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目的分析昆明市西山区2008―2013年梅毒的流行病学特征,为梅毒防控工作的开展提供科学依据。方法通过中国疾病预防控制信息系统中的传染病报告信息管理系统收集2008—2013年昆明市西山区梅毒病例资料,采用描述流行病学方法进行分析。结果 2008—2013年西山区共报告梅毒1 190例,以隐性梅毒为主(923例,占77.56%),年均发病率为28.69/10万。报告病例数居前3位的街道分别为福海街道250例、金碧街道186例、前卫街道162例,分别占病例总数的21.01%、15.63%、13.61%。男性541例,女性649例,男女性别比为1∶1.20。各年龄组均有病例报告,其中以20~39岁年龄组发病数较多,共报告458例,占病例总数的38.49%。报告病例数居前5位的职业分别为离退休人员363例、家务及待业276例、农民104例、商业服务77例、工人69例,合计占病例总数的74.71%。结论昆明市西山区2008―2013年梅毒流行存在明显的人群和地区差异,防治形势严峻。应针对重点地区和重点人群加大干预力度,以期有效控制西山区梅毒的高发态势。
Objective To analyze the epidemiological characteristics of syphilis in Xishan District of Kunming from 2008 to 2013 and provide a scientific basis for the prevention and control of syphilis. Methods The information of syphilis cases in Xishan District of Kunming from 2008 to 2013 was collected through the information system of infectious disease reporting in China’s disease prevention and control information system, and the descriptive epidemiological method was used to analyze the data. Results A total of 1 190 cases of syphilis were reported in Xishan District from 2008 to 2013, mainly including latent syphilis (923 cases, accounting for 77.56%) with an average annual incidence of 28.69 / 100000. Among the top three reported cases, there are 250 Fuhai streets, 186 Jinbi streets and 162 Qianwei streets, accounting for 21.01%, 15.63% and 13.61% of the total number of cases respectively. There were 541 males and 649 females with a sex ratio of 1: 1.20. Each age group has a case report, of which 20 to 39 age group incidence is more, a total of 458 cases were reported, accounting for 38.49% of the total number of cases. The top 5 occupations reported were 363 retirees, 276 domestic and unemployed, 104 farmers, 77 commercial services and 69 workers, accounting for 74.71% of the total cases. Conclusion There were obvious population and regional differences in syphilis epidemics in Xishan District of Kunming City from 2008 to 2013, and the situation of prevention and treatment was severe. Should focus on key areas and key populations to increase intervention efforts in order to effectively control the high incidence of syphilis in Xishan District.