珠海市2005—2012年性病流行病学分析

目的研究珠海市性病的流行规律,为制定性病预防控制措施提供科学的依据。方法采用分层整群抽样方法,在珠海市的7个行政区抽取4个区(镇) 2005-2012年的疫情上报资料进行统计分析。结果2005-2012年间共上报性病病例3 566例次，年均发病率为116.64/10万。性病发病率逐年上升，2005-2012年分别为14.63/10万、19.64/10万、16.89/10万、78.03/10万、56.91/10万、160.27/10万、232.99/10万、245.63/10万。梅毒、艾滋病、淋病、生殖器疱疹、生殖道沙眼衣原体感染和尖锐湿疣的发病率分别为15.90/10万、2.00/10万、17.83/10万、16.58/10万、37.09/10万和27.25/10万。报告病例主要集中在20～39岁人群，约占80%。＞60岁人群梅毒发病率（25.92/10万）高于该病在20～39岁性活跃人群的发病率（19.06/10万）；15～19岁年龄组尖锐湿疣发病率（32.82/10万）高于该病年均发病率（27.25/10万）；家务及待业者患性病人数有增多趋势。结论该市性病发病率有升高趋势，某些性病上升幅度较大，且普通人群发病有增多趋势，提示性病防治工作应深入到各类人群，尤其是社区和学校。

Epidemiological analysis on sexually transmitted diseases in Zhuhai in 2005-2012

ObjectiveTo study epidemiological characteristics of sexually transmitted diseases(STDs) in Zhuhai, and provide a scientific basis for the formulating of STD prevention and control measures.MethodsThe epidemic reporting data (2005—2012) of four zones(towns) in seven administrative districts of Zhuhai were analyzed by stratified cluster sampling method.ResultsIn 2005-2012, 3 566 STD cases were reported, the average annual incidence rate was 116.64/100,000. The occurrence of STDs increased year by year, the average annual incidence per 100,000 population was 14.63,19.64,16.89,78.03,56.91,160.27,232.99, and 245.63, respectively. The incidence of syphilis, acquired immunodeficiency syndrome, gonorrhea, genital herpes, Chlamydia trachomatis genital infection and pointed condyloma was 15.90, 2.00, 17.83, 16.58, 37.09, and 27.25 per 100,000 population, respectively. Reported cases mainly concentrated on population aged 20-39 years (80%). The incidence of syphilis in population aged ＞60 years was higher than those aged 20-39 years (25.92/100,000 vs 19.06/100,000）; the incidence of pointed condyloma in 15-19 age group was higher than the average annual incidence （32.82/100,000 vs 27.25/100,000）; there was an increased trend in the development of STDs in housework and unemployed persons.ConclusionIncidence of STDs tends to increase in this city, there is a greater increase in certain STDs, and there is a growing trend in the incidence among general population, indicating the prevention effort on STDs should go deep into all kinds of people, especially in communities and schools.