深圳市淋病报告发病率影响因素分析

目的：分析影响深圳市淋病报告发病率的因素，并评估其影响程度。方法：用按比例分层随机抽样法从全市144家性病网络直报医疗机构中抽取34家作为调查点，将2009年10月1日至2009年lO月31日期间，首次主动前往调查点皮肤性病科、妇产科、泌尿外科门诊寻求性病诊疗服务的就诊者作为研究对象。评价是否检测淋球菌、实验室淋球菌检测能力和是否漏报等环节对淋病报告发病率的影响。结果：2534名就诊者中性病门诊实验室淋球菌漏检率为7．3％，漏诊率为62．3％，误诊率为18．6％。性病门诊检测阳性结果的漏报率为6．2％。性病门诊报告发病数为实际发病数的37．1％。结论：漏检、漏诊、误诊和漏报等因素对淋病报告发病率造成了不同程度的影响，在不考虑其他影响因素的情况下，淋病报告发病率只反应了真实发病率的37．1％。

Analysis of Factors Affecting the Reported Incidence of Gonorrhea in Shenzhen City

Objective：To investigate the influencing factors of the reported incidence of gonorrhea in Shenzhen City, and to evaluate the degrees of influence. Methods：From October 1, 2009 to October 31, 2009, a total of 2534 patients from Dermatology ＆ STD Department, Obstetrics- Gynecology, and Urology outpatient clinics in 34 hospitals were participated in the study. The untested-rate, undetected-rate, falsepositive rate, non-response rate and adjusted incidence were calculated, and the degrees which they affected the reported incidence of gonorrhea were assessed. Results：The Neisseria gonorrhea untest-rate of patients in clinics was 7.3%. The undetected- rate, falsepositive rate and non-reporting rate were 62. 3% , 18.6% , 6. 2% , respectively. The number of gonorrhea patients reported by clinic doctors only accounted for 37.1% of the real gonorrhea patients in this study. Conclusion：The untested-rate, undetected-rate, false-positive rate and non-response rate all affected the reported incidence of gonorrhea in different degrees. The reported incidence onlv account for 37.1% of the real incidene wilhnut nther influencing factors.