test, were used to analyse the distribution of syphilis in terms of time, region, population and development stage.

RESULTS

In total, 3048 patients with syphilis were reported in the Haidian District between 2013 and 2018, with an average annual prevalence of 14.26 per 100,000 population. The prevalence of syphilis was higher in rural than urban regions, and the sex ratio of male-to-female was 1.52:1. Patients aged 20-29 years accounted for 22.60% (689/3048) of the total cases. In terms of occupational distributions, the highest proportion (30.61%; 933/3048) was seen in individuals who were homemakers or unemployed. Latent syphilis was present in 66.83% (2037/3048) of patients and accounted for an increased proportion of syphilis cases each year.

CONCLUSIONS

Syphilis was epidemic in the Haidian District of Beijing between 2013 and 2018. High prevalence was seen in young and middle-aged males living in urban areas. The prevalence of syphilis has been increasing since 2016; thus, public health policies and intervention strategies need to be strengthened to curb the spread of infection.

摘要

目的

本研究旨在探讨 2013 年至 2018 年期间中国北京市海淀区梅毒的流行病学特征。此外,本研究提出了潜在的控制梅毒感染传播的策略。

研究设计

观察性研究。

方法

数据来自 2013 年至 2018 年期间北京市海淀区医疗机构传染病报告系统。采用流行病学方法,结合卡方检验,分析梅毒在时间、地区、人群和发病阶段的分布。

结果

2013 年至 2018 年期间,海淀区共报告梅毒患者 3048 例,年平均患病率为 14.26/10 万。农村地区梅毒患病率高于城市地区,男女性别比为 1.52:1。20-29 岁患者占总病例的 22.60%(689/3048)。从职业分布来看,以家庭主妇或无业人员的比例最高(30.61%;933/3048)。潜伏梅毒患者占 66.83%(2037/3048),且每年梅毒病例中潜伏梅毒的比例均呈上升趋势。

结论

2013 年至 2018 年期间,北京市海淀区梅毒流行。高发人群为 20-29 岁、居住在城市地区的中青年男性。自 2016 年以来,梅毒的患病率呈上升趋势;因此,需要加强公共卫生政策和干预策略,以遏制感染的传播。

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