北京市怀柔区2004-2007年性传播疾病的流行病学分析

目的分析北京市怀柔区2004-2007年性传播疾病（STD）的流行病学特点，为制定有效的防治对策提供科学依据。方法以2004-2007年8种法定报告STD疫情资料为依据，进行流行病学分析。结果4年监测8种STD中，除软下疳和性病性淋巴肉芽肿外，其余6种均有报告，累计报告812例，STD年均发病率为61.19／10万；STD发病率呈逐年下降态势，由2004年的59.93／10万下降至2007年的57.86／10万；病种顺位随年份有所变化，尘锐湿疣由2004、2005、2006年的第2位跃居为2007年的第1位，并且发病呈逐年上升的趋势，淋病发病呈逐年下降的趋势，发病率由2004、2005年度第1位下降到2006、2007年度第3位。梅毒发病呈快速增长的趋势；男性发病多于女性，男性发病呈下降趋势，女性发病呈上升趋势；文化程度构成，中学及以下文化程度者占发病总数的65.39％，已婚患者占74.14％；非婚性传播占57.14％，报告病例本市占92.12％。结论北京市怀柔区近年来STD发病呈逐年下降趋势，但尖锐湿疣和梅毒发病呈逐年快速增长的趋势，加强STD防病知识的普及，提倡安全性行为，是控制STD蔓延的有效措施，也是预防艾滋病病毒感染的有效措施。

Epidemiological Analysis of Sexually Transmitted Diseases in Huairou District of Beijing City during 2004-2007

[Objective] To analyze the epidemiological features of sexually transmitted diseases （STD） in Huairou district of Beijing city during 2004-2007, and provide scientific evidence for developing effective control measures.[Methods] The data of 8 notifiable STDs from 2004 to 2007 were conducted epidemiological Analysis.[Results] 6 out of 8 notifiable STDs were repotted from 2004 to 2008 except for chancroid and lymphogranuloma venereum. The cumulative number of the notifiable STDs was 812, The average incidence rate of STD was 61.19/100 000 annually and the rate had kept decreasing from 59.93/100 000 in 2004 to 57.86/100000 in 2007. The spectrum of the STDs had changed. Ranking the second in 2004, 2005 and 2006, the incidence rate of condyloma was increasing, ranked the first in 2007 and showed an annually upward tendency. The incidence rate of gonorrhea was decreasing, which ranked the first in 2004 and 2005 but ranked the third in 2006 and 2007. The incidence rate of syphilis increased sharply. Although male cases outnumbered the female cases, the number of male STDs cases was decreasing while that of the females was increasing. Those who were less educated, usually with less than 9 years of education, accounted for 65.39% of the total number. 74.14% of the cases were married ; Extra marital sex accounted for 57.14% of the cases. 92.12% of the patients were local residents,[Conclusion] The incidence rate of the STDs in Huairou district had been decreasing in recent years, but the number of reported condyloma and syphilis had been increasing. Health education on STDs prevention and safer sex need to be promoted so that further transmission of STDs and HIV/AIDS can be prevented.